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Revista Paraense de Medicina

versão impressa ISSN 0101-5907


BRILHANTE, Adalcides Conde et al. Radical perineal prostatectomy in non-university hospital: study of 13 cases. Rev. Para. Med. [online]. 2007, vol.21, n.4, pp.43-46. ISSN 0101-5907.

OBJECTIVE: this study intends to assess the initial experience with RPP of a surgical team in a non-university hospital. METHODS: 13 records of patients who underwent RPP from January 2005 to May 2006 were retrospectively analyzed. The following data were studied: age; total PSA; Gleason score; early complications, late complications and total PSA 3 months after the surgery. RESULTS: the average age of the patients was 64.5 years. Most patients (46%) had total PSA before the surgery ranging between 4 ng/ml and 5.9 ng/ml. All patients presented Gleason score between 5 and 7. There were two cases of early complications: rectal prolapse and perineal fistula. The most frequent late complications 46 Revista Paraense de Medicina V.21 (4) dezembro 2007 were impotence (77%) and urinary incontinence (62%). The total PSA of 85% of the patients is currently lesser than 1ng/ml. CONCLUSION: RPP is an efficient method to deal with prostate cancer, because the levels of total PSA after surgery were reduced in 85% of the cases. However, high levels of impotence and urinary incontinence occurred as late complications.

Palavras-chave : prostatectomy; perineum; prostate cancer.

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