Indication for Radical prostatectomy is?
Ans. (b) Localized prostate cancer, life expectancy> 10 yearsRef: Bailey & Love 26th ed. /1355* Nerve-sparing RRP is done in patients with clinically localized prostate cancer who have at least a 10-year life expectancy and low comorbidities.* Patients with locally advanced disease cannot undergo nerve-sparing RRP; because of the extent of the local tumor burden (especially posteriorly), the nerve-sparing procedure can compromise the adequacy of the operation.* The objective of modern RP are to remove the entire cancer with negative surgical margins, minimal blood loss, no serious perioperative complications, and complete recovery of continence and potency.
Localized prostate cancer, life expectancy< 10 years
Localized prostate cancer, life expectancy> 10 years
Locally advanced prostate cancer, life expectancy < 10 years
Locally advanced disease with extension to lateral pelvic fascia
Prostate Cancer