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Radical prostatectomy - Risks

Alternative Names

Prostatectomy - radical; Radical retropubic prostatectomy; Radical perineal prostatectomy; Laparoscopic radical prostatectomy; LRP; Robotic-assisted laparoscopic prostatectomy; RALP; Pelvic lymphadenectomy

Risks:

Risks for any surgery are:

Blood clots in the legs that may travel to the lungs
Breathing problems
Infection, including in the surgical wound, lungs (pneumonia), or bladder or kidney
Blood loss
Heart attack or stroke during surgery
Reactions to medications

Risks of this procedure are:

Difficulty controlling urine (urinary incontinence)
Erection problems (impotence)
Injury to the rectum
Difficulty controlling bowel movements (bowel incontinence)
Urethral stricture (tightening of the urinary outlet from scar tissue)

Reviewed last on: 2/4/2011
Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Su L, Smith JA. Laparoscopic and robotic-assisted laparoscopic radical prostatectomy and pelvic lymphadenectomy. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 99.

Walsh PC, Partin AW. Anatomic radical retropubic prostatectomy. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 97.

Hartke DM, Resnick MI. Radical perineal prostatectomy. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 98.

Wilt TJ, MacDonald R, et al. Systematic review: comparative effectiveness and harms of treatments for clinically localized prostate cancer. Ann Intern Med. 2008;148:435-448.

Walsh PC, DeWeese TL, et al. Clinical practice: localized prostate cancer. N Engl J Med. 2007;357:2696-2705.

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Radical prostatectomy - Risks

Alternative Names

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