Reappraisal of radical perineal prostatectomy.
Radical prostatectomy is frequently the treatment of choice for localized adenocarcinoma of the prostate. The procedure can be accomplished through either a perineal or a retropubic approach; both have their advantages and disadvantages. Recently, concerns over transmission of blood-borne viruses during transfusions and the advent of laparoscopic pelvic lymphadenectomy have resulted in a rejuvenation of interest in perineal prostatectomy. Herein, we discuss the history of perineal prostatectomy, the technique and its advantages and disadvantages.
Thrasher
J B
JB
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
Paulson
D F
DF
D006801:Humans; D008297:Male; D011468:Prostatectomy / Q000379:methods*