caa a22 4500 47581150X CHVBK 20180406123800.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s001920070032 doi (NATIONALLICENCE)springer-10.1007/s001920070032 ‘Nerve-Sparing' Cystectomy in Women [Elektronische Daten] [S. N. Venn, A. R. Mundy] Abstract:: Although the indications for cystectomy other than for cancer are few, it is occasionally necessary for severe interstitial cystitis or hemorrhage due to radiation cystitis. The use of substitution cystoplasty after cystectomy has increased in men in the last decade, and this has resulted in the development of ‘nerve-sparing' approach to cystectomy to improve continence and potency. The use of substitution cystoplasty in women after cystectomy has lagged behind that in men because it was considered necessary to remove the entire urethra, making orthotopic substitution impossible. Recently the need to remove the entire urethra has been questioned, with the finding that if the bladder neck is free of tumour, recurrence of disease in the urethra has not so far been found to occur. In addition, it appears possible to substitute on to the urethra without incontinence. This has led to the development of a ‘nerve-sparing' technique of cystectomy, and renewed interest in the anatomy of the urethra. This paper reviews the current literature on ‘nerve-sparing' cystectomy and describes our technique. Springer-Verlag London Limited, 2000 Key words:Bladder - Cystectomy - Female nationallicence Venn S. N. Institute of Urology, London, UK, GB aut Mundy A. R. Institute of Urology, London, UK, GB aut https://doi.org/10.1007/s001920070032 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920070032 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Venn S. N. Institute of Urology, London, UK, GB aut NATIONALLICENCE 700 1- Mundy A. R. Institute of Urology, London, UK, GB aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer