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Contemporary Technique of Radical Prostatectomy

Perineal Approach

  • Chapter
Management of Prostate Cancer

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

Perineal access is the least invasive and least costly approach to radical prostatectomy. Perineal rates of negative specimen margins, relapse-free survival, continence, and potency are equivalent to those with the retropubic approach (1–10). Contemporary radical perineal prostatectomy is associated with no need to routinely have blood available for transfusion (10), a single overnight hospital stay in 87–91% of patients with 95% patient satisfaction (9, 11), and a similar learning curve (12) but a 42% cost saving compared with the retropubic approach (11). Laparoscopic and robotic learning curves and costs are much steeper, without providing less morbidity.

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Authors
  1. Vernon E. Weldon
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Editors and Affiliations

  1. Section of Urology Oncology, Glickman Urological Institute, Cleveland Clinic Foundation, Cleveland, OH, USA

    Eric A. Klein MD (Head) (Head)

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© 2004 Springer Science+Business Media New York

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Weldon, V.E. (2004). Contemporary Technique of Radical Prostatectomy. In: Klein, E.A. (eds) Management of Prostate Cancer. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-776-5_13

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  • DOI: https://doi.org/10.1007/978-1-59259-776-5_13

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-4757-5711-8

  • Online ISBN: 978-1-59259-776-5

  • eBook Packages: Springer Book Archive

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