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Uro-andrological glossary

Radical prostatectomy


Surgery of total removal of the prostate and seminal vesicles with subsequent anastomosis of the bladder with the urethral stump. The intervention, commonly with a retropubic, laparoscopic approach, today almost always robotic is indicated in patients with stage T1-T2 prostate cancer (see TNM) with good life expectancy and satisfactory general conditions. Late postoperative complications include urinary incontinence and impotence. The incidence of these complications is now reduced thanks to new anatomical approaches including the preservation of neurovascular bundles (nervesparing surgery) which allows the recovery of sexual power.


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