Bandhauer K, Senn E
Klinik für Urologie, Kantonsspital, St. Gallen, Schweiz.
Eur Urol. 1988;15(3-4):180-1. doi: 10.1159/000473428.
In 16 patients who underwent radical retropubic prostatectomy because of adenocarcinoma of the prostate after previous transurethral resection, the difficulty of the operation, the morbidity rate, and the survival time were evaluated. Eleven patients had tumours staged A2, 5 patients tumours staged B1. Duration of the operation and blood loss were almost similar to the group of patients who had not had prior transurethral resection of the prostate. The impotence rate was 100% due to difficulties preparing and preserving the neurovascular bundle. Only 1 patient had stress incontinence. One patient died after 2 years with rapid tumour progression, 1 patient shows local recurrence. Radical prostatectomy may be performed safely with an acceptable morbidity rate following transurethral resection of the prostate.
在16例因前列腺腺癌在先前经尿道前列腺切除术后接受耻骨后根治性前列腺切除术的患者中，对手术难度、发病率和生存时间进行了评估。11例患者肿瘤分期为A2期，5例患者肿瘤分期为B1期。手术持续时间和失血量与未进行过先前经尿道前列腺切除术的患者组几乎相似。由于在准备和保留神经血管束方面存在困难，阳痿发生率为100%。只有1例患者出现压力性尿失禁。1例患者在2年后因肿瘤快速进展死亡，1例患者出现局部复发。经尿道前列腺切除术后，可安全地进行根治性前列腺切除术，发病率可接受。
