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Related Experiment Videos

Radical prostatectomy in a community practice.

Jeffrey H Cohn1, Rizk El-Galley

  • 1Department of Surgery, University of Alabama at Birmingham, St. Vincent's Hospital, Birmingham, AL, USA.

The Journal of Urology
|December 18, 2001
PubMed
Summary
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Community urologists can achieve outcomes comparable to academic centers for anatomical retropubic radical prostatectomy. This study demonstrates similar positive margin, continence, potency, and prostate-specific antigen recurrence rates.

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Anatomical retropubic radical prostatectomy is a standard treatment for prostate cancer.
  • Outcomes data from community-based practices are less frequently reported compared to academic institutions.

Purpose of the Study:

  • To report the outcomes of anatomical retropubic radical prostatectomy performed by a community-based urologist.
  • To compare these outcomes with data from well-known academic institutions.

Main Methods:

  • A review of 382 consecutive patients undergoing anatomical retropubic radical prostatectomy by a single community urologist between May 1986 and December 2000.
  • Analysis of positive margin rates, urinary continence, potency, hospitalization duration, and prostate-specific antigen (PSA) recurrence.

Main Results:

Related Experiment Videos

  • Overall positive margin rate was 9% (7% in the last 5 years), comparable to academic studies.
  • Urinary continence was 90% overall (93% in the last 5 years, excluding men >70), aligning with literature.
  • Potency rates were 79% with nerve-sparing technique, within the range of academic series.
  • PSA recurrence rates were similar to those reported at academic institutions.

Conclusions:

  • Anatomical retropubic radical prostatectomy can yield results comparable to those achieved at academic institutions.
  • Community-based urologists can successfully perform this procedure with excellent oncological and functional outcomes.