Radical prostatectomy for stage A2 and B prostatic carcinoma. Operative experience

We compared the operative experiences and the postoperative and late complications of radical prostatectomy in 17 patients with Stage A2 and 64 patients with Stage B prostatic cancer. The operative time, estimated blood loss, incidence of intraoperative complications, frequency of surgical specimen fragmentation, and duration of hospitalization were similar for the two groups when stratified by surgical approach. Postoperative complications were more frequent in the Stage B group. Six per cent of the patients in each group were severely incontinent after surgery. In this experience recent partial prostatectomy did not appear to increase the risks of radical prostatectomy or decrease the likelihood of complete excision of the prostate.