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대한생식의학회지 제11권 제1호 2010년
방광암 환자에서 방광전적출술 후의 성기능에 대한 추적관찰
연세대학교 의과대학 비뇨기과학교실;연세대학교 의과대학 비뇨기과학교실;연세대학교 의과대학 비뇨기과학교실;
오길현;최형기;이진무;,
Follow-up of Sexual Activity in Bladder Tumor Patients Following Total Cystectomy
Oh, Kil-Hyun;Choi, Hyung-Ki;Lee, Jin-Moo;
Department of Urology, College of Medicine, Yonsei University;Department of Urology, College of Medicine, Yonsei University;Department of Urology, College of Medicine, Yonsei University;
This study was conducted to determine whether patients could engage in sexual activity following total cystectomy with ileal conduit. Sixteen male bladder cancer patients treated by total cystectomy with or without preoperative irradiation. Patients ranged in age from 48 to 70 years (mean 59.6 years). The interval from therapy ranged from 7 to 82 months (mean 33.8 months).Prior to therapy 11 /16 patients (68.8 %) reported they were engaging some form of sexual activity at least once per month. All were able to achieve an erection and were orgasmic. Following total cystectomy, 6 patients (37.5%) continued to engage in sexual activity at least once per month and were experiencing orgasm. 3 patients (18.8%) reported they were able to achieve an erection. The spontaneous resumptiom of sexual activity by almost one third of the patients in this study refutes the assumption that sexual activity would be impossible following total cystectomy.
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