Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University

Türkeri, Levent; Sekerci, Cagri Akin; Kosan, Murat; özgen, mahir bülent

Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University

İlker TİNAY, (Marmara Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul, Türkiye)

Mahir Bülent ÖZGEN, (Marmara Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul, Türkiye)

Çağrı Akın ŞEKERCİ, (Marmara Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul, Türkiye)

Levent TÜRKERİ (Marmara Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul, Türkiye)

Marmara Medical Journal

2 1

Yıl: 2011 Cilt: 24 Sayı: 1 Sayfa Aralığı: 10 - 14 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University

Öz:

Amaç: Açık radikal retropubik prostatektomi hakkındakigüncel literatürün derlenmesi ve üniversite kliniğimizdeyapılan son 250 açık radikal retropubik prostatektomivakalarının sonuçlarının bildirilmesi.Materyal ve Metot: Radikal prostatektomi, açıkretropubik, prostat kanseri, komplikasyonlar vekomorbidite anahtar kelimeleri seçildi ve Pubmedveritabanı kullanılarak literatür taraması yapıldı.Marmara Üniversitesi Tıp Fakültesi Üroloji AnabilimDalında yapılan son 250 açık radikal retropubikprostatektomi vakasının dosyaları tarandı.Bulgular: Hastaların % 69, 2sinde tümör prostat beziile sınırlı kalırken, % 30.8inde pozitif cerrahi sınır,kapsül invazyonu, seminal vezikül invazyonu ya dabunların kombinasyonu saptandı. Sinir koruyucu radikalretropubik prostatektomi hastalarının ameliyat sonrası dönemde idrar kontinansını ve erektil işlevi gerikazanmalarının daha başarılı olduğu saptandı. Radikalretropubik prostatektomi sonrası vakaların % 12, 4ündeortalama 53,8 aylık takip ve ortalama 20,7 ayprogresyon süresi ile kanser progresyonu saptandı.Sonuç: Radikal prostatektominin üç hedefi olan; kanserkontrolü, idrar kontrolünün korunması ve cinsel işlevinkorunması hedeflerine, açık radikal retropubikprostatektominin uzun dönem tecrübesi ile ulaşılmıştır.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Radikal retropubik prostatektomigüncel literatür derlemesi ve son 250 vaka ile Marmara tecrübesi

Öz:

Objective: To review the current literature of open radicalretropubic prostatectomy and report the results of the last250 open radical retropubic prostatectomies performed inour University clinic.Patients and Methods: A literature review wasperformed using the PubMed database with combinationsof the following keywords radical prostatectomy, openretropubic, prostate cancer, complications andcomorbidity. Charts of the most recent 250 consecutivepatients who had undergone radical retropubicprostatectomy at the Urology Department of MarmaraUniversity School of Medicine were reviewed.Results: In 69.2% of the cases the tumor was confinedwithin the prostate gland, whereas 30.8% of the caseshad tumors with either positive surgical margins, capsularpenetration, invasion of seminal vesicles or a combinationof these features. Nerve-sparing radical retropubicprostatectomy patients were found to be more successfulin achieving continence and erectile function in the post operative period. Cancer progressions were experiencedin 12.4% of the cases following radical retropubicprostatectomy at a mean follow-up of 53.8 months with amean time to progression of 20.7 months.Conclusion: The three goals of radical prostatectomy;cancer control, preservation of urinary control andpreservation of sexual function were achieved with thelong-time experience of open radical prostatectomy.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kosan M, özgen m, Sekerci C, Türkeri L (2011). Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. , 10 - 14.
Chicago	Kosan Murat,özgen mahir bülent,Sekerci Cagri Akin,Türkeri Levent Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. (2011): 10 - 14.
MLA	Kosan Murat,özgen mahir bülent,Sekerci Cagri Akin,Türkeri Levent Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. , 2011, ss.10 - 14.
AMA	Kosan M,özgen m,Sekerci C,Türkeri L Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. . 2011; 10 - 14.
Vancouver	Kosan M,özgen m,Sekerci C,Türkeri L Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. . 2011; 10 - 14.
IEEE	Kosan M,özgen m,Sekerci C,Türkeri L "Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University." , ss.10 - 14, 2011.
ISNAD	Kosan, Murat vd. "Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University". (2011), 10-14.

APA	Kosan M, özgen m, Sekerci C, Türkeri L (2011). Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. Marmara Medical Journal, 24(1), 10 - 14.
Chicago	Kosan Murat,özgen mahir bülent,Sekerci Cagri Akin,Türkeri Levent Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. Marmara Medical Journal 24, no.1 (2011): 10 - 14.
MLA	Kosan Murat,özgen mahir bülent,Sekerci Cagri Akin,Türkeri Levent Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. Marmara Medical Journal, vol.24, no.1, 2011, ss.10 - 14.
AMA	Kosan M,özgen m,Sekerci C,Türkeri L Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. Marmara Medical Journal. 2011; 24(1): 10 - 14.
Vancouver	Kosan M,özgen m,Sekerci C,Türkeri L Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University. Marmara Medical Journal. 2011; 24(1): 10 - 14.
IEEE	Kosan M,özgen m,Sekerci C,Türkeri L "Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University." Marmara Medical Journal, 24, ss.10 - 14, 2011.
ISNAD	Kosan, Murat vd. "Radical retropubic prostatectomya review of the current Literature and a study of 250 cases at Marmara University". Marmara Medical Journal 24/1 (2011), 10-14.