Radical prostatectomy has now become an operation carried out in many urologic departments of our country, completely inverting a national trend which limited the practice of this operation to just a few centres throughout the country. The continuous research aimed at perfecting the operation, at limiting post-operative complications and at improving teaching in this area, has brought about a series of numerous, small, important modifications to the technique originally described by Walsh and, without fear of contradiction, it is possible to claim that the technical and surgical evolution of radical prostatectomy has not yet been completed. In the present work the authors intend to illustrate the technique of retropubic radical prostatectomy, with saving of the erector nerves and the circular fibres of the bladder neck, which we carry out on patients with apparently intracapsular prostatic carcinoma. The technique adopted, while it does not contain any particularly original points, is based on extensive anatomical and surgical studies conducted between 1986 and 1989, and on a clinical experience of around 100 radical prostatectomies, using the same technique, carried out from 1990 to today, in almost all cases by the same surgeon.
|Number of pages||12|
|Journal||Acta Urologica Italica|
|Publication status||Published - 1995|
- prostatic cancer
- radical prostatectomy
ASJC Scopus subject areas