Radical perineal prostatectomy is a surgical procedure wherein the entire prostate gland is removed through an incision in the area between the anus and the scrotum (perineum).[1][2]
It is used to remove early prostate cancer, in select people who have a small well defined cancer in the prostate. It is less commonly used than the alternative methods of the retropubic route, or the robot assisted laparoscopic approach.[3][4]
When the cancer is small and confined to the prostate, radical perineal prostatectomy achieves the same rate of cure as the retropubic approach but less blood is lost and recovery is faster. One downside to the perineal approach is an increased risk of fecal incontinence.[2][5]
The procedure was first performed in 1904 by Hugh H. Young and assisted by William S. Halstead, as a way of removing the prostate in cancer treatment.[citation needed]
^Kirby, R. S.; Patel, M. I.; Poon, D. M. C. (2020). "Management of clinically localised disease". Fast Facts: Prostate Cancer: If, when and how to intervene. Karger Medical and Scientific Publishers. p. 69. ISBN 978-3-318-06587-9.
^ abKorman, Howard J. (3 November 2020). "Radical Perineal Prostatectomy for Prostate Cancer: Practice Essentials, Technical Considerations, Outcomes". www.medscape.com. Medscape. Archived from the original on 7 February 2021. Retrieved 19 February 2021.
^Sullivan L.D. (2003) Radical Perineal Prostatectomy. In: Bruskewitz R.C. (eds) Atlas of the Prostate. Current Medicine Group, London. https://doi.org/10.1007/978-1-4615-6505-5_10
^Zippe C.D. (2006) Radical Perineal Prostatectomy. In: Novick A.C. et al. (eds) Operative Urology at the Cleveland Clinic. Humana Press. https://doi.org/10.1007/978-1-59745-016-4_37
^Cite error: The named reference Eden was invoked but never defined (see the help page).
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