PD06-06 THE EFFECT OF NEUROVASCULAR BUNDLE PRESERVATION ON CHANGES IN PENIS LENGTHS AND ELASTICITY SCORES FOLLOWING RADICAL PROSTATECTOMY

Abstract

You have accessJournal of UrologyImaging/Radiology: Uroradiology II1 Apr 2016PD06-06 THE EFFECT OF NEUROVASCULAR BUNDLE PRESERVATION ON CHANGES IN PENIS LENGTHS AND ELASTICITY SCORES FOLLOWING RADICAL PROSTATECTOMY Nurullah Hamidi, Evren Suer, Ilker Gokce, Namik Altinbas, Cemil Yagci, Sumer Baltaci, and Kadir Turkolmez Nurullah HamidiNurullah Hamidi More articles by this author , Evren SuerEvren Suer More articles by this author , Ilker GokceIlker Gokce More articles by this author , Namik AltinbasNamik Altinbas More articles by this author , Cemil YagciCemil Yagci More articles by this author , Sumer BaltaciSumer Baltaci More articles by this author , and Kadir TurkolmezKadir Turkolmez More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2626AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To date, many articles have been published about penile atrophy following radical prostatectomy (RP). In this study, we aimed to evaluate the changes in penis lengths and cavernous body elasticity scores in patients who underwent RP with neurovascular bundle (NVB) preserving or not. METHODS We prospectively recorded data of 65 pre-op potent patients who underwent RP for organ-confined prostate cancer, at our institution, between April 2014-March 2015. Patients who have penile deformity were excluded. Patients were divided into three groups(G): non-nerve spared (G1=22 patients), unilateral (left or right) nerve spared (G2=22 patients) and bilateral nerve spared (G3=21 patients). Data include pre and post-op (3rd and 6thmonths) penis lengths and elasticity scores. Elasticity of cavernous tissue (at level of peno-scrotal junction) was assessed with real-time elastography. All elastography measures performed by a single radiologist between 0-6 scores (0: elastic, 6: fibrotic). Penis lengths were measured from pubo-penile junction to tip of glans with maximum contraction of flaccid penis. RESULTS Age, mean pre-op penis lengths and elasticity scores were similar for three groups (p=0.22, p=0.82, p=0.36, respectively). Pre-op, post-op 3rd and 6th months penis lengths and elasticity scores were showed in fig 1. The differences of post-op penis lengths and elasticity scores between G1-G2 and G1-G3 were statistically significant. However, difference between G2 and G3 was not statistically significant (table 1). Also negative correlation was detected between penis lengths and elasticity scores in Spearman’s correlation test at post-op 3rd(r=-0.243) and 6th (r=-0.263) months. CONCLUSIONS Shorter penis lengths and higher elasticity (in favor of fibrosis) scores were observed in bilateral non-nerve sparing group after RP. Although further prospective and large sample trials are needed for confirmation our results, preserve of NVB in at least one side mediates less penile atrophy and lower elasticity scores. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e176 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Nurullah Hamidi More articles by this author Evren Suer More articles by this author Ilker Gokce More articles by this author Namik Altinbas More articles by this author Cemil Yagci More articles by this author Sumer Baltaci More articles by this author Kadir Turkolmez More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...