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Total retropubic prostatectomy for carcinoma of the prostate
Author(s) -
Kotake Toshihiko,
Usami Michiyuki,
Kuroda Masao,
Osahune Masao,
Sonoda Takao,
Takasugi Yutaka
Publication year - 1981
Publication title -
the prostate
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.295
H-Index - 123
eISSN - 1097-0045
pISSN - 0270-4137
DOI - 10.1002/pros.2990020514
Subject(s) - medicine , radical retropubic prostatectomy , prostate , urology , prostate carcinoma , carcinoma , prostatectomy , prostate disease , prostate cancer , prostatic disease , gynecology , cancer
Total prostatectomy is an effective mode of therapy for early carcinoma of the prostate. This report deals with 74 patients who underwent total retropubic prostatectomy at our hospitals during a 23‐year period. The 5‐year survival rates of patients with stages A and B, C, and D carcinomas were 84.1,40.1, and 12.7% respectively. The total 5‐year survival rate was 56.1%. The 10‐year survival rates compare favorably with those of any other mode of therapy. The histological grade was highly significant with respect to prognosis. Combined orchiectomy with total prostatectomy was effective. Operative mortality was 4.05% (3 patients), and the main complication was incontinence. We strongly believe that total prostatectomy is the only curative treatment for early carcinoma of the prostate. This procedure should be utilized more frequently.