Frohmüller H, Grups J
Urologe A. 1985 May;24(3):142-7.
Between 1969 and 1984 a radical prostatectomy was performed in 175 patients for localized carcinoma of the prostate. This corresponds to a percentage of 18,2% of 962 patients with cancer of the prostate admitted to this hospital during the same period of time. The intra- and postoperative complications following radical prostatectomy in this series of 175 patients are analyzed. In 144 patients a retropubic prostatectomy was performed, whereas in 31 patients the perineal approach was utilized. There was a mortality rate of 1.1% (2 patients). Rectal injuries in 7 patients and ureteral transsection in 2 patients accounted for intraoperative complications. In the early postoperative period non-fatal pulmonary embolism occurred in 4 and myocardial infarction in 3 patients. In 3 cases (1,7%) a transitory hemodialysis became necessary because of renal insufficiency. Lymphoceles had to be treated in 22 patients (12,6%) and hematomas in 9 patients (5,1%). Persistent total urinary incontinence was observed in 8 patients (5%) and stress incontinence of varying degree in 25% of cases. The causes of these complications are analyzed and possible ways of preventing and treating them are discussed.
1969年至1984年间，对175例前列腺局限性癌患者实施了根治性前列腺切除术。这相当于同期本院收治的962例前列腺癌患者中的18.2%。分析了这175例患者根治性前列腺切除术后的术中及术后并发症。144例患者采用耻骨后前列腺切除术，31例患者采用会阴入路。死亡率为1.1%（2例患者）。术中并发症包括7例直肠损伤和2例输尿管横断。术后早期，4例发生非致命性肺栓塞，3例发生心肌梗死。3例（1.7%）因肾功能不全需要进行短暂性血液透析。22例患者（12.6%）出现淋巴囊肿，9例患者（5.1%）出现血肿。8例患者（5%）出现持续性完全尿失禁，25%的患者出现不同程度的压力性尿失禁。分析了这些并发症的原因，并讨论了预防和治疗这些并发症的可能方法。
