Abstract
Today’s urologists have inherited from their teachers an understanding of surgical prostatectomy which has relegated such a procedure to a routine performance. This chapter will concern itself with the distillation of the present day practice of open surgical prostatectomy with special attention to the indications, the preoperative preparation and diagnostic evaluation, the established successful surgical techniques, and the management of possible complications. Transurethral prostatectomy, which has rightly become the technique most frequently used by American urologists for routine prostatectomy, will be considered in a separate chapter in deference to its special technical problems.
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References
Andersson, L., Nilsson, I. M.: Effect of EACA on fibrinolysis and bleeding conditions in prostatic disease. Acta chir. scand. 121, 291 (1961).
Arduino, L. J. et al. (Veterans Administration Cooperative Urological Research Group) Carcinoma of the prostate: Treatment comparisons. J. Urol. (Baltimore) 98, 516 (1967).
Atherton, L. D., Atherton, L.: Aggressive surgery for carcinoma of the prostate. J. Urol. (Baltimore) 91, 294 (1964).
Barnes, R. W., Bergman, R. T., Hadley, H. L., Dick, A. L.: Early prostatic cander: long term results with conservative treatment. J. Urol. (Baltimore) 102, 88 (1969).
Bauer, W. C, McGavran, M. H., Carlin, M. R.: Unsuspected carcinoma of the prostate in suprapubic prostatectomy specimens: a clinics pathological study of 55 consecutive cases. Cancer (Philad.) 13, 370 (1960).
Beck, A. D.: A critical review of the Hryntschak prostatectomy. Brit. J. Urol. 41, 600 (1969).
Becker, L. E., Harrin, W. R.: Prostatic abscess: a diagnostic and theurapeutic approach. J. Urol. (Baltimore) 91, 582 (1964).
Belt, E., Ebert, C. E., Surber, A.C., Jr.: A new anatomic approach in perineal prostatectomy. J. Urol. (Baltimore) 41, 482 (1939).
Beneventi, F. A.: Two year experience with the urethral rotation operation for correction of postoperative urinary incontinence. J. Urol. (Baltimore) 100, 488 (1968).
Berlin, B. B., Cornwell, P.M., Connelly, R. R., Eisenberg, H.: Radical perineal prostatectomy for carcinoma of the prostate: survival in 143 cases treated from 1935 to 1958. J. Urol. (Baltimore) 99, 97 (1968).
Berry, J. L.: A new procedure for correction of urinary incontinence: preliminary report. J. Urol. (Baltimore) 85, 771 (1961).
Berry, J. L.: Postprostatectomy urinary incontinence and some experiences with the Berry procedure. Surg. Clin. N. Amer. 45, 1481 (1965).
Bourque, J. P.: Transvesicocapsular prostatic adenomectomy (transcommissural): Preliminary report on 80 cases. J. Urol. (Baltimore) 72, 918 (1954).
Bricker, N. S., Schwayri, E. D., Reardan, L. B., Kellogg, D., Merrill, J. P., Holmes, L. H.: An abnormality in renal function resulting from urinary tract obstruction. Amer. J. Med. 23, 554 (1957).
Brooks, M. B.: Heparin in treatment of hemorrhagic diathesis associated with prostatic carcinoma. J. Urol. (Baltimore) 102, 240 (1969).
Campbell, W. G., MacGregor, A. M. C.: Posterior prostatectomy. J. int. Coll. Surg. 51, 1 (1969).
Casteel, C. K., Thompson, E. M., Wipfler, E. J.: Vas crush for prevention of post-prostatectomy epididymitis: an experimental and clinical study. J. Urol. (Baltimore) 93, 476 (1965).
Chute, R.: Radical retropubic prostatectomy for cancer. J. Urol. (Baltimore) 71, 347 (1954).
Chute, R., Fox, B. M.: Nonresectable carcinoma of the prostate rendered resectable by endocrine therapy. J. Urol. (Baltimore) 95, 577 (1966).
Cohen, S. P., Kopilnick, M. D., Robbins, M. A.: Removable purse-string suture of the vesical neck during suprapubic prostatectomy. J. Urol. (Baltimore) 102, 720 (1969).
Cook, G. B., Watson, F. R.: Twenty single nodules of prostatic cancer not treated by total prostatectomy. J. Urol. (Baltimore) 100, 672 (1968).
Gulp, O. S.: Radical perineal prostatectomy: its past, present, and possible future. J.Urol. (Baltimore) 98, 418 (1967).
Daiilen, C. P., Goodwin, W. E.: Sexual potency after perineal biopsy. J. Urol. (Baltimore) 77, 660 (1957).
del Regato, J. A.: Radiotherapy in the conservative management of operable and locally inoperable carcinoma of the prostate. Radiology 88, 761 (1967).
