Total prostatectomy in prostatic cancer
Fryjordet, A.; Johannessen, N.B.
Tidsskrift for den Norske Laegeforening Tidsskrift for Praktisk Medicin Ny Raekke 104(17-18): 1204-1205
1984
ISSN/ISBN: 0029-2001 PMID: 6740613 Document Number: 231107
The treatment of carcinoma of the prostate has traditionally been conservative. There is a high mortality rate in untreated patients and a mortality rate of .apprx. 30% in patients treated with estrogen. Because of this, radical prostatectomy was performed on suitable cases. In 1971-1981, 50 patients were treated by this method. The selection criteria have been patients with a T0-T2 staging, and grading according to Moberger 2 in the majority of patients. In this series there was no operative mortality and very low postoperative morbidity. The late complications have been, as in other series, impotence and incontinence. The majority of patients became impotent because of the operative technique. Only 4 patients had urinary incontinence for more than 1 yr, requiring an artificial sphincter. The observation period ranges from 1 yr up to more than 10 yr and during this period cancer recurred in 11 out of 50 patients. This leaves a total cancer-free survival rate of 80%. Combined with no operative mortality, very low postoperative morbidity and an acceptable late complication rate, more extended use of radical prostatecomty in suitable patients.