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《Medical Journal of National Defending Forces in Northwest China》 2017-08
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Effect of laparoscopic intrafascial nerve-sparing resection on bladder and erectile fuction of patients with prostate cancer

YANG Zhaoyu;LIN Zhiyi;DENG Chaoxiong;Department of Urology,the 180th Hospital of PLA;  
Objective:To observe the effect of laparoscopic intrafascial nerve-sparing resection on bladder and erectile fuction of patients with prostate cancer.Methods:Ninety patients with localized prostate cancer were divided into two groups according to the surgical methods,the intrafacia group(n=45)was treated with intrafascial nerve-sparing resection therapy,the fascia group(n=45)was treated with laparoscopic fascia nerve sparing resection therapy.The operation time,intraoperative blood loss, postoperative drainage time,postoperative hospital stay,the levels of serum PSA postoperative,pathological stage,positive margins,continence and erectile function after 3and 6 months postoperative of two groups were compared.Results:There were no significant difference with operation time,intraoperative bleeding volume,postoperative drainage time,postoperative hospitalization time of two groups(P0.05).There were no significant difference about the pathological staging and positive margin rate of the two groups(P0.05).The bladder and erectile function of intrafacia group after 3and 6 months were significantly better than that of the fascia group(P0.05).Conclusion:Laparoscopic intrafascial nerve sparing resection can obviously improve continence and erectile function in patients with prostate cancer,and is worthy of clinical application.
【Key Words】: prostate cancer laparoscopy intrafascial bladder erectile function
【CateGory Index】: R737.25
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