The Morbidity of Radical Prostatectomy for Multifocal Stage I Prostatic Adenocarcinoma

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Abstract
During a 25 yr period 33 patients with stage I multifocal prostatic adenocarcinoma underwent radical prostatectomy. Carcinoma was present in 81% of the specimens. The operative mortality was 3%. Pelvic recurrence, rectal injury and urethrovesical stricture each occurred in 9% of the cases. Fifteen percent of the patients were totally incontinent and 42% had stress incontinence. One patient required combined retropubic and perineal approaches to remove the specimen. The safest interval between the 1st and radical procedure was 6 wk or more. The 5 and 10 yr relative survival rates were 100%. The best candidate for a radical prostatectomy after transurethral prostatic resection or suprapubic enucleation prostatectomy is one with a thick surgical capsule in whom the 1st procedure precedes the radical procedure by at least 6 wk.