Radical prostatectomy. The surgical complications
Martín-Marquina Aspiunza A, Sánchez Zalabardo D, Arocena García-Tapia J, Sanz Pérez G, Díez-Caballero Alonso F, Rosell Costa D, Robles García JE, Berián Polo JM.
Study of 165 patients with prostate adenocarcinoma who underwent radical prostatectomy using a retropubic approach.
Mean PSA is 19 ng/ml, mean age 63 years and median follow-up 26 months. 22 patients (13.2%) reported complications during the first month post-surgery, primarily urinary fistula of more than 5 days long in 5 patients and rectal injury in 3.49 patients (29%) reported complications after the first month, mainly urinary incontinence in 26 cases and stenosis of the urethrovesical juncture in 15. The group with early complications showed no significant differences compared to those who had none, neither in PSA (p = 0.3) or a worse pathological stage (p = 0.1), and no evidence is shown in terms of biochemical progression or in disease free progression (p = 1). Patients with urethrovesical juncture stenosis have higher mean PSA (p = 0.01), greater biochemical progression (p = 0.006), worse Gleason (p = 0.03 = and worse progression free survival (p = 0.01).
Patients with stress incontinence showed no differences compared to the other groups relative to the studied factors.
CITATION Actas Urol Esp. 1999 Jan;23(1):5-9