ABSTRACT
OBJECTIVE: To determine a learning curve for radical perineal prostatectomy after formal training in radical retropubic prostatectomy. METHODS: Using the William Beaumont Hospital Prostatectomy database, we analyzed peri-operative data from two surgeons performing radical perineal prostatectomies from their initial 96 cases to determine a learning curve. RESULTS: Over time, data between the first and last quarters showed consistent, excellent results in terms of skin time (143 SD ± 22 and 136 SD ± 24 min), blood loss (310 SD ± 120 and 335 ± 216 cc), and length of stay (1.3 SD ± 0.6 and 1.2 SD ± 0.5 days), without significant change. However, only two positive margins were obtained in the 4th quartile representing a significant change and possibly representing a learning curve. CONCLUSIONS: These data show that excellent, reproducible results can be obtained using basic surgical principles, without incorporating expensive technology and resources.
