Quality of micturition after prostatectomy for pT3 carcinoma

Abstract

— The purpose of radical prostatectomy for neoplasia is to cure the patient and maintain a good micturition. The first aim is achieved only in patients with localized prostatic cancer. With cancer not confined to an organ, we cannot be sure of radicality. These patients run the risk of local recurrence and worsening of micturition. The quality of micturition is determined by both surgical procedure (sphintecal weakness, stenosis of the urethro-vesical anastomosis) and local staging of the neoplasia (whether local recurrence is present or not). We studied 56 pT3 patients with uroflowmetry and symptom score. The flowmetry was always good even when local relapse occurred, but worsened when stenosis started. Urgency was the most frequent symptom in patients with local relapse.