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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2010, Number 5

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Rev Mex Urol 2010; 70 (5)

Radical prostatectomy morbidity, early surgical complications, and risk factors: experience at the Hospital General Dr. Manuel Gea González

Santana-Ríos Z, Fulda-Graue S, Hernández-Castellanos V, Camarena-Reynoso H, Pérez-Becerra R, Urdiales-Ortiz A, Leos-Acosta C, Shuck-Bello C, Merayo-Chalico C, Sánchez-Turati G, Saavedra-Briones D, Fernández-Noyola G, Martínez Á, Ahumada S, Cantellano-Orozco M, Morales-Montor G, Pacheco-Gahbler C, Calderón-Ferro F
Full text How to cite this article

Language: Spanish
References: 7
Page: 278-282
PDF size: 410.02 Kb.


Key words:

Radical prostatectomy, prostate specific antigen, lymphadenectomy, early complications, Mexico.

ABSTRACT

Radical prostatectomy is a safe, well-tolerated procedure with a low morbidity rate and a general mortality rate of 0.2%. The general complication rate is from 5-7% and advanced age is the most frequently associated factor.
Objective: To evaluate the incidence of early complications in radical prostatectomy along with associated risk factors.
Methods: A descriptive, retrolective, longitudinal study was carried out on 175 prostate cancer patients that underwent radical prostatectomy. Early complications associated with the procedure were evaluated in the first 7 days and were related to the factors of age, prostate specific antigen, clinical stage, Gleason score, prostate volume, extraprostatic disease, lymphadenectomy, and previous transurethral resection of the prostate. Whether or not there were any factors that increased the risk of presenting with early complication was determined.
Results: Early complication incidence associated with radical prostatectomy was 13.4% (n=20). There were no tatistically significant early complication risk factors related to age, prostate specific antigen, Gleason score, prostatic volume, extraprostatic disease, lymphadenectomy, or previous transurethral resection of the prostate.
Conclusions: It is necessary to be aware of potential complications in radical prostatectomy in order to make adequate therapeutic decisions. No early complication risk factors associated with radical prostatectomy were found.


REFERENCES

  1. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007;3:2935-2940.

  2. Zerbib M, Zelefsky MJ, Higano CS. Conventional treatments of localized prostate cancer. Urology 2008; 72(6 Suppl):S25-35.

  3. Loeb S, Roehl KA, Helfand BT. Complications of open radical retropubic prostatectomy in potential candidates for active monitoring. Urology 2008;72:887-91.

  4. Yazici S, Inci K. Radical prostatectomy after previous prostate surgery: effects on surgical difficulty and pathologic outcomes. Urology 2009;73:856-9.

  5. Hisasue S, Takahashi A, Kato R. Early and late complications of radical retropubic prostatectomy: experience in a single institution. Jpn J Clin Oncol 2004;34:274-9.

  6. Benoit RM, Naslund MJ, Cohen JK. Complications after radical retropubic prostatectomy in the Medicare population. Urology 2000;56:116-20.

  7. Walsh PC. Radical prostatectomy for the treatment of localized prostatic. Urol Clin North A 1980;7:583-91.




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Rev Mex Urol. 2010;70