Cervical or trigonal transurethral resection in locally advanced carcinoma of the prostate: What are the risks of neoplastic dissemination?

Abstract

— Patients with obstructive advanced prostatic carcinoma who do not respond to hormonal therapy need urinary drainage, usually through an indwelling catheter or nephrostomy for a dilated kidney. The authors perform an endoscopic resection of the prostate with an associated trigonal resection if there is a dilated urinary system. This kind of treatment, in successful cases, permits a better quality of life without a catheter or nephrostomies. We analysed 63 patients treated in 6 years with an average 36-month follow-up; the success of the procedure was 83% for cervical TUR and 55% for trigonal TUR. In our experience TUR in prostatic cancer appears to be a safe procedure; in fact in our series there is no post-operative mortality or morbility and the treatment doesn't increase cancer dissemination.