{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T22:50:38Z","timestamp":1789426238672,"version":"build-2803163510"},"reference-count":19,"publisher":"S. Karger AG","issue":"4","license":[{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2005,1,1]],"date-time":"2005-01-01T00:00:00Z","timestamp":1104537600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2005]]},"abstract":"<jats:p>&lt;i&gt;Aim:&lt;\/i&gt; We determine the efficacy of unilateral nerve-sparing radical perineal prostatectomy in preserving the sexual function. &lt;i&gt;Patients and Methods:&lt;\/i&gt; Ninety-two patients with histologically confirmed unilateral prostate cancer were scheduled for contralateral nerve preservation. The perioperative morbidity was assessed using the patients\u2019 chart reviews. Postoperative health-related quality of life, urinary continence, and potency were evaluated prospectively with questionnaires provided before surgery and then after 6, 12, and 24 months. &lt;i&gt;Results:&lt;\/i&gt; Unilateral nerve preservation was performed in 88 of the 92 patients. Due to extensive scarring or prostatic size, the procedure was terminated as regular radical prostatectomy in 4 other patients. The perioperative complication rate was low and of minor significance, except in 1 patient who experienced a significant myoglobulinuria due to a prolonged procedure. Blood transfusions were necessary in 5 (5.4%) patients. Ureteral reimplantation was performed in 1 patient because of ureteral stricture. Positive surgical margins were present in 12 (18%) of 67 pT2 patients and in 8 (35%) of 23 pT3 patients. A proportion of 48% (15\/31) of the patients followed for more than 24 months and who had a good erectile function prior to surgery reported unassisted sexual intercourse. However, only 4 of these patients were completely satisfied with all aspects of sexual performance, as asked in a short version of the International Index of Erectile Function questionnaire. &lt;i&gt;Conclusions:&lt;\/i&gt; Unilateral nerve-sparing radical perineal prostatectomy is technically feasible and yields excellent results in terms of potency preservation for prostates &lt;60 ml. However, the quality of erections is decreased, even in patients with erections sufficient for intercourse. Hence, appropriate sexual counseling in conjunction with medical therapy should be offered to all patients.<\/jats:p>","DOI":"10.1159\/000084428","type":"journal-article","created":{"date-parts":[[2005,5,13]],"date-time":"2005-05-13T11:00:16Z","timestamp":1115982016000},"page":"308-314","source":"Crossref","is-referenced-by-count":5,"title":["Efficacy of Unilateral Nerve Sparing in Radical Perineal Prostatectomy"],"prefix":"10.1159","volume":"74","author":[{"given":"Bernhard","family":"Brehmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Kirschner-Hermanns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Donner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thorsten","family":"Reineke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Kn\u00fcchel-Clarke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerhard","family":"Jakse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2005,5,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016%2FS0022-5347%2805%2966438-5"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-199710000-00041"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016%2FS0302-2838%2802%2900219-1"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2894%2980133-9"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1007%2Fs001200050391"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2897%2900238-0"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1001%2Fjama.210.2.324"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1016%2F0090-4295%2885%2990051-2"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-200108000-00038"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2800%2900677-4"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-199902000-00043"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2897%2900327-0"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016%2FS0090-4295%2899%2900397-0"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-200004000-00022"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1038%2Fsj.ijir.3900466"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016%2Fj.eururo.2003.08.016"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-199908000-00038"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-200012000-00015"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1097%2F00005392-200211000-00043"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/84428","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/84428","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T03:42:49Z","timestamp":1745466169000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000084428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005]]},"references-count":19,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2005,5,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000084428","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005]]}}}