title: [Radical prostatectomy: comparison of technics].
abstract: From 1989 until today 46 patients aged 44-75 years underwent a radical prostatectomy two of whom transperineal and another 44 patients underwent a retropubical prostatectomy (twenty of whom with the nerve sparing technique). Based on our experience, the clinical stages that benefit from a radical prostatectomy as are as followed: T1b, T1c, T2a, T2b; T2c, in patients who present a good A.S.A., a remaining life-span of ten years is expected. Our preference, regarding the best access was clearly the traditional retropubical which allowed us on a preliminary bases a bilateral iliaco-otturatorial lymphoadenectomy with extemporaneus histological exams. Based on our experience we do not see an indication for a radical surgical intervention in the following with: P.S.A. higher than 60 ng./ml in patients with a clinical stage C. Positive abdominal-pelvical computer tomography for macrometastical lymph nodes. Positive bone scintigraphy. Patients over the age of 75 years.
authors.affiliation: Ospedale San Giuseppe, Milano.
authors.forename: P
authors.initials: P
authors.lastname: Larcher
authors.forename: M
authors.initials: M
authors.lastname: Casu
authors.forename: E
authors.initials: E
authors.lastname: Longoni
authors.forename: B
authors.initials: B
authors.lastname: Frea
authors.forename: V
authors.initials: V
authors.lastname: Franchini
authors.forename: O
authors.initials: O
authors.lastname: de Cobelli
authors.forename: M
authors.initials: M
authors.lastname: Andres
mesh_terms: D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000601:surgery*
vernacular_title: Prostatectomia radicale: tecniche a confronto.