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Curative Treatment Radical prostatectomy and seminal vesiclectomy
Radical prostatectomy is recommended as the first-line treatment for organ-confined prostate cancer in patients with an individual life expectancy of at least 10 years.Curative Treatment Radical prostatectomy and seminal vesiclectomy is still the ideal method of obtaining this object.
Although relatively few radical prostatectomies were originally done because of the unfamiliarity of most people with the perineal approach to the prostate, this operation has become more common now since Millen reintroduced the retropubic approach.
Radiotherapy can be considered as an alternative treatment modality, although current knowledge does not allow a definite assessment of the relative value of radiotherapy compared to radical prostatectomy.
Basically I feel that this is a more satisfactory method of doing the operation. One is able to remove a considerably larger amount of tissue, including any extension up into the seminal vesicles and perivesicular tissue. Also, in my hands, there is less postoperative incontinence by the retropubic technique than there was by the perineal
Injecting the prostate either perineally or suprapubically, or trans vesically, with colloidal solutions of radioactive gold or radioactive chromic phosphate, although at first giving very favorable promise, has gradually lost its glamour. In the large carcinomatous prostate too much gold or chromic phosphate has to be introduced-too much destruction of tissue is obtained and the carcinoma is not entirely destroyed.
Recently however much better results have been obtained by first doing a transurethral resection of most of the prostatic carcinoma, leaving only a shell of carcinomatous prostate which can then be more adequately infiltrated with one of these radioactive products.
About the Author
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Curative Treatment Radical prostatectomy ,please go to visit prostate cancer blog
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