Radical Prostatectomy for Carcinoma of the Prostate: 1951–1976. A Review of 329 Patients

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Abstract
Surgical therapy for early adenocarcinoma of the prostate has been an effective mode of cure since it was described by Young in 1905. The retropubic and perineal approaches of radical prostatectomy were used for 25 yr. Herein 329 cases were examined at 2 hospitals. Although there were only 2 deaths (0.61%) immediately attributable to the operation surgical morbidity was significant. Patients of the attending staff had a 46% complication rate while that of patients of the resident staff was 59%. The 5- and 10-yr survival rates of patients with stages A and B prostatic adenocarcinoma were 82 and 63%, respectively, and the 5- and 10-yr survival rates of patients with stage C prostatic adenocarcinoma were 67 and 29%, respectively. The survival rates compare favorably to the national average survival for patients of all ages with localized or regional adenocarcinoma of the prostate. These data support the position of urologists who believe in radical surgical treatment of prostatic cancer.

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