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The Morbidity of Radical Prostatectomy for Multifocal Stage I Prostatic Adenocarcinoma

1977; Lippincott Williams & Wilkins; Volume: 117; Issue: 1 Linguagem: Inglês

10.1016/s0022-5347(17)58347-0

1527-3792

Richard T. Nichols, John M. Barry, Clarence V. Hodges,

Urinary Bladder and Prostate Research

No AccessJournal of Urology1 Jan 1977The Morbidity of Radical Prostatectomy for Multifocal Stage I Prostatic Adenocarcinoma Richard T. Nichols, John M. Barry, and Clarence V. Hodges Richard T. NicholsRichard T. Nichols More articles by this author , John M. BarryJohn M. Barry More articles by this author , and Clarence V. HodgesClarence V. Hodges More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)58347-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail During a 25-year period 33 patients with stage I multifocal prostatic adenocarcinoma underwent radical prostatectomy. Carcinoma was present in 81 per cent of the specimens. The operative mortality was 3 per cent. Pelvic recurrence, rectal injury and urethrovesical stricture each occurred in 9 per cent of the cases. Fifteen per cent of the patients were totally incontinent and 42 per cent had stress incontinence. One patient required combined retropubic and perineal approaches to remove the specimen. The safest interval between the first and the radical procedure was 6 weeks or more. The 5 and 10-year relative survival rates were 100 per cent. The best candidate for a radical prostatectomy after transurethral prostatic resection or suprapubic enucleation prostatectomy is one with a thick surgical capsule in whom the first procedure precedes the radical procedure by at least 6 weeks. © 1977 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByEastham J, Kattan M, Rogers E, Goad J, Ohori M, Boone T and Scardino P (2018) Risk Factors for Urinary Incontinence after Radical ProstatectomyJournal of Urology, VOL. 156, NO. 5, (1707-1713), Online publication date: 1-Nov-1996.Borland R and Walsh P (2018) The Management of Rectal Injury During Radical Retropubic ProstatectomyJournal of Urology, VOL. 147, NO. 3 Part 2, (905-907), Online publication date: 1-Mar-1992.Stanisic T, Jennings C and Miller J (2018) Polytetrafluoroethylene Injection for Post-Prostatectomy Incontinence: Experience with 20 Patients During 3 YearsJournal of Urology, VOL. 146, NO. 6, (1575-1577), Online publication date: 1-Dec-1991.Steiner M, Morton R and Walsh P (2018) Impact of Anatomical Radical Prostatectomy on Urinary ContinenceJournal of Urology, VOL. 145, NO. 3, (512-514), Online publication date: 1-Mar-1991.Wein A (2018) Editorial CommentsJournal of Urology, VOL. 145, NO. 3, (514-515), Online publication date: 1-Mar-1991.Kwon E, Loening S and Hawtrey C (2018) Radical Prostatectomy and Adjuvant Radioactive Gold Seed Placement: Results of Treatment at 5 and 10 Years for Clinical Stages A2, B1 and B2 Cancer of the ProstateJournal of Urology, VOL. 145, NO. 3, (524-531), Online publication date: 1-Mar-1991.Surya B, Provet J, Johanson K and Brown J (2018) Anastomotic Strictures Following Radical Prostatectomy: Risk Factors and ManagementJournal of Urology, VOL. 143, NO. 4, (755-758), Online publication date: 1-Apr-1990.Marks J and Keith Light J (2018) Management of Urinary Incontinence after Prostatectomy with the Artificial Urinary SphincterJournal of Urology, VOL. 142, NO. 2 Part 1, (302-304), Online publication date: 1-Aug-1989.Lowe B and Listrom M (2018) Management of Stage a Prostate Cancer with a High Probability of ProgressionJournal of Urology, VOL. 140, NO. 6, (1345-1347), Online publication date: 1-Dec-1988.Lange P and Reddy P (2018) Technical Nuances and Surgical Results of Radical Retropubic Prostatectomy in 150 PatientsJournal of Urology, VOL. 138, NO. 2, (348-352), Online publication date: 1-Aug-1987.Anscher M and Prosnitz L (2018) Postoperative Radiotherapy for Patients with Carcinoma of the Prostate Undergoing Radical Prostatectomy with Positive Surgical Margins, Seminal Vesicle Involvement and/or Penetration Through the CapsuleJournal of Urology, VOL. 138, NO. 6, (1407-1412), Online publication date: 1-Dec-1987.Robey E and Schellhammer P (2018) Local Failure After Definitive Therapy for Prostatic CancerJournal of Urology, VOL. 137, NO. 4, (613-619), Online publication date: 1-Apr-1987. (2018) Reply by AuthorsJournal of Urology, VOL. 133, NO. 4, (691-691), Online publication date: 1-Apr-1985.Elder J, Gibbons R, Correa R and Brannen G (2018) Morbidity of Radical Perineal Prostatectomy Following Transurethral Resection of the ProstateJournal of Urology, VOL. 132, NO. 1, (55-57), Online publication date: 1-Jul-1984.Rudy D, Woodside J and Crawford E (2018) Urodynamic Evaluation of incontinence in Patients Undergoing Modified Campbell Radical Retropubic Prostatectomy: A Prospective StudyJournal of Urology, VOL. 132, NO. 4, (708-712), Online publication date: 1-Oct-1984.Lindner A, Dekernion J, Smith R and Katske F (2018) Risk of Urinary Incontinence following Radical ProstatectomyJournal of Urology, VOL. 129, NO. 5, (1007-1008), Online publication date: 1-May-1983.Krauss D, Paletsky S and Lilien O (2018) Urodynamics of Post-Rabical Perineal Prostatectomy IncontinenceJournal of Urology, VOL. 124, NO. 2, (263-265), Online publication date: 1-Aug-1980.Young J (2018) Editorial CommentJournal of Urology, VOL. 124, NO. 2, (265-265), Online publication date: 1-Aug-1980.Bass R and Barrett D (2018) Radical Retropubic Prostatectomy After Transurethral Prostatic ResectionJournal of Urology, VOL. 124, NO. 4, (495-497), Online publication date: 1-Oct-1980.Mayo M and Ansell J (2018) Urodynamic Assessment of Incontinence After ProstatectomyJournal of Urology, VOL. 122, NO. 1, (60-61), Online publication date: 1-Jul-1979.Beck P, Mcaninch J and Stutzman R (2018) Anterior Bladder Tube Flap Reconstruction of the Urethrovesical Neck After Radical Retropubic ProstatectomyJournal of Urology, VOL. 121, NO. 3, (379-381), Online publication date: 1-Mar-1979.P.C.W. (2018) Editorial CommentJournal of Urology, VOL. 121, NO. 3, (381-381), Online publication date: 1-Mar-1979.Catalqna W and Scott W (2018) Carcinoma of the Prostate: A RevivewJournal of Urology, VOL. 119, NO. 1, (1-8), Online publication date: 1-Jan-1978. Volume 117Issue 1January 1977Page: 83-84 Advertisement Copyright & Permissions© 1977 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Richard T. Nichols More articles by this author John M. Barry More articles by this author Clarence V. Hodges More articles by this author Expand All Advertisement PDF DownloadLoading ...