Radical prostatectomy for incidental prostate cancer in TURP
- VernacularTitle:前列腺电切术后的前列腺癌根治术
- Author:
Yinghao SUN
;
Xu GAO
;
Chuanliang XU
;
Al ET
- Publication Type:Journal Article
- Keywords:
Prostatic neoplasms;
Carcinoma;
Prostatectomy
- From:
Chinese Journal of Urology
2001;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To present the clinical outcomes of 11 patients who underwent radical prostatectomy for incidental prostate cancer in transurethral resection. Methods From July 1995 to January 2001, we performed radical retropubic prostatectomy on 11 patients with incidental prostate carcinoma by TURP (clinical stage T 1a or T 1b ). Results There was no death or serious morbidity during the operation. Median operative blood loss was 650 ml. During the follow up (range 2～7.5 years,mean 4.5 years),all patients remained disease free,except for one who lost follow up.After nerve sparing potency was preserved in 4 of 7 sex active men,most returning patients got recovered by 1 year.Anastomotic stricture and complete incontinence occurred in 2 and 1 patient,respectively. Conclusions Radical prostatectomy may be performed safely with an acceptable morbidity rate following transurethral resection for benign prostatic hyperplasia.Prior transurethral resection will make the operation difficult during the radical prostatectomy.Furthermore,it is possibly associated with more long term complications,such as anastomotic stricture and impotence.The radical surgery should not be deferred more than 1 month after TURP.
