3-Piece inflatable penile prosthesis at the patient after radical cystprostatectomy and orthotopic neobladder with the synchronous primary-multiple bladder and prostate cancer
Gritskevich A.A., Teplov A.A., Stepanova Yu.A., Kondratyev E.V., Pyanikin S.S. Morozova M.V., Glotov A.V.
| Purpose. Radical cystoprostatectomy (RCE) with the derivation of urine into the intestinal tract segment is now the standard treatment for muscle-invasive and some other forms of bladder cancer. In recent decades, postoperative lethality after RCE has been reduced to a minimum and is 0.5-2%, nevertheless, a number of postoperative complications can significantly wors-en the quality of life of the patient. Improvement of surgical technique in recent years has led to the fact that orthotopic replacement of the bladder while maintaining an arbitrary urina-tion can be performed to the most patients. In addition, complete sexual surgical rehabilita-tion is possible even in this complex category of the patients. Materials and methods. A clinical case of a 49-year-old patient who entered at A.V. Vishnevsky National Medical Research Center of Surgery with the bladder cancer is present-ed. Synchronous primary-multiple cancer of the bladder and prostate was diagnosed in the post-examination. Results. RCE with enlarged bilateral ileal obturator lymphadenectomy and the Studer orthotopic neobladder, which made it impossible to maintain sexual function was performed. Later, in the long-term postoperative period the patient underwent 3-piece inflatable penile prosthesis. The complications of surgery were not identified with the dynamic observation in the late period. Orthotopic neobladder and 3-piece inflatable penile prosthesis functioned nor-mally. Ultrasound and MSCT are effective methods of monitoring of the condition of the pa-tients who have undergone such complicated surgical interventions. Conclusion. 3-piece inflatable penile prosthesis with modern implantation systems after RCE with orthotopic plastic surgery of the bladder provides the best sexual rehabilita-tion for men. |
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Keywords: bladder cancer, prostate cancer, ultrasound, MSCT, MRI, cystoprostatec-tomy, neobladder, penile prosthesis.
Corresponding author:Gritskevich Alexander Anatolyevich, e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript
For citation: Gritskevich A.A., Teplov A.A., Stepanova Yu.A., Kondratyev E.V., Pyanikin S.S. Morozova M.V., Glotov A.V. 3-piece inflatable penile prosthesis at the patient after radical cystprostatectomy and orthotopic neobladder with the synchronous primary-multiple bladder and prostate cancer. REJR 2018; 8 (3):305-317. DOI:10.21569/2222-7415-2018-8-3-305-317.
Received:20.07.18Accepted:09.08.18