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[Radical prostatectomy. The first 50 consecutive patients undergoing surgery at Rigshospitalet]
K Brasso1, P Ingeholm, P Iversen
1H:S Rigshospitalet, Abdominalcentret, urologisk afdeling D og Laboratoriecentret, patologisk afdeling.
Introduction:
Radical prostatectomy has not been performed in Denmark until recently. In this paper, we report the results of the first patients undergoing a radical retropubic prostatectomy at Rigshospitalet.
Material And Methods:
Fifty consecutive patients, aged 47-68, median 59 years underwent radical prostatectomy. Ninety percent of the patients received three months of neoadjuvant endocrine therapy.
Results:
Histopathology showed that 78% had organ-confined disease. During a median follow-up of 370 days, 11 patients (22%) developed biochemical failure, defined as a PSA value above 0.1 ng/ml. Although the number of patients is small and the follow-up limited, we confirmed correlations between preoperative characteristics and the risk of extraprostatic extension at tumour and biochemical progression. Surgery was performed without major complications. Erectile dysfunction was reported by 88%, whereas complete urinary continence was achieved in 90% of the patients.