Radical Retropubic Prostatectomy

Abstract

All patients undergo face-to-face preoperative counseling preferably including partners, for discussion of the general nature of the procedure, potential complications including incontinence, impotence, and the potential need for transfusion, and the postoperative routine Specific emphasis is placed on the use of epidural anesthesia whether or not lymphadenectomy is to be performed whether or not a nerve-sparing procedure is contemplated and planned hospital length of stay. Patients donate one or two units of autologous blood at their option. A preoperative urinalysis should demonstrate no active infection. The diet is restricted to clear liquids on the day prior to surgery, and no bowel preparation is used. Patients are admitted to the operating room (OR) on the day of surgery A second-generation cephalosporin is given intravenously on call to the OR and for two doses postoperatively. Intermittent compression stockings are used for prophylaxis against deep venous thrombosis