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Complications and morbidity following radical prostatectomy

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Summary

Complications and morbidity following radical prostatectomy for localized carcinoma of the prostate were analyzed in a series of 100 patients, using the perineal approach in 29 cases and the retropubic in 71 cases. The mortality rate was 1%. Rectal injuries in 6 patients and ureteral transsection in 2 patients accounted for intraoperative complications. The average amount of blood substituted in this series was 3,5 units per patient. Severe complications which occured in the early postoperative period were non-fatal myocardial infarction and pulmonary embolism in 6 patients. Persistent total urinary incontinence was found in 4 patients and stress incontinence of varying degree was recorded in 24 patients. Additional late complications were bladder neck contracture in 22 and urethral stricture in 5 patients. The rate of early and late complications after radical prostatectomy in this series compares satisfactorily with the average results reported in the literature.

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Authors and Affiliations

  1. Urologische Klinik und Poliklinik der Universität, Luitpoldkrankenhaus, D-8700, Würzburg, Federal Republic of Germany

    R. Ackermann & H. G. W. Frohmüller

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  1. R. Ackermann
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  2. H. G. W. Frohmüller
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Ackermann, R., Frohmüller, H.G.W. Complications and morbidity following radical prostatectomy. World J Urol 1, 62–67 (1983). https://doi.org/10.1007/BF00326864

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