THE LATE RESULT OF TRANSPUBIC RADICAL TOTAL PROSTATECTOMY FOR CARCINOMA OF THE PROSTATE. A REVIEW OF 137 CASES

Abstract

One hundred and thirty-seven out of 198 cases of prostatic carcinoma admitted in our clinic were treated with trans-pubic total prostateccomy (modified Shishito's method) combined with bilateral orchiectomy and pelvic lymphoadenectomy during the past 12 years since 1968. A follow up study was made in those patients by mailed questionaires in September 1979.
The 5-year actual survival rate was 57.5% and the 5-year relative survival rate was 71.7% through the cases. The 5-year relative survival rate in T0-1-2 and T3-4 cases was 71.7% and 62.7% respectively. Lymph node dissection was deemed nessesary through this study, because lymphatic node metastasis was found in 10% of T0-1-2 cases. Impotency and urinary incontinence occurred in most patients after the radical operation.
The former has lasted until the time of the questionaire. On the contrary, the latter was improved within a year in most cases. Although the main cause of post operative death was the cancer itself, but some cases died from renal insufficiency. Prevention of post-operative renal insufficiency is important.