The morbidity of radical prostatectomy for multifocal stage I prostatic adenocarcinoma

R. T. Nichols, J. M. Barry, C. V. Hodges

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43 Scopus citations


During a 25 yr period, 33 patients with stage I multifocal prostatic adenocarcinoma underwent radical prostatectomy. Carcinoma was present in 81% of the specimens. The operative mortality was 3%. Pelvic recurrence, rectal injury and urethrovesical stricture each occurred in 9% of the cases. 15% of the patients were totally incontinent and 42% had stress incontinence. One patient required combined retropubic and perineal approaches to remove the specimen. The safest interval between the first and the radical procedure was 6 wk or more. The 5 and 10 yr relative survival rates were 100%. The best candidate for a radical prostatectomy after transurethral prostatic resection or suprapubic enucleation prostatectomy is one with a thick surgical capsule in whom the first procedure precedes the radical procedure by at least 6 wk.

Original languageEnglish (US)
Pages (from-to)83-84
Number of pages2
JournalJournal of Urology
Issue number1
StatePublished - Jan 1 1977

ASJC Scopus subject areas

  • Urology

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