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Continence, potency and morbidity after radical perineal prostatectomy
V E Weldon1, F R Tavel, H Neuwirth
1Department of Urology, University of California, San Francisco, USA.
The Journal of Urology
|September 25, 1997
Summary
Radical perineal prostatectomy offers excellent outcomes, with 95% continence and 70% potency recovery in select patients. This procedure demonstrates a low morbidity rate of 2% and no associated deaths.
Area of Science:
- Urology
- Oncology
Background:
- Radical perineal prostatectomy is a surgical approach for localized prostate cancer.
- Assessing functional outcomes like continence and potency is crucial for patient quality of life.
Purpose of the Study:
- To investigate the rates of continence, potency, and morbidity following radical perineal prostatectomy.
- To identify risk factors associated with adverse outcomes.
Main Methods:
- A cohort of 220 men with localized prostate cancer underwent radical perineal prostatectomy between 1984 and 1995.
- Potency was prospectively evaluated in 50 men undergoing nerve-sparing procedures.
- Continence and potency outcomes were assessed post-operatively.
Main Results:
- A 95% continence rate was achieved, with recovery improving over time.
- Potency was preserved in 70% of select patients following nerve-sparing techniques.
- Serious morbidity occurred in only 2% of patients, with no reported deaths.
Conclusions:
- Radical perineal prostatectomy is a safe and effective procedure for localized prostate cancer.
- High rates of urinary continence and good functional potency recovery are achievable.
- Advanced age was identified as a risk factor for incontinence.
