Prostatectomia radicale: tecniche a confronto.

Translated title of the contribution: Radical prostatectomy: comparison of technics

P. Larcher, M. Casu, E. Longoni, B. Frea, V. Franchini, O. de Cobelli, M. Andres

Research output: Contribution to journalArticlepeer-review


From 1989 until today 46 patients aged 44-75 years underwent a radical prostatectomy two of whom transperineal and another 44 patients underwent a retropubical prostatectomy (twenty of whom with the nerve sparing technique). Based on our experience, the clinical stages that benefit from a radical prostatectomy as are as followed: T1b, T1c, T2a, T2b; T2c, in patients who present a good A.S.A., a remaining life-span of ten years is expected. Our preference, regarding the best access was clearly the traditional retropubical which allowed us on a preliminary bases a bilateral iliaco-otturatorial lymphoadenectomy with extemporaneus histological exams. Based on our experience we do not see an indication for a radical surgical intervention in the following with: P.S.A. higher than 60 ng./ml in patients with a clinical stage C. Positive abdominal-pelvical computer tomography for macrometastical lymph nodes. Positive bone scintigraphy. Patients over the age of 75 years.

Translated title of the contributionRadical prostatectomy: comparison of technics
Original languageItalian
Pages (from-to)195-198
Number of pages4
JournalArchivio Italiano di Urologia e Andrologia
Issue number3
Publication statusPublished - Jun 1995

ASJC Scopus subject areas

  • Nephrology
  • Urology


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