Analysis of the complications of radical prostatectomy

Complications of the radical prostatectomy were analyzed. Radical prostatectomy was performed to 128 patients in urology department FSPMU in period from 2005 to 2012 years. The mean age of patients was 66 years (from 52 to 81 years). Complications were divided into three groups: intaoperative, early (up to 1 month after surgery) and late (more than 1 month after surgical treatment). Intraoperative complications included rectum injury at 4 patients (2.3%) and damage to the urethra in 1 patient (0.7%). Late complications were: stricture urethrovesical anastomosis - in 5 patients (3.9%), urinary incontinence after 12 months after the operation - in 5 patients (3.9%). Continence in the postoperative period was affected by the duration of the procedure and volume of intraoperative blood loss. Introduction of new operative technologies, improvement of the techniques of surgical treatment and the accumulation of experience has abled to reduce the amount of intraoperative blood loss and to reduce the duration of the operation. The technique of a continuous suturing vesicourtehral anastomosis was allowed early removal of urethral catheter and reduced the percentage of postoperative anastomosis insolvency. In the statistical analysis did not identify factors influencing to the development of anastomotic strictures.

radical prostateotomy, complications, bleeding, anastomosis stricture, urine incontinence

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