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.
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.
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.
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.
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.
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 :