Abstract
Purpose The efficacy of nerve sparing radical cystoprostatectomy for the treatment of bladder cancer has been evaluated. We reviewed our 10-year experience with this technique to ascertain survival and local recurrence rates. Materials and Methods The charts of 101 patients treated with nerve sparing cystoprostatectomy between March 1982 and November 1989 were reviewed and updated. Results The disease-specific 10-year survival rate for all stages of bladder cancer treated was 69 percent and the 10-year survival rate free of local recurrence was 94 percent. Recovery of sexual function following nerve sparing cystectomy correlated with patient age: 62 percent in men to 49 years old, 47 percent in men 50 to 59 years old, 43 percent in men 60 to 69 years old and 20 percent in men 70 to 79 years old. Conclusions Nerve sparing radical cystoprostatectomy does not compromise cancer control and provides improved postoperative quality of life.
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