Two methods in the treatment of prostate cancer T1-T2

The author reports experience of 82 radical retropubic prostatectomies. In accordance with the length of isolable urethra two methods were applied. In one of the methods the bladder-neck was pulled down to the floor of the pelvis by a synthetic reabsorbable thread (40 cases), in the other method, the urethra-trunk was sewn up to the bladder-neck (42 cases). The early and later complications are dealt with. Their findings: the blood transfusion during intra and perioperative period was identical in both methods. Injury of ureter did not occur, injury of rectum in one case (1.2%) occurred. In the two methods incidence of impotence (85%) and incontinence (15%) were identical. The length of operation was on an average twenty minutes shorter in the pull-down technique but stricture occurred in 4.7%. In the sewing method no stricture occurred. In the opinion of the author the pull-down technique at the short (5-7 mm) urethra-trunk, while the direct sewing-up technique at the long (7-20 mm) urethra-trunk were applied.