Immediate/Early Surgical Complications

  • Thomas J. Walton
  • Declan G. Murphy


Open radical retropubic prostatectomy (ORP) remains the conventional standard of surgical management for patients with organ-confined prostate cancer. Despite improvements in our understanding of male pelvic anatomy, refinements in operative technique, and advances in perioperative care, the procedure remains associated with significant perioperative complications, particularly bleeding risk. Laparoscopic radical prostatectomy (LRP) and robot-assisted laparoscopic prostatectomy (RALP) are reportedly associated with lower rates of blood loss and other indices of perioperative morbidity, although high-quality comparison studies are lacking. This chapter describes the principle immediate and early complications associated with each of the radical prostatectomy approaches and critically appraises the available literature to allow comparison of the techniques. Particular attention is given to a discussion of required standards and desirable classification systems for the reporting of perioperative complications.


Radical Prostatectomy Anastomotic Stricture Pelvic Lymph Node Dissection Ureteric Injury Radical Retropubic Prostatectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag London 2013

Authors and Affiliations

  1. 1.Fellow in Laparoscopic and Robotic Urology, Department of UrologyThe Royal Melbourne HospitalParkville, MelbourneAustralia
  2. 2.Department of Urological OncologyThe Peter MacCallum Cancer CentreMelbourneAustralia
  3. 3.Australian Prostate Cancer Research Centre, Epworth RichmondMelbourneAustralia
  4. 4.Department of Cancer SurgeryPeter MacCullum Cancer CentreMelbourneAustralia

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