ORTHOTOPIC URINARY DIVERSION WITH PRESERVATION OF ERECTILE AND EJACULATORY FUNCTION IN MEN REQUIRING RADICAL CYSTECTOMY FOR NONUROTHELIAL MALIGNANCY: A NEW TECHNIQUE

Abstract

The technique of cystectomy with preservation of the vasa deferentia, seminal vesicles, posterior prostate and neurovascular bundles is an excellent option in men with nonurothelial malignancy or another pathological condition that necessitates cystectomy, and in whom preservation of fertility and potency is desirable. All of our patients are fully potent and achieve ejaculation. Even the patient with retrograde ejaculation remains fertile. In terms of practicality semen retrieval from urine is much simpler than epididymal sperm aspiration and in vitro fertilization.