Minilaparotomy radical retropubic prostatectomy: Updated technique and results

P. LaFontaine, D. Chan, A. W. Partin, R. Gurganus, S. C. Hortopan, F. F. Marshall

Research output: Contribution to journalArticlepeer-review

Abstract

The purpose of this article is to reduce the incisional morbidity associated with standard radical retropubic prostatectomy using the minilaparotomy incision developed for pelvic lymph-node dissection, which was applied to radical retropubic prostatectomy. More than 522 patients underwent minilaparotomy radical retropubic prostatectomy from 1991 to 1997. Preoperative evaluation included history, physical examination, prostate- specific antigen (PSA), and Gleason's grade. Postoperative follow-up included serial PSA measurements and a determination of continence. The surgical technique is described in detail. Two hundred sixty-five patients responded to the mailed questionnaire out of a total 522 patients. Satisfactory continence, defined as 0 to 1 pad per day, was achieved in 85% of patients, and 83% of patients had a PSA < 0.2 at an average follow-up of 2.6 years. There was no operative mortality, and overall complication rate was similar to other surgeons. The typical patient was discharged home 3 days postoperatively. Minilaparotomy radical retropubic prostatectomy compares favorably with standard radical retropubic prostatectomy. Copyright (C) 2000 by W.B. Saunders Company.

Original languageEnglish (US)
Pages (from-to)19-27
Number of pages9
JournalSeminars in Urologic Oncology
Volume18
Issue number1
StatePublished - Mar 13 2000
Externally publishedYes

Keywords

  • Minilaparotomy
  • Prostatectomy
  • Prostatic neoplasms

ASJC Scopus subject areas

  • Urology

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