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Early post-operative morbidity of total prostatectomy.

Authors
  • Ritchie, A W
  • James, K
  • deKernion, J B
Type
Published Article
Journal
British journal of urology
Publication Date
Nov 01, 1989
Volume
64
Issue
5
Pages
511–515
Identifiers
PMID: 2611623
Source
Medline
License
Unknown

Abstract

Complications were analysed in a contemporary series of 100 total prostatectomies performed, for carcinoma of the prostate, under the supervision of one surgeon. There were 7 major complications including 1 death. No patient had a rectal injury. Minor complications occurred in 33 patients. Severe stress incontinence persisted in only 2 patients and 12 had minor stress incontinence. Of 38 patients potent before surgery and in whom it was possible to preserve both "neurovascular bundles of Walsh", 45% retained post-operative potency. Preservation of potency was related to the pathological extent of the tumour. It was concluded that in selected patients, total retropubic prostatectomy can be performed safely with good quality of post-operative life.

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