A survey on erectile function of 25 sexually active male patients receiving laparoscopic radical cystectomy and urete roileal urinary divertion

LIU Jiuling; CHEN Li; ZENG Guang; TIAN Binqun

doi:10.3969/j.issn.1671-6450.2014.03.017

Abstract：Objective To evaluate the erectile function in sexually active male patients receiving laparoscopic radical cystectomy (LRC) and ureteroileal urinary divertion to provide an additional reference for medical intervention .Methods From August 2010 to March 2012, 25 cases of bladder cancer patients who were married men underwent laparoscopic radical+ileal neobladder, all patients with the normal pre-operative sexual function , defined as sexually active males , 10 cases re-ceived neurological reservations bladder cancer radical +ileal neobladder and 15 patients received non-reserved neurological bladder cancer cure +ileal neobladder.Before surgery, assessed these 25 patients erectile function by using the International Index of Erectile Function Questionnaire (IIEF-5), after surgery combined with IIEF-5 with reference to male sexual function questionnaire (O’Leary 1995), self-designed questionnaire for post -operative erectile function and related survey were carried out.Results Compared with pre-operative, after 12 months, post-operative 25 cases were unable to achieve an erection can be inserted into the vagina.IIEF-5 total: Reserved neurological group of 10 patients from preoperative (20.60 ±2.22) points to postoperative (1.90 ±1.73) points, the non-reserved neurological group of 15 patients from preoperative (18.73 ±3.83) points to postoperative (3.20 ±4.87) points, there were significantly different between the two groups before and after surgery ( P <0.01).There was no statistically significant difference of 2 group self-designed total score (6.40 ±0.84 vs.6.20 ± 0.78, P >0.05).Conclusion There are higher incidence of erectile dysfunction after radical cystectomy and ureteroileal u -rinary divertion.