Skip to main content
SpringerLink
Log in

Modified method of radical retropubic prostatectomy for localized prostatic cancer

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

A modified method of retropubic radical prostatectomy was devised. The root of the penis was compressed and the bilateral internal iliac arteries were clamped before the dissection of the prostate. The urethra was divided at the junction of the prostate and bladder so that the bladder stump thus created has the size of the tip of the middle finger. Vesicourethral anastomosis was done by Vest procedure. By this method 24 patients were operated. All patients except one were alive without recurrence after the mean follow-up of 32 months. This method seems to be good enough to recommend.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Walsh, P. C., Lepor, H., Eggleston, J. C.: Radical prostatectomy with preservation of sexual function: Anatomical and pathological considerations.The Prostate, 4, 473 (1983).

    PubMed  CAS  Google Scholar 

  2. Pilepich, M. V., Krall, J. M., Bagshaw, M. A., Enami, B. N., Asbell, S. O., Bard, R. H., Hanks, G. E.: Radical prostatectomy or radiotherapy in carcinoma of prostate: The dilemma continues.Urology, 30, 18 (1987).

    Article  PubMed  CAS  Google Scholar 

  3. Paulson, D. F., Lin, G. H., Hinshaw, W., Stephani, S. and The Uro-oncology Research Group: Radical surgery versus radiotherapy for adenocarcinoma of the prostate.J. Urol., 128, 502 (1982).

    PubMed  CAS  Google Scholar 

  4. Bandhauer, K., Senn, E.: Radical retropublic prostatectomy after transurethral prostatic resection.Eur. Urol., 15, 180 (1988).

    PubMed  CAS  Google Scholar 

  5. Porst, H., Altwein, J. E., Bach, D., Thon, W.: Dynamic cavernosography: Venous outflow studies of cavernous bodies.J. Urol., 134, 276 (1985).

    PubMed  CAS  Google Scholar 

  6. Rainwater, L. M., Segura, J. W.: Technical consideration in radical retropubic prostatectomy: Blood loss after ligation of dorsal venous complex.J. Urol., 143, 1163 (1990).

    PubMed  CAS  Google Scholar 

  7. Smith, J. A. Jr., Cho, Y. H.: Management of stage A prostate cancer.Urol. Clin. N. Amer., 17, 769 (1990).

    Google Scholar 

  8. Epstein, J. I., Oesterling, J. E., Walsh, P. C.: The volume and anatomical location of residual tumor in radical prostatectomy specimens removed for stage A1 prostate cancer.J. Urol., 139, 975 (1988).

    PubMed  CAS  Google Scholar 

  9. Glick, A. J., Ladaga, L., Philput, C. B., Schellhammer, P. F., Mahdi, A. E.: Are three substages of clinical B prostate carcinoma useful in predicting disease-free survival?Urology, 36, 483 (1990).

    Article  PubMed  CAS  Google Scholar 

  10. Oesterling, J. E., Brendler, C. B., Epstein, J. I., Kimball, A. W., Walsh, P. C.: Correlation of clinical stage, serum prostatic acid phosphatase and preoperative Gleason grade with final pathological stage in 275 patients with clinically localized adenocarcinoma of the prostate.J. Urol., 138, 92 (1987).

    PubMed  CAS  Google Scholar 

  11. Drago, J. R., Geraniotis, E., Badalament, R. A., Horchak, A., Nesbitt, J. A.: Localized staging of prostate carcinoma: Comparison of transrectal ultrasound and magnetic resonance imaging.Urology, 35, 511 (1990).

    Article  PubMed  CAS  Google Scholar 

  12. Rifkin, M. D., Zerhouni, E. A., Gatsonis, C. A., Quint, L. E., Paushter, D. M., Epstein, J. I., Hamper, U., Walsh, P. C., McNeil, B. J.: Comparison of magnetic resonance imaging and ultrasonography in staging early prostate cancer.N. Engl. J. Med., 323, 621 (1990).

    Article  PubMed  CAS  Google Scholar 

  13. Steinberg, G. D., Epstein, J. I., Piantadosi, S., Walsh, P. C.: Management of stage D1 adenocarcinoma of the prostate: The Johns Hopkins Experience 1974 to 1987.J. Urol., 144, 1425 (1990).

    PubMed  CAS  Google Scholar 

  14. Palken, M., Cobb, O. E., Warren, B. H., Hoak, D. C.: Prostate cancer: Correlation of digital rectal examination, transrectal ultrasound and prostate specific antigen levels with tumor volumes in radical prostatectomy specimens.J. Urol., 143, 1155 (1990).

    PubMed  CAS  Google Scholar 

  15. Hudson, M. A., Catalona, W. J.: Effect of adjuvant radiation therapy on prostate specific antigen following radical prostatectomy.J. Urol., 143, 1174 (1990).

    PubMed  CAS  Google Scholar 

  16. Lange, P. H.: Prostate-specific antigen for staging prior to surgery and for early detection of recurrence after surgery.Urol. Clin. N. Amer., 17, 813 (1990).

    CAS  Google Scholar 

  17. Cooper, E. H., Armitage, T. G., Robinson, M. R. G., Newling, D. W. W., Richards, B. R., Smith, P. H., Denis, L., Sylvester, R.: Prostatic specific antigen and the predict of prognosis in metastatic prostatic cancer.Cancer, 66, 1025 (1990).

    PubMed  CAS  Google Scholar 

  18. Soloway, M. S., Ishikawa, S., Zwaag, R. V. D., Todd, B.: Prognostic factors in patients with advanced prostate cancer.Urology, 33, 53 (1989).

    Article  PubMed  CAS  Google Scholar 

  19. Mukamel, E., deKernion, J. B., Dorey, F., Hannah, J.: Significance of histological prognostic indicators in patients with carcinoma of the prostate.Br. J. Urol., 65, 46 (1990).

    Article  PubMed  CAS  Google Scholar 

  20. Stamey, T. A., Villers, A. A., McNeal, J. E., Link, P. C., Freiha, F. S.: Positive surgical margins at radical prostatectomy: Importance of the apical dissection.J. Urol., 143, 1166 (1990).

    PubMed  CAS  Google Scholar 

  21. Myers, R. P., Goellner, J. R., Cahill, D. R.: Prostate shape, external striated urethral sphincter and radical prostatectomy: The apical dissection.J. Urol., 138, 543 (1987).

    PubMed  CAS  Google Scholar 

  22. Igel, T. C., Barrett, D. M., Rife, C. C.: Comparison of techniques for vesicourethral anastomosis: Simple direct versus modified Vest traction sutures.Urology, 31, 474 (1988).

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Teikyo University School of Medicine, Ichihara Hospital, Anesaki Ichihara-shi, Japan

    H. Ito, K. Yamaguchi, T. Kotake, F. Suzuki & N. Miura

Authors
  1. H. Ito
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Yamaguchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. T. Kotake
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. F. Suzuki
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. N. Miura
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ito, H., Yamaguchi, K., Kotake, T. et al. Modified method of radical retropubic prostatectomy for localized prostatic cancer. International Urology and Nephrology 24, 283–290 (1992). https://doi.org/10.1007/BF02549537

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02549537

Keywords

Search

Navigation