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  • Title: Potency after unilateral nerve sparing surgery: a report on functional and oncological results of unilateral nerve sparing surgery.
    Author: Van der Aa F, Joniau S, De Ridder D, Van Poppel H.
    Journal: Prostate Cancer Prostatic Dis; 2003; 6(1):61-5. PubMed ID: 12664068.
    Abstract:
    The objective of the study was to evaluate unilateral nerve sparing prostate surgery. Patient files of men who underwent unilateral nerve sparing radical prostatectomy were analyzed retrospectively after a minimum follow-up period of 18 months. Of 46 patients who received unilateral nerve sparing surgery, 14 (30.4%) regained full potency after surgery. In 92.9% of these patients, recovery occurred within a period of 18 months. Age is the single most important factor in the recuperation of potency after unilateral nerve sparing surgery. Most of the patients (84.8%) reported the ability to achieve orgasm. Of eight patients with positive section margins, two had positive section margins at the spared side only. Unilateral nerve sparing surgery remains a feasible treatment option for prostate cancer.
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