Abdominoperineal-prostatocystectomy for infiltrating bladder carcinoma

Area of Science:

• Urology
• Surgical Oncology
• Oncologic Surgery

Background:

• Abdominoperineal prostatocystectomy, a surgical technique, was described 80 years ago but is rarely performed.
• Deeply infiltrating bladder carcinoma presents significant surgical challenges.

Purpose of the Study:

• To evaluate the feasibility and outcomes of combined abdominoperineal prostatocystectomy in patients with deeply infiltrating bladder carcinoma.
• To assess the surgical ease and postoperative drainage associated with this combined approach.

Main Methods:

• The study involved 14 patients diagnosed with deeply infiltrating bladder carcinoma.
• The combined abdominoperineal prostatocystectomy was performed by two surgeons operating simultaneously.
• Postoperative morbidity and drainage were monitored.

Main Results:

• The combined surgical approach facilitated cystectomy and provided excellent perineal drainage.
• Overall postoperative morbidity was minimal, with one patient experiencing a postoperative death.
• The technique proved effective in managing deeply infiltrating bladder carcinoma.

Conclusions:

• Combined abdominoperineal prostatocystectomy is a viable surgical option for deeply infiltrating bladder carcinoma.
• This technique offers advantages in surgical ease and postoperative management, particularly perineal drainage.
• Despite its historical context, the combined approach demonstrates potential for improved patient outcomes in select cases.