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.