Modified Pfannenstiel approach for radical retropubic prostatectomy

A 3-year experience

Murugesan Manoharan, R. Ayyathurai, A. M. Nieder, M. S. Soloway

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

A modified Pfannenstiel approach for radical retropubic prostatectomy (RRP) has been described previously. We present our experience with this approach for performing a RRP over the past 3 years. Between January 2003 and July 2006, 544 consecutive RRPs by modified Pfannenstiel approach between January 2003 and July 2006 were performed. We analyzed blood loss, transfusions, use of drain, pain score, analgesia and hospital stay. Patients were followed up at 6 weeks, three monthly for a year and six monthly thereafter. All clinical and operative variables were entered into a database and analyzed. A total of 544 men underwent RRP with median follow-up of 11 (s.d.±10.5) months. The mean age was 60 (s.d.±7) years. About 83, 91 and 95% of patients had nerve sparing, bladder neck preservation and a lymph node dissection, respectively. Fifty-three patients had a concurrent inguinal hernia repair through the same incision. Mean estimated blood loss was 431(s.d.±267) ml. The pathological staging distribution was T2, 82%; T3a, 9%; and T3b, 9%. The mean pain score at days 1 and 7 were 3.7 (s.d.±2.5) and 3.3 (s.d.±3), respectively. The median hospital stay was 36h (s.d.±24). About 5.5% have had biochemical recurrence. At 12 months 97% were continent and 46% potent. RRP using a modified Pfannenstiel approach offers safety and efficacy. It facilitates repair of associated inguinal hernia through the same incision.

Original languageEnglish
Pages (from-to)74-78
Number of pages5
JournalProstate Cancer and Prostatic Diseases
Volume11
Issue number1
DOIs
StatePublished - Mar 1 2008

Fingerprint

Prostatectomy
Inguinal Hernia
Length of Stay
Pain
Herniorrhaphy
Lymph Node Excision
Blood Transfusion
Analgesia
Urinary Bladder
Databases
Safety
Recurrence

ASJC Scopus subject areas

  • Oncology
  • Urology

Cite this

Modified Pfannenstiel approach for radical retropubic prostatectomy : A 3-year experience. / Manoharan, Murugesan; Ayyathurai, R.; Nieder, A. M.; Soloway, M. S.

In: Prostate Cancer and Prostatic Diseases, Vol. 11, No. 1, 01.03.2008, p. 74-78.

Research output: Contribution to journalArticle

Manoharan, Murugesan ; Ayyathurai, R. ; Nieder, A. M. ; Soloway, M. S. / Modified Pfannenstiel approach for radical retropubic prostatectomy : A 3-year experience. In: Prostate Cancer and Prostatic Diseases. 2008 ; Vol. 11, No. 1. pp. 74-78.
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