耻骨后顺行前列腺癌根治术(附16例报告)

目的探讨前列腺癌根治术的手术方式。方法对１９８６年８月～１９９７年８月１６例耻骨后顺行前列腺根治术的临床Ｂ期前列腺癌患者进行回顾性总结。结果无直肠、输尿管损伤，无完全性尿失禁及手术死亡发生，术后尿流率、国际前列腺症状评分（ＩＰＳＳ）、生活质量（ＱＯＬ）评分和剩余尿（ＲＵ）均有显著性改善，阳萎发生率较高，达８３％。结论耻骨后顺行前列腺根治术解剖层次清晰，较易掌握，除阳萎外，其它并发症发生率较低。

Radical retropubic antegrade prostatectomy (report of 16 cases)

Objective To evaluate the procedure of radical retropubic antegrade prostatectomy. Methods From August 1986 to August 1997,radical retropubic antegrade prostatectomy was carried out for 16 cases of clinical stage B prostatic cancer and the operative procedure was evaluated. Results There were neither operative mortality nor ureteral injury or total incontinence.A significant improvement of urine flow rate,IPSS,QOL and a reduction of residural urine has been achieved.The rate of postoperative impotence was as high as 83%. Conclusions This technique could be easily mastered with clear anatomical exposure.Operative complications have been iminimal except the high occurrence of impotence,the operative complications have been iminimal.