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Updated: Jun 12, 2026

Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
Histo-morpho-biochemical findings of the residual prostate (III): (undetectable) PSA maintained after retropubic
Juan José Ballesteros Sampol1, Javier Gimeno Beltrán, Lluís Fumadó Ciutat
1Department of Urology, UQTR and Pathology IMAS Hospitals, Instituto Municipal de Asistencia Sanitaria, Nuestra Señora de la Esperanza Hospital and Nuestra Señora del Mar Hospital, Barcelona, Spain. jballesteros@imas.imim.es
Summary Objectives:
To present 4 cases with "undetectable" PSA levels (PSA <0.15 ng/ml) long-term postoperative follow-up after retropubic adenomectomy for BPH METHODS: They come from a series of 70 consecutive cases of retropubic prostatic adenomectomies, monitored and controlled at the hospital in their biochemical, histological and morphometric analysis for 5 years following the intervention.
Results:
Four patients have demonstrated PSA levels <0.15 in all controls after surgery. Mean follow-up of the global series: 45.25 months. There is correlation between this determination and histological and morphometric data, when they were achieved.
Conclusions:
"Undetectable" PSA after open prostatic adenomectomy could be an equivalent to the expression of "radical cure"of BPH, and a reliable marker for monitoring neo-hyperplasia.
