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Mid-term Outcomes and Survival Rates in Patients with Radical Retropubic Prostatectomy (RRP) Under Current Czech Healthcare System


Authors: L. Šafařík 1;  R. Bílek 2;  J. A. Víšek 3;  K. Novák 1;  J. Ťuíková 1;  M. Pešl 1;  J. Stolz 1;  J. Dvořáček 1
Authors‘ workplace: Urologická klinika 1. LF UK a VFN Praha, přednosta prof. MUDr. J. Dvořáček, DrSc. 1;  Endokrinologický ústav Praha, přednosta doc. MUDr. V. Hainer, CSc. 2;  Fakulta sociálních věd UK, CESES FSV UK, děkan prof. RNDr. J. A. Víšek, CSc. 3
Published in: Rozhl. Chir., 2009, roč. 88, č. 1, s. 21-26.
Category: Monothematic special - Original

Overview

The mid-term results (5 yr) after radical retropubic prostatectomy (RRP) are outlined and compared with pre- and postoperative parameters of patients. While 5 years survival could be expected in as many as 92.4%, relatively higher age (majority over 65) brings a higher risk of complications with it, though fully comparable with international standards. No perioperative mortality was recorded (0%), obstructive symptoms post-operatively developed in 13.4% patients, who were subsequently managed successfully endoscopically. Continence with maximum one pad per 24 hours was recorded in 77.2%, the severe incontinence was only in 3.3%. Spontaneous erection was reported in 4.3%, but except for higher age, the other objective factors were involved.

Key words:
radical prostatectomy – prostate cancer – survival – complications


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