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Related Experiment Videos

Radical retropubic prostatectomy after transurethral prostatic resection.

K Bandhauer1, E Senn

  • 1Klinik für Urologie, Kantonsspital, St. Gallen, Schweiz.

European Urology
|January 1, 1988
PubMed
Summary

Radical retropubic prostatectomy after transurethral resection for prostate cancer is feasible. While operative time and blood loss are similar to controls, expect 100% impotence due to neurovascular bundle preservation challenges.

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Area of Science:

  • Urology
  • Oncology

Background:

  • Radical retropubic prostatectomy (RRP) is a treatment for prostate adenocarcinoma.
  • Prior transurethral resection of the prostate (TURP) may complicate RRP.
  • Outcomes after RRP in patients with prior TURP require evaluation.

Purpose of the Study:

  • To assess the safety and outcomes of RRP in patients with prior TURP.
  • To evaluate operative difficulty, morbidity, and survival after RRP in this cohort.

Main Methods:

  • Retrospective analysis of 16 patients undergoing RRP for prostate adenocarcinoma after TURP.
  • Tumor staging included A2 (11 patients) and B1 (5 patients).
  • Comparison of operative duration, blood loss, impotence, incontinence, and survival with historical controls.

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Main Results:

  • Operative duration and blood loss were comparable to RRP without prior TURP.
  • A 100% impotence rate was observed, attributed to neurovascular bundle preservation.
  • One patient experienced stress incontinence; one died from tumor progression; one had local recurrence.

Conclusions:

  • RRP can be performed safely in patients with a history of TURP.
  • Acceptable morbidity rates are achievable, but 100% impotence is a significant concern.
  • Careful surgical technique is crucial for managing neurovascular structures during RRP post-TURP.