Radical perineal prostatectomy has been used for the treatment of prostate
cancer for nearly a century. Few contemporary urologists use this technique
in the treatment of localized prostate cancer. The attempt to reduced hosp
italization costs and the use of laparoscopic lymphadenectomy in select pat
ients has renewed interest in the radical perineal prostatectomy. This arti
cle details the step-by-step technique and provides an overview of the curr
ent literature with regard to outcomes and morbidity for radical perineal p
rostatectomy.