Surgery

Radical Prostatectomy

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Radical Prostatectomy

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