OUR RESULTS OF TREATING EARLY PROSTATIC CANCER BY RADICAL RETROPUBIC PROSTATECTOMY
Abstract
Background. The prostatic cancer is the most common malignant tumor in aging men. At present time the only chance of complete elimination of the tumor and thus a possible cure is provided by radical prostatectomy during the early stage of the disease. We wanted to test on our material if this is true and how safe is the procedure.
Methods. We performed 167 radical retropubic prostatectomies between 1992 and 2001. The 165 patients treated between the beginning of 1994 and the end of 2001 were included in our study. The average age at the time of surgery was 64.6 years. The average PSA value before surgery was 9.84 ng/ml. The average Gleason score of the performed biopsies was 5.7.
Results. After the surgery, PSA value dropped to 0.00 ng/ml in 93% of the patients and hasn’t risen yet during the follow up. The hystologic examination showed the average Gleason score of 5.6 in the post surgical material. In 5.8% the lymph nodes showed metastases, even though the intraoperative frozen sections came back negative in all those cases. Among the perioperative complications were significant bleeding in 5 patients, reoperation due to the anastomotic dehiscence in 2 patients and rectal injury in 2 patients. The late complications are urinary incontinence in 21.5% of the patients and stricture in 21.8% of the patients.
Conclusions. In our opinion and regarding our results the radical prostatectomy in early prostatic cancer is a safe procedure with good long-term results.
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