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[Intra- and postoperative morbidity of radical prostatectomy]
K Kleinschmidt1, J Vieweg, H W Gottfried
1Urologische Universitätsklinik Ulm.
Abstract:
Operation-related morbidity was analyzed in 147 patients, who had undergone radical prostatectomy during the last 3 years. Six major complications (4.1%) had occurred requiring surgical revision. One single postoperative death (0.7%) was caused by a pulmonary embolus. In 51 patients (34.7%) minor complications were noted. Urinary incontinence was severe in 4 patients (3.9%), which was treated by an artificial sphincter in one man during the follow-up period. Twelve patients (11.8%) complained of stress incontinence, grade I-II. Postoperative determinations of serum PSA were below the detectable range in 81% of the patients, including those with a locally advanced tumor stage and adjuvant antiandrogen therapy. Based on our data, it is concluded that radical prostatectomy is today a safe and standardized operative procedure.
Insights
Radical prostatectomy is a safe surgical procedure with low complication rates. This study found minimal major complications and a low mortality rate in 147 patients undergoing the operation.
Area of Science:
- Urology
- Surgical Oncology