[Perineal radical prostatectomy].
At the beginning of the 1980's. P. Walsh and other published their works which dealt with the anatomy and technique of radical retropubic prostatectomy (Reiner 1979; Walsh 1982 + 1983). Since then this operative access carried through simultaneously with an iliacal lymphadenectomy became more and popular. The perineal approach become less important, many urologists had no longer the opportunity to learn this operation. With the introduction of the laparoscopic lymphadenectomy there has been a renewed interest in the radical perineal prostatectomy. Because of exact operation-technique with permanent visual control, generally less blood loss, small complication rates and a diminished morbidity the perineal approach represents another example of "minimal invasive surgery". There are an increasing number of patients with localized prostate cancer in whom this is an appropriate treatment option.
Breuer
C
C
Clinica Urologica, Università di Basilea Città e Campagna.
D006801:Humans; D008297:Male; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*