Radical retropubic prostatectomy

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Abstract Aim: To evaluate our experience with the first cases of radical retropubic prostatectomy and to use the results for patient counseling and optimizing therapeutic decision.

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Material and Methods: In the interval January - December23 patients aged years mean age The retrospective study included an analysis of the significant data in the case records, surgical protocols and outpatient postoperative check-ups, special attention being given to indications, intra- and early postoperative complications within 30 days and hospital stay. Results: Preoperatively, prostate specific antigen PSA radical retropubic prostatectomy between 4.

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Clinical stage was T1 in 5 patients Mean intraoperative blood loss was ml range mland 17 patients received blood transfusions. Postoperative complications included acute renal failure and extravasation of contrast medium during retrograde cystography in 3 cases each, urinary infection in 4 patients and wound dehiscence in 1 case.

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The average postoperative hospital stay was Conclusions: Radical retropubic prostatectomy is a safe technique, involving a reduced risk of complications. For most patients with localized prostate cancer, radical prostatectomy is the best treatment option.

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Author Biographies C. EAU guidelines on prostate cancer. Contemporary update of the prostate cancer staging 3. Urology ; 58 6 : J Natl Cancer Inst ; 98 10 : — Prostate cancer-specific mortality after radical prosta-tectomy for patients treated in the prostate-specific antigen era.

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J Clin Oncol ; 27 26 : Intraoperative and perioperative morbidity of contemporary radical retropubic prostatectomy in a consecutive series of patients: results of a single center between and Eur Urol ; 43 2 : N Engl J Med ; 18 :