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• W2079488383 abstract "No AccessJournal of UrologyReview Articles1 Jun 2005CONTEMPORARY APPRAISAL OF RADICAL PERINEAL PROSTATECTOMYis corrected byCONTEMPORARY APPRAISAL OF RADICAL PERINEAL PROSTATECTOMY DANIEL M. JANOFF and RAUL O. PARRA DANIEL M. JANOFFDANIEL M. JANOFF More articles by this author and RAUL O. PARRARAUL O. PARRA More articles by this author View All Author Informationhttps://doi.org/10.1097/01.ju.0000161483.65619.b3AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: In the age of minimally invasive surgery there has been renewed interest in the perineal approach for the surgical treatment of prostate cancer. We reviewed recent publications regarding radical perineal prostatectomy (RPP) in an effort to define its role in the current management of localized prostate malignancy. At the same time we reviewed the relevant perineal anatomy and surgical approach necessary to perform this operation. Materials and Methods: We performed a review of the literature with respect to RPP and included our own extensive experience with this operation, emphasizing patient selection, the current role of pelvic lymph node dissection, surgical anatomy, oncological outcomes and complications. Results: RPP is an effective treatment for localized adenocarcinoma of the prostate with oncological outcomes similar to those of the retropubic technique. In comparison to RRP, patients undergoing RPP have less postoperative discomfort, more rapid return of bowel function, more rapid return to work and a decreased transfusion rate. In addition, RRP is now often performed with cavernous nerve sparing. Prostate specific antigen screening has made the rate of lymph node metastasis low enough to omit lymphadenectomy in many cases. Conclusions: There is still a role for RPP in the treatment of localized prostate cancer. Erectile dysfunction after nerve sparing and incontinence rates are similar to those of RRP. In addition, it is less morbid then RRP without being as technically challenging as laparoscopic radical prostatectomy. References 1 : The early diagnosis and radical cure of carcinoma of the prostate. Being a study of 40 cases and presentation of a radical operation which was carried out in four cases. Johns Hopkins Hosp Bull1905; 16: 315. Google Scholar 2 : A new anatomic approach in perineal prostatectomy. J Urol1939; 41: 482. Link, Google Scholar 3 : Retropubic prostatectomy, a new extravesical technique. Lancet1945; 2: 693. Google Scholar 4 : Radical prostatectomy with preservation of sexual function: anatomical and pathological considerations. Prostate1983; 4: 473. Crossref, Medline, Google Scholar 5 : Radical prostatectomy, preservation of sexual function, cancer control. The controversy. 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Link, Google Scholar From the Divisions of Urology, Oregon Health and Sciences University, Portland, Oregon, Cooper University Hospital, and Robert Wood Johnson School of Medicine (ROP), Camden, New Jersey© 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byPrasad S, Gu X, Lavelle R, Lipsitz S and Hu J (2010) Comparative Effectiveness of Perineal Versus Retropubic and Minimally Invasive Radical ProstatectomyJournal of Urology, VOL. 185, NO. 1, (111-115), Online publication date: 1-Jan-2011.Wagner M, Sokoloff M and Daneshmand S (2007) The Role of Pelvic Lymphadenectomy for Prostate Cancer—Therapeutic?Journal of Urology, VOL. 179, NO. 2, (408-413), Online publication date: 1-Feb-2008.Related articlesJournal of Urology9 Nov 2018CONTEMPORARY APPRAISAL OF RADICAL PERINEAL PROSTATECTOMY Volume 173Issue 6June 2005Page: 1863-1870 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.Keywordsprostatectomyprostateprostatic neoplasmsperineumMetricsAuthor Information DANIEL M. JANOFF More articles by this author RAUL O. PARRA More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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