Duval, P.: Prostatectomie transvesical avec suture de la vessie a l’uretre et reunion par premiere intention (Rap. de F. Legueu) Bull. Soc. Chir. Paris 32, 651 (1906).
Eiseman, B., Vrvion, C., Vivian, J.: Fluid and electrolyte change following the relief of urinary obstruction. J. Urol. (Baltimore) 74, 222 (1955).
Emmett, J. L., Greene, L. F., Papantoniou, A.: Endocrine therapy in carcinoma of the prostate gland: 10 year survival studies. J. Urol. (Baltimore) 83, 471 (1960).
Engel, R. M., Wade, J. C.: Experience with Berry Prosthesis. J. Urol. (Baltimore) 102, 78 (1969).
Finkelberg, Z., Kunin, CM.: Clinical evaluation of closed urinary drainage systems. J. Amer. med. Ass. 207, 1657 (1969).
Finkle, A. L., Moyers, T. G.: Sexual potency in aging males: IV. Status of private atients before and after prostatectomy. J. Urol. (Baltimore) 84, 152 (1960).
Flocks, R. H.: Carcinoma of prostate. J. Urol. (Baltimore) 101, 741 (1969).
Freyer, P. G.: One hundred ten cases of total enucleation of the prostate for radical cure of enlargement of that organ. Lancet 1904 II, 197.
Fuller, E.: Six successful and successive cases of prostatectomy. J. cutan. Dis. 13, 229 (1895).
Girgis, A. S., Veenema, R. J.: Perineal urethroplasty: a new operation for correction of urinary incontinence in the male patients. J. Urol. (Baltimore) 93, 703 (1965).
Gonder, M. J., Soanes, W. A., Shulman, S.: Cryosurgical treatment of the prostate. Invest. Urol. 3, 372 (1966).
Goodwin, W. E.: radical prostatectomy after previous prostatic surgery. Technical problems encountered in treatment of occult carcinoma. J. Amer. med. Ass. 148, 799 (1952).
Goodwin, W. E., Mims, M. M., Young, H. H. H.: Rhabdomyosarcoma of the prostate in a child. First 5-year survival. J. Urol. (Baltimore) 99, 651 (1968).
Goodwin, W. E., Turner, R. D., Winter, C. C.: Rectourinary fistula principles of management and technique of surgical closure. J. Urol. (Baltimore) 80, 246 (1958).
Gute, D.B., Chute, R., Baron, J. A., Jr.: Bladder neck revision for obstruction in neck. A clinical study reporting normal e-aculation postoperatively. J. Urol. (Baltimore) 99, 744 (1968).
Hand, J. R., Sullivan, A. W.: Retropubic prostatectomy: An analysis of 100 cases. J. Amer. med. Ass. 145, 1313 (1951).
Harris, S. H.: Suprapubic prostatectomy with closure. Surg. Gynec. Obstet. 50, 251 (1930).
Hedlund, P. O.: Antifibrinolytic therapy with cyclokapron in connection with prostatectomy—a double blind study. Scand. J. Urol. Nephrol. 3, 177 (1969).
Hinman, F., Jr.: Flowmeter for automatically timed voiding. J. Urol. (Baltimore) 94, 89 (1965).
Howard, P. J., Fraley, E. E.: Elevation of the phosphate in benign prostatic disease. J. Urol. (Baltimore) 94, 687 (1965).
Hryntschak, T.: Suprapubic prostatectomy with primary closure of the bladder by an original method: preparation, technique, and postoperative treatment. Springfield: C. C. Thomas Co. 1955.
Hudson, P. B.: Prostatic Cancer. XIV. Its incidence, extent and behavior in 686 men studied by prostatic biopsy. J. Amer. Geriat. Soc. 5, 338 (1957).
Huggins, C.: Commentary on treatment of prostate cancer (Editorial). J. Urol. (Baltimore) 102, 119 (1969).
Huggins,C., Hodges, C. V.: Studies on prostatic cancer. I. Effect of castration, of estrogen and of androgen injection on serum phosphatases in metastatic carcinoma of the prostate. Cancer Res. 1, 293 (1941).
Hybbinette, S.: Suprapubische Transurethral Prostatiktomie. Langenbecks Arch. klin. Chir. 183, 145 (1935).
Ivanovici, F., Bocancea, D.: The management of urinary incontinence following prostatectomy by the procedure of tubular cutaneous flap: a preliminary note of operative technique. J. Urol. (Baltimore) 103, 202 (1970).
Jacobs, L. C, Cooper, E. J.: Prevesical prostatectomy. Urol, cutan. Rev. 37, 729 (1933).
