Commentary on Urinary and Sexual Outcomes After Radical Prostatectomy

Published in: The Journal of Urology, v. 179, no. 5, suppl., May 2008, p. S45-S46

Posted on RAND.org on January 01, 2008

by Mark Litwin

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Initial Prostate Cancer Outcomes Study (PCOS results revealed that 2 years after radical prostatectomy more than 90% of men were continent and about half were by some definition potent. This represented a dramatic improvement over the era before Walsh and Donker reported their now classic description of the cavernous erectile nerves posterolateral to the prostate, a journey recounted 25 years later in Walsh*’s lyrically serendipitous cadence of scientific discovery. Subsequent PCOS results revealed that 5 years after treatment men who had undergone surgery reported stable urinary function, while those who had undergone radiation experienced progressive urinary impairment.

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