Journal of the Chinese Medical Association
Volume 69, Issue 1 , Pages 21-25, January 2006

Transurethral Prostatic Resection for Acute Urinary Retention in Patients with Prostate Cancer

Division of Urology, Department of Surgery, Taipei Veterans General Hospital, and National Yang-Ming University School of Medicine, Taipei, Taiwan, R.O.C.

Received 27 June 2005; accepted 24 November 2005.

Article Outline

Background

Few studies have focused on clinical findings in prostate cancer patients receiving transurethral resection of the prostate (TURP) for acute urinary retention (AUR). We compared the clinical findings (preoperative characteristics, operative morbidities, and pathology results) of patients with diagnosed prostate cancer undergoing palliative TURP for AUR with those of patients undergoing TURP for AUR who were diagnosed with prostate cancer postoperatively.

Methods

The charts of 25 patients with prostate cancer undergoing TURP for AUR between 1986 and 2003 were retrospectively reviewed. Fourteen patients underwent palliative TURP (group A) and the other 11 patients with newly diagnosed prostate cancer received TURP (group B). The data, including preoperative characteristics, operative morbidities, and pathology results were analyzed.

Results

There were no significant differences between the 2 groups in parameters such as age at diagnosis and operation, operative time, hospitalization, and catheter duration. However, the Gleason score was higher in group A (7.6 ± 1.7) than in group B (5.4 ± 1.8) (p < 0.005). The mean resected weight was lower in group A (19.9 g) than in group B (39.5 g). Group A was more likely to receive recatheterization (33.3% vs 0%, p = 0.058) and repeat operation (28.6%), although the difference was not statistically significant. There were no complications such as transurethral resection syndrome or perioperative death in either group.

Conclusion

TURP can be performed safely for relief of AUR in patients with prostate cancer, no matter if the cancer was diagnosed before or after surgery. The higher Gleason score and more advanced cancer stage, as found in group A, may correlate to high recatheterization and reoperation rates due to preexisting tumor progression.

Key Words:  prostate cancer , transurethral prostate resection , urinary retention

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References 

  1. Montorsi F, Naspro R, Salonia A, Suardi N, Briganti A, Zanoni M, et al  Holmium laser enucleation versus transurethral resection of the prostate: results from a 2-cancer, prospective, randomized trial in patients with obstructive benign prostatic hyperplasia . J Urol . 2004;172:1926–1929
  2. Mazur AW , Thompson IM . Efficacy and morbidity of “channel” TURP . Urology . 1991;38:526–528
  3. Crain DS , Amling CL , Kane CJ . Palliative transurethral prostate resection for bladder outlet obstruction in patients with locally advanced prostate cancer . J Urol . 2004;171:668–671
  4. Ornstein DK , Rao SR , Smith DS , Andriole GL . The impact of systematic prostate biopsy on prostate cancer incidence in men with symptomatic benign prostatic hyperplasia undergoing transurethral resection of the prostate . J Urol . 1997;157:880–884
  5. Gleason DF , Mellinger GT , the Veterans Administration Cooperative Urological Research Group  . Prediction of prognosis for prostatic adenocarcinoma by combined histologic grading and clinical staging . J Urol . 1974;111:58–64
  6. Gleason D . Classification of prostate carcinoma . Cancer Chemother Rep . 1966;50:125–128
  7. Greene FL, Page DL, Fleming ID, Fritz A, Balch CM, Haller DG, et al. Prostate . In:  Greene FL ,  Page DL ,  Fleming ID ,  Fritz A ,  Balch CM ,  Haller DG ,  Morrow M editor. AJCC Cancer Staging Manual . 6th edition. New York, NY: Springer-Verlag; 2002;p. 309–316
  8. Fleischmann JD , Catalona WJ . Endocrine therapy for bladder outlet obstruction from carcinoma of the prostate . J Urol . 1985;134:498–500
  9. Hanks GE , Leibel S , Kramer S . The dissemination of cancer by transurethral resection of locally advanced prostate cancer . J Urol . 1983;129:309–311
  10. Sandler HM , Hanks GE . Analysis of the possibility that transurethral resection promotes metastasis in prostate cancer . Cancer . 1988;62:2622–2627
  11. Forman JD , Order SE , Zinreich ES , Lee DJ , Wharam MD , Mellitis ED . The correlation of pretreatment transurethral resection of prostatic caner with tumor dissemination and disease free survival. A univariate and multivariate analysis . Cancer . 1986;58:1770–1778
  12. Kuban DA , el-Mahadi AM , Schllhammer PF , Babb TJ . The effect of transurethral prostatic resection on the incidence of osseous prostatic metastasis . Cancer . 1985;56:961–964
  13. Brawn PN, Johnson EH, Speights VO, Riggs M, Kuhl D, Abel PD, et al  Incidence, racial differences, and prognostic significance of prostate carcinomas diagnosed with obstructive symptoms . Cancer . 1994;74:1607–1611

PII: S1726-4901(09)70106-6

doi:10.1016/S1726-4901(09)70106-6

Journal of the Chinese Medical Association
Volume 69, Issue 1 , Pages 21-25, January 2006

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