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Year : 1994  |  Volume : 10  |  Issue : 2  |  Page : 60-63

Radical retropubic prostatectomy : initial experience

Genito Urinary Service, Tata Memorial Hospital, Bombay

Correspondence Address:
T N Kulkarni
Genito Urinary Service, Tata Memorial Hospital, Bombay

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Source of Support: None, Conflict of Interest: None

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We herein report our initial experience of 12 radical prostatectomies for organ confined (OC) disease. Age range was 50-70 years. Preoperative PSA levels were raised in 3. Clinical staging was A2, B1 and B2 in 2, 4 and 6 patients respectively. Operative blood loss ranged from 800-1200 cc with mean post-operative stay of 15 days. Among the complications, 2 patients had urine leak because of spontaneous rupture of Foley balloon and subsequent expulsion of urethral catheter and were managed with reinsertion of catheter endoscopically. Pathological analysis of the specimen showed capsular penetration (positive CP) and involvement of seminal vesicles (positive SV) in 3; 1 of which had positive urethral cut margin (positive UCM) and pelvic nodes (positive LN) in addition. One patient had only positive LN. Remaining 8 patients had disease limited to prostate. All are continent at 3 to 18 months follow up although I required endoscopic bladder neck incision at 3 months post-operatively.

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