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Radical Prostatectomy
Aka: Radical Prostatectomy
- Indications: Prostate Cancer
- Patient age under 70 years
- Life Expectancy over 10 years
- Tumor confined to Prostate Gland
- Technique
- Entire Prostate excised
- Urethra and Bladder reanastomosed
- Advantages
- Best chance for long-term Prostate Cancer cure
- Prostate Cancer Staging is accurate
- Local Prostate Cancer controlled best
- Disadvantages
- Deep venous thrombosis risk
- Urethral Stricture risk
- Urinary Incontinence following Prostatectomy
- Mild Stress Incontinence (1 pad per day): 14%
- Complete Incontinence: 1.5%
- Impotence following Prostatectomy
- Ages 40 to 50 years: 0%
- Ages 51 to 60 years: 45%
- Age over 70 years: 100%
- Efficacy
- Overall cure of Prostate Cancer: 60 to 70%
- Monitoring after Prostatectomy
- PSA > 0.1 ng suggests Prostate Cancer recurrence
- Course
- Hospitalization for 2-3 days postoperative
- Full activity within 1 month of surgery
- References
- Naitoh (1998) Am Fam Physician 57(7):1531-9 [PubMed]