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JYMS : Journal of Yeungnam Medical Science

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Review Article
Functional recovery after radical prostatectomy for prostate cancer
Young Hwii Ko
Yeungnam Univ J Med. 2018;35(2):141-149.   Published online December 31, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.2.141
  • 6,158 View
  • 152 Download
  • 2 Crossref
AbstractAbstract PDF
With the enthusiasm regarding robotic application in radical prostatectomy in accordance with the widespread use of serum prostate-specific antigen as a screening test, the number of surgeries performed for complete removal of the gland is increasing continuously. However, owing to the adjacent anatomical location of the prostate to the nerve and urethral sphincter complex, functional recovery, namely improvement from post-prostatectomy incontinence (PPI) and post-prostatectomy erectile dysfunction, still remains a main problem for patients who are reluctant to undergo surgery and tend to choose alternative ways instead. Since the late 1980s, the introduction of radical prostatectomy by open surgical modalities, the depth of the anatomical understanding of the structure surrounding the prostate is getting tremendous, which leads to the development of new surgical modalities and techniques that are consequently aimed at reducing the incidences of PPI and erectile dysfunction. Briefly, recent data from robotic radical prostatectomy, particularly on PPI, are quite acceptable, but by contrast, the reported potency regain rate still remains <20%, which indicates the need for advanced surgical modification to overcome it. In this review, the authors summarized the recent findings on the anatomy and surgical techniques reported up to now.

Citations

Citations to this article as recorded by  
  • The assessment of erectile dysfunction after radical prostatectomy using pudendal somatosensory evoked potential
    Se Yun Kwon, Jin-Mo Park, Appuwawadu Mestri Nipun Lakshitha de Silva
    PLOS ONE.2023; 18(11): e0292847.     CrossRef
  • Fidgetin-like 2 negatively regulates axonal growth and can be targeted to promote functional nerve regeneration
    Lisa Baker, Moses Tar, Adam H. Kramer, Guillermo A. Villegas, Rabab A. Charafeddine, Olga Vafaeva, Parimala Nacharaju, Joel Friedman, Kelvin P. Davies, David J. Sharp
    JCI Insight.2021;[Epub]     CrossRef
Review
Total Knee Arthroplasty.
Dong Chul Lee, Wook Jin Sohn
Yeungnam Univ J Med. 2004;21(1):1-11.   Published online June 30, 2004
DOI: https://doi.org/10.12701/yujm.2004.21.1.1
  • 1,448 View
  • 12 Download
AbstractAbstract PDF
Total knee arthroplasty has become a common procedure for treatment of severe osteoarthritis, rheumatoid arthritis and post-traumatic arthritis. In the past, failure of total knee arthroplasty was commonly attributable to aseptic loosening, often associated with component malalignment, soft tissue imbalance. With improved surgical instrumentation and soft tissue balancing techiniques, failure secondary to mechanical loosening has been minimal. But surgeons are still dissatisfied with implant malalignment. Correct tibiofemoral alignment seems to be particularly important since it is generally agreed that axial deviation and imprecise implantation may lead to loosening of the implant component. Navigation systems and robotic techniques could potentially solve problems of imprecision in traditional total knee arthroplasty. It is expected that the success rate and longevity of total knee arthroplasty will be improved during the twenty first century.

JYMS : Journal of Yeungnam Medical Science