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IS SEMINAL VESICLE ABLATION MANDATORY FOR ALL PATIENTS UNDERGOING RADICAL PROSTATECTOMY?

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IS SEMINAL VESICLE ABLATION MANDATORY FOR ALL PATIENTS UNDERGOING RADICAL PROSTATECTOMY?

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A MULTIVARIATE ANALYSIS Zlotta R.1, Roumeguère Th.1, Ravery V.2, Boccon-Gibod L.2, Hoffmann P.1, Ekane S.1, Bollens R.1, Vanden Bossche M.1, Djavan B.3, Marberger M.3, Schulman C.C.1 1Erasme Hospital, Urology, Brussels, Belgium, 2Bichat Hospital, Urology, Paris, France, 3University of Vienna, Urology, Vienna, Austria INTRODUCTION & OBJECTIVES: With a shift in prostate cancer stage and a majority of patients operated nowadays with PSA levels < 10 ng/ml, rates of seminal vesicle (SV) invasion found on radical prostatectomy specimens have dramatically decreased as compared to historical data. Since SV-sparing surgery may have an influence on post-operative erectile dysfunction and urinary recovery, we tried to determine which patients could be safely spared SV excision during radical prostatectomy. MATERIAL & METHODS: We used preoperative data from 537 patients operated by retropubic prostatectomy- 313 with serum PSA < 10.0 ng/ml- to predict SV invasion on final pathological examination.

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