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[Prostatic cancer after transurethral resection for benign prostatic hypertrophy].
Hinyokika Kiyo. Acta Urologica Japonica
|August 1, 1992
Summary
Prostate cancer can develop after transurethral resection of the prostate (TUR-P). Regular check-ups are crucial for early detection, as cancer diagnosed post-TUR-P is often advanced.
Area of Science:
- Urology
- Oncology
Background:
- Transurethral resection of the prostate (TUR-P) is a common procedure for benign prostatic hyperplasia.
- The potential for subsequent development of prostate cancer after TUR-P requires investigation.
Observation:
- Five cases of prostate cancer diagnosed after TUR-P are presented.
- The latency period ranged from 1 year 7 months to 7 years 2 months (average 4 years 7 months).
- An estimated 1.2% of TUR-P patients developed prostate cancer.
Findings:
- Macroscopic hematuria was a presenting symptom in 80% of patients.
- Cystourethrograms revealed masses protruding into the prostatic urethra or bladder neck in 80% of cases.
- Four out of five patients were diagnosed at Stage D, indicating advanced disease.
Implications:
- Prostatectomy does not eliminate the risk of developing prostate cancer.
- Prostate cancer diagnosed post-TUR-P is frequently advanced, necessitating prompt and thorough follow-up.
- Regular screening and monitoring are essential for patients with a history of prostatectomy.