PERIOPERATIVE AND POSTOPERATIVE COMPLICAT IONS IN 1200 RADICAL PROSTATECTOMIES

We evaluated the peri- and postoperative complication rate in 1200 rad ical prostatectomies. Indications for radical prostatectomy were clini cal stages T1 und T2, negative pelvic lymph nodes, life expectancy of more than 10 years. In patient with local problems (infiltration of re ctum, obstruction), radical prostatectomy was performed with a palliat ive intention. Intraoperative blood loss was about 1100 ml, 0.7% of pa tients had a rectal-injury, 0.3% an injury of the ureter. In the early postoperative period (4 weeks after operation), a lymphocele was noti ced in 10% of the patients, but only 1% needed operative revision. X-r ay diagnosis revealed leakage of the anastomosis between bladder and u rethra in 6.5% of the patients. 4% developed a thrombosis, 2.7% a pulm onary emboly. In 3.9% wound infection occurred, in 1.2% of the patient s postoperative-bleeding required surgical repair. Only 2% of the pati ents developed a stricture of the anastomosis. Total urinary incontine nce (more than 5 pads daily) was seen in 0.25% of the patients, while 2% required 2-5 pads daily (middle incontinence).