R the Im Pact on Sex Ual Func Tion Af Ter Nerve Spar Ing and Non-nerve Spar Ing Rad I Cal Retropubic Pros Ta Tec Tomy

age ment of lo cal ized pros tate can cer for al most 100 years. How ever, the side ef fects of in con ti nence and im po tence have pre cluded its wide spread ac cep tance. There fore, an an a tom i cal ap proach was used to mod ify the sur gi cal pro ce dure in an ef fort to de crease com pli ca tions. Using this pro ce dure, ex pe ri enced sur geons at 3 high-volume ac a demic med i cal cen ters re ported po tency rates of 62-68% and con ti nence rates of 92-95%. How ever, the po tency rate was only 10-30% in other se ries. The rea son for this dis crep ancy in re sults is un clear and may be re lated to sur gi cal vol ume and ex pe ri ence or the se lec tion of youn ger, health ier pa tients. To date, sev eral ways have been rec om mended for the treat ment of lo cal ized pros tate can cer, in clud ing watch ful wait ing, ra di a tion ther apy (ex ter nal beam ra di a tion and brachytherapy) and sur gery. Weighing the pros and cons of these op tions can be dif fi cult, and qual ity of life is sues have a ma jor role in the de ci sion-making pro cess. Re cently, the in ci dence and dis ease-specific mor tal ity of adenocarcinoma of pros tate has been in creas ing in Tai wan. And, sim i lar to the West ern coun tries, there was a steady in crease in the an nual de tec tion rate, a trend to youn ger age, ear lier stage and