| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296496 |
| ISSN: | 1677-5538 |
| Autores: | Miguel, Srougi1 Dall'Oglio, Marcos Nesrallah, Luciano J Arruda, Homero O Ortiz, Valdemar |
| Instituciones: | 1Universidade Federal de Sao Paulo, Escola Paulista de Medicina, Ribeirao Preto, Sao Paulo. Brasil |
| Año: | 2003 |
| Periodo: | Jul-Ago |
| Volumen: | 29 |
| Número: | 4 |
| Paginación: | 336-344 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Teórico, descriptivo |
| Resumen en inglés | OBJECTIVE: To describe the original cystoprostatectomy technique which allows the preservation of sexual and urinary function in the majority of treated patients. SURGICAL TECHNIQUE: The described technique presents some details that distinguish it from classic cystectomy: 1) a more efficient control of prostate venous and arterial tributaries; 2) preservation of prostatic capsule and enucleation of prostatic parenchyma, which is removed in block together with the bladder, without violating the vesical neck; 3) no manipulation of the distal urethral sphincteric complex; 4) preservation of seminal vesicles and maintenance of cavernous neurovascular bundles; 5) wide anastomosis between the ileal neobladder and the prostatic capsule. COMMENTS: The proposed maneuvers allow the performance of radical cystectomy with integral preservation of distal urethral sphincter and of cavernous neurovascular bundles, without jeopardizing the oncological principles |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Oncología, Vejiga urinaria, Neoplasias, Cistectomía, Derivación urinaria, Técnicas quirúrgicas |
| Keyword: | Medicine, Oncology, Surgery, Urinary bladder, Neoplasms, Cystectomy, Urinary diversion, Surgical techniques |
| Texto completo: | Texto completo (Ver HTML) |
