[A clinical study of radial prostatectomy].
Nihon Hinyokika Gakkai Zasshi
; 87(4): 760-5, 1996 Apr.
Article
en Ja
| MEDLINE
| ID: mdl-8691698
ABSTRACT
BACKGROUND:
The objective of this study is to evaluate the efficacy of radical prostatectomy for patients with organ-confined prostate cancer.METHODS:
From 1990 to 1994, a total of 50 patients with prostate cancer underwent radical retropubic prostatectomy.RESULTS:
Eleven patients were in state A2, 34 in stage B and 5 in stage C according to clinical stage. Extended disease was observed pathologically in 45%, and 59% of patients in clinical stages A2 and B, respectively. Preoperative serum PSA levels were closely correlated with pathological extension of the disease. The disease-free rates for organ-confined disease, extended disease without lymph node metastasis and stage D1 disease were 75% (3 years), 82% (2 years) and 80% (3 years), respectively. Four patients had rectal injuries, and three of these underwent temporary colostomy diversion. Two patients had bladder neck contracture and received internal urethrotomy. Urinary incontinence improved in 60% of patients during the first 6 post-operative and in 90% of patients within 12 post-operative months. Urinary incontinence tended to improve earlier in patients with nerve-sparing than those without it. The erectile capacity in nerve sparing patients recovered good.CONCLUSION:
Our results indicate that radical prostatectomy is a safe and temporarily satisfactory treatment for the patient with organ-confined prostate cancer.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Prostatectomía
/
Neoplasias de la Próstata
/
Adenocarcinoma
/
Escisión del Ganglio Linfático
Límite:
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
Ja
Revista:
Nihon Hinyokika Gakkai Zasshi
Año:
1996
Tipo del documento:
Article
País de afiliación:
Japón