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Related Experiment Videos

Total prostatectomy for localized prostatic cancer.

R P Gibbons, R J Correa, G E Brannen

    The Journal of Urology
    |January 1, 1984
    PubMed
    Summary
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    Total prostatectomy is an effective treatment for localized prostate cancer, offering high survival rates. This study shows excellent long-term outcomes for patients undergoing this procedure.

    Area of Science:

    • Urology
    • Oncology

    Background:

    • Several treatment options exist for localized prostate cancer.
    • Comparing treatment outcomes requires similar patient populations.
    • Stage B prostate cancer is defined as palpable disease confined to the prostate without metastasis.

    Purpose of the Study:

    • To summarize the experience with total prostatectomy for clinically localized prostate cancer.
    • To evaluate the effectiveness of total prostatectomy in terms of survival and disease control.

    Main Methods:

    • A review of 215 consecutive patients treated with total prostatectomy.
    • 213 patients were available for follow-up.
    • Radical perineal prostatectomy was performed in 207 patients; no operative deaths occurred.

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    Main Results:

    • Actual survival at 15 years was 55%, and survival free of disease was 48%.
    • At 10 years, survival was 75% and disease-free survival was 67%.
    • At 5 years, survival was 94% and disease-free survival was 86%.

    Conclusions:

    • Total prostatectomy demonstrates optimal local disease control.
    • The procedure offers favorable overall survival and survival free of disease.
    • Total prostatectomy is considered the optimal treatment for localized prostate cancer.