[Complications in a consecutive series of 133 cases of radical prostatectomy].
OBJECTIVE
To evaluate the surgical complications of radical prostatectomy in our hospital.


METHODS
From august 1991 to december 1999, 138 patients with clinically localized prostate cancer underwent Walsh technique radical prostatectomy. The follow-up is known from 133 patients with a mean age of 64.8% and a mean PSA of 17.6 ng/ml.


RESULTS
The mean follow-up is 43 months. Urinary fistula (9%), lymphatic leakage (5.22%) and rectal injury (2.2%) are the most common early complications. Urinary incontinence (27%), erectile dysfunction (98%) and urethrovesical junction stenosis (12%) are the delay complications. Only three patients have died due to prostate cancer. Our results are compared with another series.


CONCLUSIONS
The morbidity of radical prostatectomy is very similar to the compared series. Urinary incontinence and erectile dysfunction are the most worrying complications which the patient must know to have the opportunity to choose another therapeutic option.
Portillo Martín
J A
JA
Servicio de Urología, Hospital Universitario Valdecilla, Facultad de Medicina, Universidad de Cantabria, Santander.
Rado Velázquez
M
M
Gutiérrez Baños
J L
JL
Martín García
B
B
Hernández Rodríguez
R
R
del Valle Schaan
J I
JI
Correas Gómez
M A
MA
Roca Edreira
A
A
Hernández Castrillo
A
A
D000368:Aged; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011468:Prostatectomy / Q000009:adverse effects*