[Radical prostatectomy in clinically localized prostate carcinoma. Contra laparoscopic approach].
Laparoscopic radical prostatectomy (LRP) offers an alternative to open prostatectomy in the treatment of clinically localized prostate cancer. However, when considering this new approach, oncological and functional results must be comparable to those of open retropublic prostatectomy (RRP). Long-term follow-up data for LRP are still lacking. RRP shows biochemical-free survival rates of 80% after 5 and 10 years. When evaluating functional results, data for postoperative erectile function after LRP are unclear. The functional data of postoperative continence after LRP seemed to be comparable to those of RRP. Even when considering aspects of morbidity and economy, RRP remains the golden standard in the treatment of clinically localized prostate cancer. Oncological and functional results are still preliminary for LRP.
Noldus
J
J
Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg. noldus@uke.uni-hamburg.de
D000368:Aged; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010043:Outcome and Process Assessment, Health Care; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology / Q000601:surgery*