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Updated: Feb 4, 2026

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Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
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Radical Prostatectomy for Localized Prostate Cancer in Renal Transplant Recipients: 13 Cases Studied at a Single
K Iwamoto1, J Iizuka2, Y Hashimoto3
1Department of Urology, Tokyo Women's Medical University Medical Center East, Tokyo, Japan.
Transplantation Proceedings
|October 15, 2018
Summary
Radical prostatectomy is a feasible and effective treatment for renal transplant recipients with localized prostate cancer. This study shows good outcomes and stable graft function post-surgery.
Area of Science:
- Urology
- Nephrology
- Oncology
Background:
- Renal transplant recipients (RTRs) with localized prostate cancer require effective treatment options.
- Surgical prostatectomy's feasibility and efficacy in RTRs remain an area of investigation.
Purpose of the Study:
- To evaluate the feasibility and efficacy of radical prostatectomy in RTRs diagnosed with localized prostate cancer.
Main Methods:
- Retrospective review of 13 RTRs who underwent radical prostatectomy between January 2008 and February 2017.
- Analysis of clinicopathologic data, including prostate-specific antigen (PSA) levels, Gleason scores, and tumor staging.
Main Results:
- No intraoperative complications were observed; one patient had a Clavien grade ≥ 3 postoperative complication.
- Biochemical recurrence occurred in 4 patients; 12 of 13 patients maintained well-functioning renal allografts post-surgery.
- Robot-assisted radical prostatectomy was the most common surgical approach (9/13 patients).
Conclusions:
- Prostatectomy can be a feasible and effective initial treatment for localized prostate cancer in RTRs.
- The procedure demonstrated acceptable safety and efficacy, with most patients maintaining stable graft function.
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