Radical retropubic prostatectomy--experience of two urological departments.
2012
We have analyzed oncological and functional results of the patients who
underwent radical retropubic prostatectomy for treatment of localized
prostate cancer. Material and methods: In the period of 4 years, from 2007.
to 2011. on two analyzed urological departments there have been 32 patients
who underwent surgical treatment for treatment of localized prostate
carcinoma. All of the patients underwent radical retropubic prostatectomy.
Patient age was in range from 57 to 70 years of age, with average value of 63
years of age. Gleason score values were: GS 8 - 2 patients, GS 7 - 6
patients, GS 6 - 10 patients, GS 5 - 9 patients, GS 3 - 4 patients GS 10 - 1
patient. Duration of the surgery was in the range of 55 to 95 minutes with
the average blood loss between 220 and 640 ml. Fifty percent of the patients
did not required blood transfusion. Results: After radical retropubic
prostatectomy all patients are continent. Average urinary catheter removal
time was 12 days after surgery. Postoperative surgical wound healing was
prolonged for 4 patients. One patient had stenosis of urethrovesical
anastomosis with was resolved with urethral dilatation. Control PSA values
for 29 patients tree months after surgery was under 0, 2 ng/ml. Three
patients were diagnosed with local tumor recurrence who underwent
radiotherapy and latter on with hormonal therapy protocol. All patients are
alive. Conclusion: Results of surgical treatment of localized prostate
carcinoma have shown that the radical retropubic prostatectomy is the safe
method for treatment of the localized prostate cancer, with good oncological
response and small amount of postoperative complications.
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