Surgical treatment of patients with
genitourinary malignancies remains a paramount interest
of the faculty and staff of the Brady Urological Institute;
and that interest extends importantly to patients with
all forms of bladder cancer.
Discoveries by Dr.
Patrick C.Walsh defined the location of nerves that
are responsible for potency in men. Years of surgical
research and anatomic studies of the location of these
nerves have allowed for the development of a highly emulated
technique for "nerve sparing" removal in the
male (complete cystoprostatectomy) to permit preservation
of potency in patients undergoing major surgery for bladder
cancer.
Neuroanatomical approach to radical cystoprostatectomy
with preservation of sexual function.
J Urol. 1987 Dec;138(6):1402-6.
The disease-specific survival of men
undergoing this types of surgery as well as data on potency
after the operation appear below:
The surgical intervention
for invasive bladder cancer is routine and well organized
at Johns Hopkins. Complete preoperative consultation,
imaging, endoscopic evaluation and expert review of biopsy
material and laboratory and x-ray data are accomplished
by the faculty and staff of the Institute. All forms
of urinary tract reconstruction including ileal-conduit, continent
catheterizable and orthoptic
neobladder reconstruction are routinely performed
at Johns Hopkins.
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