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Related Experiment Videos

Radical perineal prostatectomy: a simplified approach.

Lorne D. Sullivan1, John F. Kinahan, Ercole Leone

  • 1The Prostate Centre, Vancouver Hospital and Health Sciences Centre, University of British Columbia, Vancouver, British Columbia.

The Canadian Journal of Urology
|February 1, 1997
PubMed
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MEMORIAL.

The Canadian journal of urology·1997
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Radical perineal prostatectomy (RPP) offers a low-risk, low-morbidity surgical option for localized prostate cancer. This technique demonstrates reduced blood loss, pain, and hospital stay compared to radical retropubic prostatectomy (RRP).

Area of Science:

  • Urology
  • Surgical Oncology

Background:

  • Radical perineal prostatectomy (RPP) is being reconsidered for localized prostate cancer due to improved preoperative staging.
  • Initiatives to reduce healthcare costs and concerns about blood supply have driven the development of less invasive procedures.
  • RPP is historically considered less morbid than radical retropubic prostatectomy (RRP).

Purpose of the Study:

  • To present the technique of radical perineal prostatectomy (RPP).
  • To evaluate the safety and efficacy of RPP in a series of over 90 cases.
  • To compare RPP with RRP regarding morbidity and outcomes.

Main Methods:

  • Description of the surgical technique for radical perineal prostatectomy (RPP).
  • Review of outcomes in over 90 patients who underwent RPP.

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  • Comparison of RPP outcomes with historical data from radical retropubic prostatectomy (RRP).

    • Main Results:

    • RPP was performed successfully in over 90 cases.
    • The procedure demonstrated low risk and low morbidity.
    • Markedly reduced blood loss, postoperative pain, and hospital stay were observed compared to RRP.
    • Positive margin rates were comparable between RPP and RRP.

    Conclusions:

    • Radical perineal prostatectomy (RPP) is a viable, low-risk, and low-morbidity option for treating localized prostate cancer.
    • RPP offers significant advantages in blood loss, pain, and recovery time compared to RRP.
    • Perineal prostatectomy should be considered for patients with localized prostate carcinoma and a low probability of lymphatic involvement.