Radical Retropubic Prostatectomy After Prostate Surgery, Is It Possible?

Radical Retropubic Prostatectomy After Prostate Surgery, Is It Possible?
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Title:Radical Retropubic Prostatectomy After Prostate Surgery, Is It Possible?
Author/Abstract:
Luzcielo Roxas, MD and Dennis Lusaya, MD
Section of Urology, Department of Surgery, University of the Santo Tomas Hospitaltal

Objective: Radical prostatectomy for patients with previous prostate surgery is generally accepted to be more technically difficult and is associated with more morbidity. This paper reports our experience with patients who underwent RRP comparing those patients with previous prostate surgery for bladder outlet obstruction and those without. Materials and Methods: A review of retropubic radical prostatectomy (RRP) that was performed by one of our consultants from 1996 to 2007 was done. Clinical data were obtained and reviewed. Results:Performing RRP in patients with previous prostate surgery has comparable intraoperative and postoperative course when compared to those patients without previous surgery. Both groups have comparable time in achieving urinary continence. Other morbidities such as erectile dysfunction and bladder neck obstruction cannot be assessed due to limited data Conclusion:RRP can be safely performed in patients with previous prostate surgery with comparable rates of achieving urinary continence when compared to patients without previous surgery

Key words: retropubic radical prostatectomy, prostate cancer

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