Laparoscopic radical prostatectomy for incidental prostate cancer after TURP
Li, Y.; Wang, S.-S.; Chen, Z.-Q.; Xiang, S.-T.; Gu, C.-M.; Gan, S.; Wang, Z.-C.
Zhonghua Nan Ke Xue 18(12): 1075-1077
2012
ISSN/ISBN: 1009-3591 PMID: 23405785 Document Number: 659841
To investigate the management of incidental prostate cancer after TURP by laparoscopic radical prostatectomy (LRP). 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. 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. With practiced laparoscopic skills, laparoscopic radical prostatectomy may achieve satisfactory results in the treatment of incidental prostate cancer after TURP.