Does the CaverMap device help preserve potency?
Does the CaverMap device help preserve potency?
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CaverMap 设备是否有助于保持效力？
DOI：
10.1007/s11934-001-0081-1
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发表时间：
2001
影响因子：
2.6
通讯作者：
C. Brendler
中科院分区：
文献类型：
--
作者：
H. L. Kim;D. Mhoon;C. Brendler
勃起功能障碍仍然是根治性阴茎切除术后常见的并发症。CaverMap Surgical Aid（UroMed，Boston，MA）旨在帮助外科医生识别和保留神经血管束（NVB）。然而，CaverMap神经刺激器的尺寸可能使其难以在前列腺切除前追踪海绵体神经，特别是在肥胖男性或前列腺较大或骨盆狭窄的患者中。在一项随机对照研究中，根治性尿道切除术期间使用CaverMap可改善夜间勃起，但并未改善整体性功能。然而，CaverMap设备作为一种研究工具可能是有用的，因为它有助于确定在切除前列腺后NVB是否被成功保存。然而，NVB的预处理并不能保证效力的恢复，尽管术中成功刺激了海绵体神经，但效力的恢复可能会延长。这表明根治性尿道切除术后的勃起功能障碍是多因素的。
Erectile dysfunction remains a common complication following radical prostatectomy. The CaverMap Surgical Aid (UroMed, Boston, MA) was designed to aid the surgeon in identifying and preserving neurovascular bundles (NVBs). However, the size of the CaverMap nerve stimulator may make it difficult to trace the cavernous nerves before the prostate is removed, particularly in obese men or in patients who have a large prostate or a narrow pelvis. In a randomized, controlled study, the use of the CaverMap during radical prostatectomy resulted in improved nocturnal erections, but did not lead to improved overall sexual function. The CaverMap device, however, may be useful as a research tool in that it helps determine whether the NVBs have been successfully preserved after removing the prostate. However, pre-servation of the NVB does not guarantee recovery of potency, which may be prolonged despite successful stimulation of the cavernous nerves intraoperatively. This suggests that erectile dysfunction following radical prostatectomy is multifactorial.