TITLE

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

AUTHOR(S)
Rusu, A.; Raşcu, Ş.; Merticariu, M.; Dumitrache, M.; Bădescu, D.; Jinga, V.
PUB. DATE
October 2012
SOURCE
Romanian Journal of Urology;2012, Vol. 11 Issue 4, p21
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
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.
ACCESSION #
87600125

 

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