Radical perineal prostatectomy without lymphadenectomy in patients with cT1+2, G1+2, PSA <= 10 ng/ml prostate cancer

Pelvic lymphadenectomy in patients with organ confined prostate cancer (PCa ) is of no therapeutic value and is questionable in many patients because o f the low incidence of metastases. 49 patients with less than or equal to c T2 b, G1 + 2, PSA less than or equal to 10 ng/ml underwent laparocopic pelv ine lymphadenectomy and radical perineal prostatectomy. Only 1 patient (2 % ) had microscopic metastases which were missed on frozen section. Because o f these own results and those reported in the literature we then performed in patients with this constellation the radical perineal prostatectomy with out lymphadenectomy (n = 32). The differences present in both groups concer ning complication rate and morbidity are due to laparoscopic lymphadenectom y and the learning curve in perineal prostatectomy.