Radical prostatectomy in a community practice. |
| |
Authors: | Jeffrey H Cohn Rizk El-Galley |
| |
Affiliation: | Department of Surgery, University of Alabama at Birmingham, St. Vincent's Hospital, Birmingham, AL, USA. |
| |
Abstract: | PURPOSE: We report the experience of a community based urologist with anatomical retropubic radical prostatectomy. We compared outcome data with that reported experience at several well-known academic institutions. MATERIALS AND METHODS: Between May 1986 and December 2000, 382 consecutive patients underwent anatomical radical retropubic prostatectomy performed by a single community based urologist. Charts were reviewed to determine the positive margin rate, urinary continence, potency, hospitalization and the prostate specific antigen (PSA) recurrence rate. RESULTS: The positive margin rate was 9% overall but in the last 5 years it was 7% compared with 7% to 40% in previous studies at academic institutions. The urinary continence rate was 90% overall and 93% in the last 5 years when excluding men older than 70 years old, compared with 85% to 94% in the academic urological literature. The potency rate after the bilateral nerve sparing technique was 79% compared with 54% to 86% in academic series. Average hospitalization in the last 5 years was 1.5 days. Overall PSA recurrence rate and the rate of PSA recurrence as a function of preoperative PSA, postoperative stage and grade were similar to those at academic institutions. CONCLUSIONS: Anatomical radical prostatectomy can be performed at nonacademic institutions with results comparable to those at academic institutions. |
| |
Keywords: | prostate prostatic neoplasms prostatectomy treatment outcome |
本文献已被 ScienceDirect 等数据库收录! |
|