Radical Prostatectomy

  • W. E. Goodwin
Part of the NATO Advanced Science Institutes Series book series (NSSA, volume 53)


Treatment of prostatic cancer is an interesting subject. One can expect cure from a radical prostatectomy providing there is no spread beyond the prostate gland. Radical perineal prostatectomy offers this cure without the advantage of sampling and testing the lymphatics which drain the prostate, staging only. Nonetheless, it is a time honored treatment which has excellent results and which is much less damaging to the patient than radical retropubic prostatectomy with node dissection. It is also less discomforting to the patient in the sense that the complications are much less and, in my opinion, the opportunity to do a direct anastomosis to the urethra under vision, allows for a better control and a decrease in the chance of urinary incontinence. There are no available figures that I know of to support my view, but I feel quite certain from watching the results of retropubic radical prostatectomy versus radical perineal prostatectomy, that the statements I have made are true.


Radical Prostatectomy Seminal Vesicle Bladder Neck Radical Retropubic Prostatectomy Rectal Injury 
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  1. 1.
    H.H. Young, The cure of cancer of the prostate by radical perineal prostatectomy (prostatoseminovesiculectomy): History, literature and statistics of Young’s operation, J. Urol. 53: 188 (1945).Google Scholar
  2. 2.
    E. Belt, Radical perineal prostatectomy in early carcinoma of the prostate, J. Urol. 48: 287 (1942).Google Scholar
  3. 3.
    W.E. Goodwin, Complications of perineal prostatectomy, in: Complications of Urologic Surgery, Prevention and Management,” R.B. Smith and D.G. Skinner, eds., W.B. Saunders Co., Philadelphia, London, Toronto (1976), p. 252.Google Scholar
  4. 4.
    W.E. Goodwin, Radical prostatectomy after previous prostatic surgery, JAMA 148: 799 (1952).CrossRefGoogle Scholar
  5. 5.
    W.E. Goodwin, R.D. Turner, and C.C. Winter, Rectourinary fistula: principles of management and the technique of surgical closure, J. Urol. 80: 246 (1958).PubMedGoogle Scholar
  6. 6.
    J.D. Schmidt, Indications and surgical approaches for prostatic cancer, supplement to Urology 17: 4 (1981).PubMedGoogle Scholar
  7. 7.
    R.J. Boxer, J.J. Kaufman, and W.E. Goodwin, Radical prostatectomy for carcinoma of the prostate, review of 329 patients, J. Urol. 117: 208 (1977).PubMedGoogle Scholar
  8. 8.
    R. Chute, Radical retropubic prostatectomy for cancer, J. Urol. 71: 347 (1954).PubMedGoogle Scholar
  9. 9.
    J. Memmelaar, Total prostatovesiculectomy; retropubic approach, J. Urol. 62: 340 (1949).PubMedGoogle Scholar
  10. 10.
    A.A. Kopecky, T.Z. Laskowski, and Scott R. Jr., Radical retropubic prostatectomy in the treatment of prostatic carcinoma, J. Urol. 103: 641 (1970).PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1983

Authors and Affiliations

  • W. E. Goodwin
    • 1
  1. 1.School of MedicineUniversity of California at Los AngelesLos AngelesUSA

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