|Hubert John and Dieter Hauri|
|Abramson Cancer Center of the University of Pennsylvania|
| Last Modified: November 1, 2001
Reviewers: Li Liu, MD
Précis: Seminal vesicle-sparing radical prostatectomy may maintain urinary continence
IntroductionUrinary incontinence is one of the major potential side effects of radical prostatectomy. The sensory and motor components of the pelvic nerve are in close contact with the seminal vesicles, and may be affected by surgery thus leading to this problem. To try to avoid this, researchers from Zurich University investigated the possibility of preserving the seminal vesicle tip during radical prostatectomy.
MethodA total of 54 men underwent radical prostatectomy for localized prostate cancer. Of them, 34 patients had standard prostatectomy and 20 underwent seminal vesicle-sparing prostatectomy.
DiscussionIn this study, radical prostatectomy in which the distal end of the seminal vesicle was not dissected preserved pelvic innervation and urinary continence. The authors warn that the technique should be used with caution when seminal vesicles are at risk for cancer invasion. In addition, long-term follow-up is needed to evaluate the local-tumor control as well as overall survival.