[Laparoscopic radical prostatectomy for incidental prostate cancer after TURP]

Zhonghua Nan Ke Xue. 2012 Dec;18(12):1075-7.
[Article in Chinese]

Abstract

Objective: To investigate the management of incidental prostate cancer after TURP by laparoscopic radical prostatectomy (LRP).

Methods: Between 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.

Results: The 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.

Conclusion: With practiced laparoscopic skills, laparoscopic radical prostatectomy may achieve satisfactory results in the treatment of incidental prostate cancer after TURP.

Publication types

  • English Abstract

MeSH terms

  • Aged
  • Humans
  • Incidental Findings
  • Laparoscopy*
  • Male
  • Middle Aged
  • Prostatectomy / methods*
  • Prostatic Neoplasms / surgery*
  • Transurethral Resection of Prostate*
  • Treatment Outcome