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Radical prostatectomy: prospective assessment of mortality and morbidity
P J Davidson1, D van den Ouden, F H Schroeder
1Department of Urology, Erasmus University and Academic Hospital, Rotterdam, The Netherlands.
Objective:
To prospectively analyse the morbidity of radical prostatectomy.
Methods:
Morbidity data from 188 consecutive radical prostatectomy patients were collected prospectively. Mortality, intraoperative, early postoperative and late postoperative complications were analysed.
Results:
1.5% mortality. 3.7% suffered an intraoperative complication. Early postoperative problems were common (43%). Of those with greater than 1 year follow-up, 5.9% remained with some incontinence, and a further 11 patients had artificial sphincters implanted; 32% had narrowing of the anastomosis, requiring at least 1 dilation; 43% of patients retained their potency.
Conclusions:
It is concluded that radical prostatectomy can be performed with minimal mortality and acceptable morbidity.
Insights
Radical prostatectomy shows minimal mortality and acceptable morbidity in a prospective study. This analysis of 188 patients offers insights into potential complications and outcomes for men undergoing this procedure.
Area of Science:
- Urology
- Surgical Oncology
Background:
- Radical prostatectomy is a primary treatment for localized prostate cancer.
- Understanding the associated morbidity is crucial for patient counseling and surgical decision-making.
Purpose of the Study:
- To prospectively analyze the morbidity associated with radical prostatectomy.
- To quantify complication rates and long-term outcomes.
Main Methods:
- Prospective collection of morbidity data from 188 consecutive radical prostatectomy patients.
- Analysis included mortality, intraoperative, early postoperative, and late postoperative complications.
Main Results:
- Mortality rate was 1.5%.
- Intraoperative complication rate was 3.7%.
- Early postoperative complications occurred in 43% of patients. Long-term, 5.9% experienced incontinence, 32% had anastomotic narrowing, and 43% retained potency.
Conclusions:
- Radical prostatectomy can be performed with minimal mortality.
- The morbidity associated with the procedure is considered acceptable.
- This study provides valuable data on the risks and outcomes of radical prostatectomy.