Jewett, H. J.: Treatment of early cancer of the prostate. J. Amer. med. Ass. 183, 161 (1963).
Jewett, H. J.: The case for radical perineal prostatectomy. J. Urol. (Baltimore) 103, 195 (1970).
Kaufman, J. J.: Personal communication, 1969.
Kelly, G. G., Silbergleit, A., Berkas, E. M., Caputo, J. M., Bromme, W.: Suprapubic prostatectomy: A report of 337 cases. J. Urol. (Baltimore) 92, 215 (1964).
Keyes, E. L.: An operation for incontinence of urine following perineal prostatectomy. Surg. Gynec. Obstet. 42, 423 (1926).
Kirkman, N. F.: Postprostatectomy haematuria: treatment with aminocaproic acid. Brit. J. Surg. 54, 1026 (1967).
Krahn, H., Morales, P., Hotchkiss, R.: A comparison of suprapubic prostatectomy with and without vesical neck closure. J. Urol. (Baltimore) 96, 83 (1966).
Leadbetter, G. W., Jr., Duxbury, J. H., Leadbetter, W. F.: Can prostatectomy be improved? J. Urol. (Baltimore) 82, 600 (1959).
Lehman, T. H., Kirchheim, D., Braun, E., Moore, R.: An evaluation of radical prostatectomy for incidentally diagnosed carcinoma of the prostate. J. Urol. (Baltimore) 99, 646 (1968).
Lich, R., Jr., Grant, O., Maurer, J. E.: Extra vesical prostatectomy: A comparison of retropubic and perineal prostatectomy. J. Urol. (Baltimore) 61, 930 (1949).
Lilien, O. M., Schaefer, J. A., Kileijan, V., Andaloro, V.: The case for perineal prostatectomy. J. Urol. 99, 79 (1968).
Limbert, D. J.: Transcoccygeal repair of prostatorectal fistula. J. Urol. 100, 666 (1968).
Lytton, B., Eemery, J. M., Harvard, B. M.: The incidence of benign prostatic obstruction. J. Urol. 99, 639 (1968).
MacAllister, C. L. O.: Retropubic prostatectomy without catheter drainage. J. Urol. (Baltimore) 92, 517 (1964).
Mater, O.: Inguinal extravesical prostatectomy. Langenbecks Arch. klin. Chir. 132, 296 (1924).
Malament, M.: Maximal hemostasis in suprapubic prostatectomy. Surg. Gynec. Obstet. 120, 1307 (1965).
Maresca, G. M., Vallett, B. S.: Parasacral prostatectomy. Delaware St. med. J. 29, 31 (1957).
Marshall, D. F.: Trans-coccygeal prostatectomy. J. Maine med. Ass. 56, 193 (1965).
Martin, D. C., Turner, R. D., Goodwin, W. E.: The surgical treatment of urinary incontinence: a review of some of the pertinent literature. Urol. Surv. 13, 111 (1963).
Melicow, M. M., Pelton, T. H., Fish, G. W.: Sarcoma of the prostate: review of literature table of classification; report of four cases. J. Urol. (Baltimore) 49, 675 (1943).
Memmelaar, J.: Total prostatovesiculectomy. Retropubic approach. J. Urol. (Baltimore) 62, 340 (1949).
Michener, F. R., Thompson, I. M., Ross, G., Jr.: Urethrovesical tubulerization for urinary incontinence. J. Urol. (Baltimore) 92, 203 (1964).
Miller, A. L., Jr., Scott, F. B., Scott, R., Jr.: An evaluation of antibiotics prior to prostatectomy. J. Urol. (Baltimore) 92, 711 (1964).
Miller, H. C., Benjamin, J. A., McEvoy, R. K.: Sarcoma Botryoides: 7-year survival. J. Urol. (Baltimore) 101, 567 (1969).
Mtllin, T.: Retropubic prostatectomy. In: Campbell, M. F., Urology. Philadelphia: W. B. Saunders 1963.
Mtllin, T.: Retropubic prostatectomy: a new extravesical technique. Report of 20 cases. Lancet 1945 II, 693.
Murphy, J. J.: Inappropriate secretion of antidiuretic hormones in urologie patients. J. Urol. (Baltimore) 97, 755 (1967).
Parry, W. L., Dawson, C. B.: Surgery for malignant disease of the prostate. In: Urologie Surgery (J.F. Glenn, and W. H. Boyce, eds.). New York: Harper & Row 1969.
Pennington, J. W., Prentiss, R. J., Howe, G.: Radical perineal prostatectomy for cancer: significance of perineal lymphatic invasion. J. Urol. (Baltimore) 97, 1075 (1967).
