Year : 2007 | Volume
: 23 | Issue : 4 | Page : 369--371
Surgical complications of radical retropubic prostatectomy: A single institutional experience of seven years
Neeraj K Goyal, Abhay Kumar, Sameer Trivedi, Udai Shanker Dwivedi, Pratap Bahadur Singh
Department of Urology, Institute of Medical Sciences, Banaras Hindu University, Varanasi - 221 005, India
Aim: To determine the surgical complications of open retropubic radical prostatectomy.
Materials and Methods: Fifty-nine cases of localized prostate cancer underwent retropubic radical prostatectomy in our department in the last seven years. Standard technique of open retropubic radical prostatectomy as described by Walsh was used. During follow-up cancer control and quality of life indices (potency and urinary continence) were noted.
Result: Postoperative recovery of all patients except one was excellent. This patient required cardio-respiratory support and nine units of blood transfusion. Forty-nine out of 52 patients were continent, two had stress incontinence and one was totally incontinent at one year. Bladder neck contracture was present in eight out of 52 patients at one year. Forty-five patients were impotent at one year with or without oral tablet sildenafil. Cancer control was present in 45 out of 52 cases. Seven cases had biochemical failure at one year.
Conclusion: Though retropubic radical prostatectomy is the standard treatment for early prostate cancer it is not without complications. It has a steep learning curve. More number of cases and refinement in technique is required to achieve world-class results.
Pratap Bahadur Singh
Department of Urology, Banaras Hindu University, Institute of Medical Sciences, Varanasi - 221 005
|How to cite this article:|
Goyal NK, Kumar A, Trivedi S, Dwivedi US, Singh PB. Surgical complications of radical retropubic prostatectomy: A single institutional experience of seven years.Indian J Urol 2007;23:369-371
|How to cite this URL:|
Goyal NK, Kumar A, Trivedi S, Dwivedi US, Singh PB. Surgical complications of radical retropubic prostatectomy: A single institutional experience of seven years. Indian J Urol [serial online] 2007 [cited 2020 Feb 21 ];23:369-371
Available from: http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=4;spage=369;epage=371;aulast=Goyal;type=0