title: Radical perineal prostatectomy and early continence: outcomes after 120 cases.
abstract: OBJECTIVE
  Evaluate the results of urinary continence on patients who had undergone radical perineal prostatectomy (RPP) for clinically localized prostate cancer.
  
  
  METHODS
  We analyzed the continence data of 120 patients with pathology of cT1-cT2N0M0 prostate cancer and who had undergone RPP. Continence was assessed on the day of catheter removal, at the end of the first and third month, and the first year postoperatively. The patients who were continent immediately after catheter removal were classified in the group of "immediately continent" while the patients who became continent during the 3 postoperative months were classified as "early continent."
  
  
  RESULTS
  Mean duration of catheterization was 10 (10-25) days. Of 120 patients, 44 (36.7%) were immediately continent. At the end of the first and third months, 65 (54.1%) and 87 (72.5%), respectively, were early continent. At the one-year follow-up, 95.3% of 107 cases whose one-year follow-up data were available were continent. When the relationship between patients' age and continence was analyzed, it was found that the early continence rates were 77.7% (7/9), 73.3% (33/45), 73.4% (36/49), and 64.7% (11/17) in the groups of=49, 50-59, 60-69, and=70 years, respectively (p=0.68).
  
  
  CONCLUSIONS
  The majority of patients who underwent RPP rapidly regained continence within 3 months. RPP is an exceptional alternative approach for radical surgery in the treatment of localized prostate cancer.
authors.affiliation: Urology II Clinics, Kartal Teaching and Research Hospital, Istanbul, Turkey.
authors.forename: Selami
authors.initials: S
authors.lastname: Albayrak
authors.forename: Onder
authors.initials: O
authors.lastname: Canguven
authors.forename: Cemal
authors.initials: C
authors.lastname: Goktas
authors.forename: Cihangir
authors.initials: C
authors.lastname: Cetinel
authors.forename: Rahim
authors.initials: R
authors.lastname: Horuz
authors.forename: Huseyin
authors.initials: H
authors.lastname: Aydemir
mesh_terms: D000367:Age Factors; D000368:Aged; D016009:Chi-Square Distribution; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011184:Postoperative Period; D011468:Prostatectomy / Q000009:adverse effects* / Q000379:methods; D011471:Prostatic Neoplasms / Q000601:surgery*; D020127:Recovery of Function; D013997:Time Factors; D016896:Treatment Outcome; D014549:Urinary Incontinence / Q000209:etiology*; D014554:Urination