Peterson, R. A.: Plastic repair of the external urethral sphincter. A new technique for correction of postoperative incontinence in men. J. Urol. (Baltimore) 97, 1050 (1967).
Raney, A. M.: Reevaluation of postprostatectomy urinary incontinence with Berry procedure. J. Urol. (Baltimore) 102, 81 (1969).
Reeves, J. F., Scott, R., Scott, F. B.: Prevention of epididymitis after prostatectomy by prophylactic antibiotics and partial vasectomy. J. Urol. (Baltimore) 92, 528 (1964).
Robards, V. L., Jr., Ross, G., Jr.: The pathogenesis of postobstructive diuresis. J. Urol. (Baltimore) 97, 105 (1967).
Roberts, S. B., Lattlmer, J. K.: Reversibility of renal functional impairment after prostatic obstruction. J. Urol. (Baltimore) 93, 545 (1965).
Rowan, R. L., Howley, T.F.: Postoperative impotence. J. Urol. (Baltimore) 95, 68 (1966).
Samellas, W.: Urinary control following radical perineal prostatectomy. J. Urol. (Baltimore) 95, 580 (1966).
Samellas, W.: Measurement of urethral pressures following radical perineal prostatectomy. J. Urol. (Baltimore) 96, 499 (1966).
Schmaelzle, J. F., Cass, A. S., Hinman, F., Jr.: Autogenous bone graft for post-prostatectomy incontinence. I. Animal experiments. J. Urol. (Baltimore) 99, 656 (1968).
Scott, W. W.: An evaluation of endocrine therapy plus radical perineal prostatectomy in the treatment of advanced carcinoma of the prostate. J. Urol. (Baltimore) 91, 97 (1964).
Scott, W. W., Boyd, H. L.: Combined hormone control therapy and radical prostatectomy in treatment of selected cases of advanced carcinoma of prostate. J. Urol. (Baltimore) 101, 86 (1969).
Stirling, W. C., Ash, J. F.: Sarcoma of the prostate. J. Urol. (Baltimore) 41, 515 (1939).
Talarico, R. D., Fernandes, M.: Transrectal closure of urethrorectal fistula. J. Urol. (Baltimore) 101, 332 (1969).
Thompson-Walker, J.: Transactions Second. Congress International Association of Urology, London, 1911.
Tierney, T. M.: Control of bleeding after prostatectomy with special reference to the use of oxydized regenerated cellulose. J. Urol. (Baltimore) 91, 400 (1964).
Vest, S. A.: Radical perineal prostatectomy — modification of closure. Surg. Gynec. Obstet. 70, 935 (1940).
Vickery, A. L., Jr., Kerr, W. S., Jr.: Carcinoma of the prostate treated by radical prostatectomy. Cancer (Philad.) 16, 1598 (1963).
Vinnicombe, J., Shuttleworth, K. E. D.: Aminocaproic acid in the control of haemorrhage after prostatectomy. Lancet 1966 I, 230.
Ward, R. O.: Vesicocapsular prostatectomy. Lancet 1948 I, 472.
Weyrauch, H. M.: Surgery of the prostate. Philadelphia: W. B. Saunders 1959.
Whilmore, W. F., Jr.: The rationale and results of ablative surgery for prostatic cancer. Cancer (Philad.) 16, 1119 (1963).
Wildbolz, H.: Die operative Behandlung der prostatahypertrophie. Korresp.-Bl. Schweiz. Ärzt. 36, 277 (1906).
Williams, D. F., Blahd, W. H.: The diagnostic and prognostic value of strontium-85 photoscanning in carcinoma of the prostate. J. Urol. (Baltimore) 97, 1070 (1967).
Williams, D. F., Blahd, W. H., Wetteran, L., Jr.: Radioactive fluorine-18 photoscanning: A diagnostic evaluation in cancer of the prostate. J. Urol. (Baltimore) 100, 675 (1968).
Wilson, B., Riseman, D. D., Moyer, C. A.: Fluid balance in the urological patients. Disturbances in the renal regulation of the excretion of water and sodium salts following decompression of the urinary bladder. J. Urol. (Baltimore) 66, 805 (1951).
Young, H. H.: Practice of urology. Philadelphia: W. B. Saunders Co. 1926.
Young, H. H., Stone, H. B.: An operation for urethorectal fistula: Report of three cases. Trans. Amer. Ass. gen.-urin. Surg. 8, 270 (1913).
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Gittes, R.F. (1970). Open Surgery of the Prostate. In: Operative Urology II. Handbuch der Urologie / Encyclopedia of Urology / Encyclopédie d’Urologie, vol 13 / 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-65060-4_3
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