Pelvic lymphadenectomy with modified radical retropubic prostatectomy as a single operation: technique used and results in 50 consecutive cases.
We evaluated 50 consecutive patients in whom bilateral pelvic lymphadenectomy with radical retropubic prostatectomy was done using a modified surgical technique. In 3 patients (6 per cent) vesical neck stenosis developed. Excluding 8 cases early in the series in whom pubectomy also was done the long-term incontinence rate was 2.4 per cent. We conclude that this modified technique without pubectomy is quite satisfactory in the management of patients with clinical stages A to C prostatic carcinoma and the complication rate appears to be less than with traditional surgical approaches.
D000368:Aged; D006801:Humans; D008198:Lymph Nodes / Q000601:surgery*; D008207:Lymphatic Metastasis / Q000532:radiotherapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000209:etiology; D014549:Urinary Incontinence / Q000209:etiology