RESULTS OF RADICAL PROSTATECTOMY FOR PROS TATIC-CANCER - A FOLLOW-UP-STUDY ON 918 CASES

The author presents the results of a follow-up study on 918 cases of r adical prostatectomy for prostatic cancer performed by 21 urologists. The average follow-up was two years and six months, (from three months to eight years). Mortality caused by the cancer was 1,96 % and from a ll other reasons was 3,05 %. 86,82 % of the patients have been operate d on for clinical stage B 8,49 % for stage A. 3,81 % for stage C and 0 ,22 % for, stage D. Comparison between pre-operative for evaluation an d for pathological features show an understaging rate of 52,03 %, an o verstaging rate of 4,07 % and an accurate evaluation in 43,90 % of the cases. Almost half on the understaged patients (208 on 422) received adjuvant therapy, but only 14 received adjuvant therapy in the group o f 342 patients whose evaluation was accurate. PSA level seems to be an important component in the stadification, since 73,59 % patients whos e PSA level was under 50 ng/ml did receive an adjuvant therapy, while 21,24 % patients whose PSA level was over 50 ng/nil remain without com plementary treatment. The post-operative incontinence rate was 11,75 % . The post-operative impotence rate was 83,15