Radical perineal prostatectomy was the first type of surgical approach used to remove the prostate gland (starting in 1905).
Now it is usually reserved for
men who cannot undergo retropubic surgery due to other medical
problems, including obesity.
It might also be a viable option if the surgeon believes there is little chance that the cancer has spread to the lymph nodes.
Differs from radical retropubic prostatectomy
During this surgery for prostate cancer, an incision is made under the man’s scrotum, in front of his rectum.
This pros of this procedure for prostate removal are:
The cons are that:
Impotence may be a greater concern. That's why this approach is not used as often as:
Higher risk of impotence is something that you definitely need to consider and discuss with the doctor. If sexual side effects are not a concern for you, then it might be an viable option.
Urinary incontinence rates are similar to retropubic and robotic approaches.
Recovery for radical perineal prostatectomy
Like radical retropubic prostatectomy, a man’s hospital stay is generally:
He will also need to have a catheter for up to 2 weeks.
Risks of surgery
The risks are the same as for other types of surgery for prostate cancer, including:
Korman H. Radical Perineal Prostatectomy for Prostate Cancer.
http://emedicine.medscape.com/article/447239-overview. Accessed March
The American Cancer Society. Prostate Cancer. http://www.cancer.org. Accessed March 17, 2015.
Walsh PC. Guide to Surviving Prostate Cancer. New York, NY: Time Warner Book Group; 2001.
Always consult a medical professional.