Abstract：
OBJECTIVES:To report on the safety of radical retropubic prostatectomy (RRP) in patients with a penile prosthesis presenting with clinically localized prostate cancer. METHODS:From January 1990 to December 1997, 8 consecutive men with a penile prosthesis underwent RRP for clinically localized prostate cancer. Retrospective data regarding patient population, operating time, estimated blood loss, length of hospital stay, and clinical outcome were evaluated. RESULTS:Mean patient age was 65.4 years (range 57 to 70) at the time of RRP, with a mean preoperative serum prostate-specific antigen level of 11.5 ng/mL. Mean duration of RRP surgery was 183.9 minutes, and the mean estimated blood loss was 1281.8 mL. No complication requiring penile prosthesis removal occurred. In 1 case, the reservoir tubing was punctured during closure of the abdominal fascia wall. This was immediately recognized and fixed. All patients had a functioning penile prosthesis after RRP. CONCLUSIONS:RRP can be safely and expeditiously performed in patients with a pre-existing penile prosthesis. The risk of prosthesis malfunction after RRP is very low. Patients with a penile prosthesis and prostate cancer should not be denied the option of undergoing RRP.
journal_name
Urologyjournal_title
Urologyauthors
Tiguert R,Hurley PM,Gheiler EL,Tefilli MV,Gudziak MR,Dhabuwala CB,Pontes JE,Wood DP Jrdoi
10.1016/s0090-4295(98)00372-0subject
Has Abstractpub_date
1998-12-01 00:00:00pages
1030-3issue
6eissn
0090-4295issn
1527-9995pii
S0090429598003720journal_volume
52pub_type
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