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J Korean Med Assoc > Volume 47(5); 2004 > Article
Hong: Radical Prostatectomy

Abstract

Radical prostatectomy is mainly performed for the treatment of localized prostate cancer thanks to the early diagnosis using diagnostic tools, such as digital rectal examination, prostate specific antigen (PSA), transrectal ultrasonography and prostate biopsy. Retropubic approach or perineal approach can be used for open radical prostatectomy. Recently laparoscopic radical prostatectomy has become an acceptable alternative to open surgery. Indications for radical prostatectomy, the advantages and disadvantages of the each method, results of operation, complications and postoperative follow up will be described in this article.

References

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Table 1
jkma-47-417-i001-l.jpg

Frazier HA, Robertson JE, Paulson DF. Radical prostatectomy : The pros and cons of the perineal vs. retropubic approach. J Urol 1992 ; 147 : 888 - 90

Table 2
jkma-47-417-i002-l.jpg

Frazier HA, Robertson JE, Paulson DF. Radical prostatectomy : The pros and cons of the perineal vs. retropubic approach. J Urol 1992 ; 147 : 888 - 90

Table 3
jkma-47-417-i003-l.jpg

-not available ; a Results at 1 year ; b Results at 4 years ; c 24% of pT3 with adjuvant antiandrogen therapy

Rassweiler J, Schulze M, Teber D, Seeman O, Frede T. Laparoscopic radical prostatectomy : functional and oncological outcomes. Curr Opin Urol 2004 ; 14 : 75 - 82



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