[Long-term results of retropubic radical prostatectomy]

Retropubic radical prostatectomy (RPPE) is the most aggressive method of treatment in patients with prostate cancer (PC), but maximally radical. The observations of men after RPPE have shown that 10.13% (40 patients) died: half of them (5.06%)--due to progress of PC, the rest because of coexisting diseases. The total, corrected and relapse-free 5 and 10 years survival was 90%, 95%, 65% and 84%, 91%, 55%. The quality of life of the men after RPPE was investigated at long-term periods of followup. RPPE is an effective method of treatment of PC patients. The most frequent complication of this intervention was erectile dysfunction and urinary incontinence which made the quality of life of such patients considerably worse. Postoperative dynamic follow-up of such patients is necessary for early detection of relapses and determination of indications for medicamentous and/or surgical treatments of the complications.