Laparoscopic radical prostatectomy for incidental prostate cancer after TURP.
- Author:
Yuan LI
1
;
Shu-Sheng WANG
;
Zhi-Qiang CHEN
;
Song-Tao XIANG
;
Chi-Ming GU
;
Shu GAN
;
Zhi-Chao WANG
Author Information
- Publication Type:Journal Article
- MeSH: Aged; Humans; Incidental Findings; Laparoscopy; Male; Middle Aged; Prostatectomy; methods; Prostatic Neoplasms; surgery; Transurethral Resection of Prostate; Treatment Outcome
- From: National Journal of Andrology 2012;18(12):1075-1077
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the management of incidental prostate cancer after TURP by laparoscopic radical prostatectomy (LRP).
METHODSBetween April 2005 and December 2011, we treated 4 cases of incidental prostate cancer with p504s (+) by LRP, 1 at 3 mon, while the other 3 at 1.5 mon after TURP.
RESULTSThe operations were successfully performed in all the 4 cases, all by extraperitoneal approach. Postoperative pathology showed prostate cancer in 2 of the cases with Gleason scores of 6-7, high-level epithelial neoplasia in 1, and no malignancy in the other. Postoperative observation and 1-79 mon follow-up visit revealed good urinary function but no obvious urinary incontinence, metastasis and erectile dysfunction.
CONCLUSIONWith practiced laparoscopic skills, laparoscopic radical prostatectomy may achieve satisfactory results in the treatment of incidental prostate cancer after TURP.
