TRANSCOCCYGEAL RADICAL PROSTATECTOMY FOR LOCALIZED PROSTATE-CANCER - EARLY CLINICAL-RESULTS

Twelve patients with adenocarcinoma of the prostate underwent radical transcoccygeal prostatectomy. The methodology and outcome are describe d. Preoperative laparoscopic lymphadenectomy was performed on all pati ents. The average operative time for the prostatectomy using the trans coccygeal route was 3 h and 7 min, and no major postoperative complica tions occurred. Compared to the classic retropubic approach, preservat ion of the neurovascular bundles and urethral anastomosis seemed to be facilitated. It was concluded that radical prostatectomy can be perfo rmed safely using the transcoccygeal approach.