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Radical retropubic prostatectomy: Origins and evolution of the technique
1Servicio de Urología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Objective:
Historical review of the origins and technical evolution of retropubic prostatectomy in prostate cancer.
Material And Method:
Review of original articles on the design of retropubic prostatectomy techniques.
Results:
The first prostatectomy could have been performed in the early 19th century. Millin (1945) opened the way for retropubic prostatectomy with the retropubic access design. Memmelaar (1949) structured retrograde prostatectomy. Campbell designed antegrade prostatectomy (1959). Based on anatomical studies, Walsh (1983) designed retrograde prostatectomy with preservation of sexual function.
Conclusion:
Technical inputs accumulated over approximately 80 years concluded with the description of the Walsh technique, which is currently considered the standard technique for retropubic prostatectomy.
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