Prostatectomia radicală retropubică: ExperienÅ£a ultimilor 5 ani (2008-2012) a Clinicii „Prof. Dr. Th. Burghele“ BucureÅŸti

Rusu, A.; Raşcu, Ş.; Merticariu, M.; Dumitrache, M.; Bădescu, D.; Jinga, V.
October 2012
Romanian Journal of Urology;2012, Vol. 11 Issue 4, p21
Academic Journal
Prostate cancer is the most common malignancy in men. The incidence of prostate cancer has been rising since the early 1990s. Not all men with prostate cancer will develop clinical disease, therefore sorting these cases is a great clinical challenge. Purpose: We reviewed a 5-year experience performing open radical retropubic prostatectomy in our hospital, in order to assess outcomes and to compare them to the published literature. Materials and methods: 175 patients with localized prostate cancer who underwent radical prostatectomy between January 2008 and November 2012 were included. The value of preoperative PSA, clinical stage and Gleason score were recorded. Operative time, blood loss, duration of hospitalization and complications were assessed. Oncological results were assessed using biochemical PSA progression. Results: Patients' age was between 54-75 years, preoperative prostate specific antigen levels were between 2,9-18 ng/dl. Gleason score on preoperative biopsy was 5-8. Out of these patients 34% had T1 disease, 54% pT2, 12% pT3. No intraoperatory deaths occurred, no major complications occured, while minor complications were 19%. Mean operating time was 241 minutes. Average blood loss was 390 ml and average blood transfusion rate was 1.2 units. Length of hospitalization was 8-14 days. Continence and erectile function were assessed at 6 months post-surgery. Conclusions: Oncological results after radical prostatectomy performed in our clinic meet global standards with acceptable morbidity.


Related Articles

  • Post-RP potency recovery longer than believed. Guttman, Cheryl // Urology Times;11/1/2004, Vol. 32 Issue 16, p12 

    Discusses a study in the United States about the average duration of recovery for prostate cancer patient who underwent bilateral nerve-sparing radical prostatectomy. Determination of the nerve-sparing nature of the surgery; Assesment of erectile function; Rates of Viagra use.

  • An Update: Radiation or Surgery for Prostate Cancer. Boorjian, Stephen A. // Renal & Urology News;Aug2012, Vol. 11 Issue 8, p31 

    The article discusses a review of data from retrospective comparative studies on the evaluation of the outcomes after radiation and surgery for prostate cancer. The study by Zelefsky and colleagues reveals 97% metastatic progression for radical prostatectomy (RRP) patients and 93% for radiation...

  • Surgical margin status of specimen and oncological outcomes after laparoscopic radical prostatectomy: experience after 400 procedures. Porpiglia, Francesco; Fiori, Cristian; Manfredi, Matteo; Grande, Susanna; Poggio, Massimiliano; Bollito, Enrico; Papotti, Mauro; Scarpa, Roberto // World Journal of Urology;Apr2012, Vol. 30 Issue 2, p245 

    Purpose: To analyse the surgical margins status of prostatic glands, resected by laparoscopic radical prostatectomy (LRP) for prostate cancer, and to correlate it with biochemical free survival rate (BFSR). Methods: Data were collected prospectively from 405 patients undergoing LRP from 2000 to...

  • Complications and Clinical Outcome 18 Months After Bipolar and Monopolar Transurethral Resection of the Prostate. Fagerström, Tim; Nyman, Claes R.; Hahn, Robert G. // Journal of Endourology; 

    AbstractPurpose:To compare bipolar resection with the conventional monopolar transurethral resection of the prostate (TURP) with respect to peri- and postoperative complications and long-term outcome.Patients and Methods:Patients with consecutive benign prostatic hyperplasia needing surgery...

  • Comments on the Extraperitoneal Approach for Standard Laparoscopic Radical Prostatectomy: What Is Gained and What Is Lost. Liatsikos, Evangelos; Kyriazis, Iason; Kallidonis, Panagiotis; Do, Minh; Haefner, Tim; Dietel, Anja; Holze, Sigrun; Ragavan, Narasimhan; Stolzenburg, Jens-Uwe // Prostate Cancer (20903111);2011, p1 

    Laparoscopic extraperitoneal radical prostatectomy (LERP) is considered the standard care treatment option for the management of localized and locally advanced prostatic cancer (PCa) in many institutes worldwide. In this work, the main advantages and disadvantages of LERP approach are reviewed...

  • RP found superior to other treatments for cT4 disease. Hilton, Lisette // Urology Times;10/1/2006, Vol. 34 Issue 12, p8 

    The article reports on the efficacy of the radical prostatectomy in treating clinical stage T4 prostate cancer. Patients who undergo radical prostatectomy have a higher survival rate than patients who receive radiation or hormone therapies alone. However, radical prostatectomy is recommended...

  • RP may be viable option for HIV-positive men. Guttman, Cheryl // Urology Times;10/1/2006, Vol. 34 Issue 12, p9 

    The article reports on the viability of radical prostatectomy (RP) as a safe management option for prostate cancer in appropriately selective HIV-positive men, according to the urologic surgeons at Memorial Sloan-Kettering Cancer Center in New York. The outcomes of the prostatectomy performed in...

  • Functional outcomes following robotic prostatectomy using athermal, traction free risk-stratified grades of nerve sparing. Tewari, Ashutosh; Ali, Adnan; Metgud, Sheela; Theckumparampil, Nithin; Srivastava, Abhishek; Khani, Francesca; Robinson, Brian; Gumpeni, Naveen; Shevchuk, Maria; Durand, Matthieu; Sooriakumaran, Prasanna; Li, Jinyi; Leung, Robert; Peyser, Alexandra; Gruschow, Siobhan; Asija, Vinita; Harneja, Niyati // World Journal of Urology;Jun2013, Vol. 31 Issue 3, p471 

    Objective: To report our unique approach for individualizing robotic prostate cancer surgery by risk stratification and sub classification of the periprostatic space into 4 distinct compartments, and thus performing 4 precise different grades of nerve sparing based on neurosurgical principles...

  • Minimally Invasive vs Open Radical Prostatectomy. Lowrance, William T.; Eastham, James A.; Elkin, Elena B.; Keating, Nancy L.; Hu, Jim C.; D'Amico, Anthony V. // JAMA: Journal of the American Medical Association;2/17/2010, Vol. 303 Issue 7, p619 

    Two letters to the editor are presented in response to the article "Comparative Effectiveness of Minimally Invasive vs Open Radical Prostatectomy," by J. C. Hu and colleagues, published in the 2009 issue, including a comment on the article and the author's reply.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics