Open AccessEXTRAPERITONEOSCOPIC RADICAL PROSTATECTOMY AFTER PELVIC SUGERY PROCEDURES
Author(s) -
Yuriy P Serniak,
Andriy I Sagalevych,
O.S. Frolov,
Petr Y Serniak,
M. S. Kryvopustov
Publication year - 2020
Publication title -
wiadomości lekarskie
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.133
H-Index - 14
eISSN - 2719-342X
pISSN - 0043-5147
DOI - 10.36740/wlek202006102
Subject(s) - medicine , prostatectomy , surgery , prospective cohort study , urology , urinary incontinence , urinary retention , prostate cancer , cancer
The aim of study is to evaluate the results of extraperitoneoscopic radical prostatectomy performed in the presence of various complicating factors.Materials and methods: This prospective study included 7 patients with a diagnosis of prostate cancer (T1-T2b, No, Mo) who underwent extraperitoneoscopic radicalprostatectomy (ERPE).Results: Among all ERPEs performed on seven patients, the maximum duration of the surgery was 6 hours 30 minutes, and the minimum one was 3 hours 40 minutes. Theaverage volume of blood loss did not exceed 350±20 ml; decline in hemoglobin level was in the range of 10-12 g/l. The urethral catheter was removed no earlier than 7 days afterthe surgery. Drainage from the space of Retzius was removed on the 3rd day. Postoperative complications occurred in 2 patients (28.57%). The maximum period of postoperativeoutpatient follow-up was 22 months. In 6 patients (85.71%), complete urinary retention up to 3 months was noted. One patient (14.29%) had mild urinary incontinence (PADtest– no more than one pad per day). In these cases, sexual potency was absent in 100% of patients. The maximum postoperative PSA level in the group reached 0.13 ng/ ml.Conclusions: Own experience of ERPE in patients on the background of previous transurethral resections and vaporization of the prostate demonstrated the effectiveness andsafety of the method. More extensive studies with a larger number of cases are needed.