Localized Prostate Cancer, Retropubic Radical Prostatectomy: Surgical Complications, Single Centre Study

Background: For organ-confined disease in carcinoma of prostate the primary curative procedure that is well identified is the retro pubic radical prostatectomy. Objective: To assess the complications related to surgery of prostate after open retro pubic radical prostatectomy. Materials and Methods: Retropubic radical prostatectomy was performed in 75 subjects suffering from localized cancer of prostate in last 05 years, at the urology department. Open retropubic radical prostatectomy procedure represented by Walsh as a classic method was adapted. Disease progression and caliber of life indices like potency and urinary continence were noted during the follow up. Result: There were total 75 patients in current study. Mean age of patients was 63.3 years. Out of 75 patients, 70 were married and 05 patients were unmarried, 25 were from urban areas, while 50 were from rural area, 35 were educated and 45 were uneducated, 05 patients had positive family history for prostatic malignancy, while 70 patients had no family history of prostatic carcinoma. Out of 75 patients, 63, 65 and 69 patients were continent, at 10, 06 and 12 months; however, 05, 04 and 04 had stress incontinence at 10, 06 and 12 months; and 07, 03 and 01 had mixed incontinence urge and stress at 06 and 12 months; 05, 03 and 01 had total incontinence at 06 and 12 months. Subjects with incontinence are trained exercises concerned with pelvic floor. Conclusion: The retro-pubic thorough prostatectomy is the typical management of early cancer of prostate and a number of complications are associated with this technique of surgery. It had a vertical knowledge curl. Large figure of patients and improvement in techniques are needed to attain the perfect outcomes.

Automated summary

The study evaluated the complications related to open retro pubic radical prostatectomy in 75 subjects with localized prostate cancer, focusing on changes in urinary continence and quality of life indices. Results showed that patients with incontinence post-surgery benefited from pelvic floor exercises for improvement.