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[Radical prostatectomy: our experience]

P Tombolini1, M Ruoppolo, O Fenice

  • 1Divisione di Urologia, Policlinico S. Marco, Zingonia, Bergamo.

Archivio Italiano Di Urologia, Andrologia : Organo Ufficiale [Di] Societa Italiana Di Ecografia Urologica E Nefrologica
|June 1, 1995
PubMed
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Radical retropubic prostatectomy for prostate cancer showed low urinary incontinence rates but significant erectile dysfunction in 62% of patients. Most patients remained free of disease progression post-surgery.

Area of Science:

  • Urology
  • Oncology

Background:

  • Radical retropubic prostatectomy is increasingly utilized for prostate cancer treatment.
  • Patient-reported outcomes and morbidity trends are crucial for evaluating surgical effectiveness.

Purpose of the Study:

  • To assess the morbidity and outcomes of radical retropubic prostatectomy in men with prostate cancer.
  • To identify trends in complications and disease progression following the procedure.

Main Methods:

  • A retrospective review of 32 men aged 48-73 undergoing radical retropubic prostatectomy between 1989 and 1994.
  • Data collected included preoperative symptoms, tumor staging, postoperative urinary continence, erectile function, and disease progression at follow-up (6-66 months).

Main Results:

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  • 70% of patients presented with bladder outflow obstruction symptoms.
  • Postoperative follow-up revealed no significant urinary incontinence, but 62% experienced reduced or absent erections.
  • 28% of patients showed clinical or biochemical progression, with 23 patients disease-free.

    • Conclusions:

    • Radical retropubic prostatectomy can be performed with minimal urinary incontinence.
    • Erectile dysfunction is a significant morbidity associated with this procedure.
    • Monitoring for disease progression is essential following radical prostatectomy.