— The Authors describe the endourologic treatment of prostatic cancer. Nowadays the possibilities for the treatment of localized prostatic cancer include: radical prostatectomy, nerve sparing prostatectomy, radiotherapy and TURP plus Nd:YAG laser irradiation. All these modalities of treatment are discussed and the indications for endoscopic treatment in the early stage of a prostatic tumour are reported according to results in literature. The Authors summarize their experience with TURP plus Nd:YAG laser in 48 patients with early prostatic cancer, incidental prostatic cancer and PIN 2–3. According to the Authors this method of treatment presents results comparable to those of radical prostatectomy but without impotence or incontinence.
SilverbergE., LuberaJ.A.: Cancer statistics. Cancer, 39: 3–20, 1989.
2.
HodgeK.K., McNealJ.E., StameyT.A.: Ultrasound guided transrectal core biopsies of the palpably abnormal prostate. J. Urol., 142: 66–77, 1989.
3.
GluckR., CohenM., WarnerR.: Transrectal ultrasound in early detection of clinical stage A prostate cancer. Urology, 34: 58–61, 1989.
4.
ShinoharaK., WheelerT., ScardinoP.T.: The appearance of prostate cancer on transrectal ultrasonography: correlation of imaging and pathological examinations. J. Urol., 142: 76–82, 1989.
5.
CoonerW.H., MosleyB.R., RutherfordC.jr., BeardJ.H., PondH.S., TerryW.J., IgelT.C., KiddD.D.: Prostate cancer detection in a clinical urological practice by ultrasonography, digital rectal examination and prostate specific antigen. J. Urol., 143: 1146–54, 1990.
6.
LeeF., Torp-PedersenS.P., McLearyR.D.: Diagnosis of prostate cancer by transrectal ultrasound. Urol. Clin. North Amer., 16: 663–673, 1989.
7.
McNealJ. E.: Normal histology of the prostate. Am. J. Surg. Pathol., 12: 619–21, 1988.
8.
GaboardiF., ZagoT., PreziosaM., GulfiG.M., BozzolaA., GalliL., ChiappaS.: L'ecografia transrettale nella diagnosi del carcinoma prostatico non palpabile. Arch. Urol. Nephrol. Andrai. LXIII, suppl. 1: 123–26, 1991.
9.
WalshP.C., LeporH., EgglestonJ.C.: Radical prosta tectomy with preservation of sexual function: anatomical and pathological considerations. Prostate, 4: 473–9, 1983.
10.
CatalonaW.J., BiggS.W.: Nerve-sparing radical prostatectomy: evaluation of results after 250 patients. J. Urol., 143: 538–43, 1990.
11.
LangeP.H.: Localized prostate cancer: what tests are still needed?A.U.A. Today, 8: 6–15, 1995.
12.
GalliL., GaboardiF.: Il laser in Urologia. Relazione al 35° Congresso degli Urologi del Nord Italia. Pordenone 1986. Urologia, 54: 230–292, 1987.
13.
GaboardiF., GalliL.: Il laser in urologia. Atti 61° Congresso Società italiana di Urologia. Cagliari 20–23 settembre 1988, pp. 319–26.
14.
GaboardiF., DottiE., BozzolaA., GalliL.: The Nd:YAG laser treatment in patients with prostatic adenocarcinoma stage A. In: Proceedings of SPIE's OE/LASE ‘91. Los Angeles, Vol. 1421, pp. 50–55.
15.
GalliL., GaboardiF., GulfiG.M., BozzolaA.: Il laser in urologia. Relazione alla tavola rotonda: “La chirurgia verso il 2000”. Atti del congresso del decennale A.C.O.I. Roma 5–8 giugno 1991, pp. 291–98.
16.
GalliL., GaboardiF.: Il laser Nd:YAG in Urologia. Atti del Corso di Aggiornamento dell'8° Congresso Nazionale della Società Italiana di laser Chirurgia. Padova, 22–24 novembre 1990.
17.
GalliL., GaboardiF.: Trattamento endoscopico del carcinoma prostatico. In: Il carcinoma prostatico. Edited by PisaniE. and ServidaE., Masson, Milano, pp. 149–164, 1991.
18.
GaboardiF., GalliL., BozzolaA., DottiE.: The Nd:YAG laser treatment in patients with prostatic adenocarcinoma stage A. In: Photodynamic therapy and biomedical lasers. Edited by SpinelliP., Dal FanteM., MarchesiniR.Elsevier Science Publ. B.V.Amsterdam, pp. 979–983, 1992.
19.
MeaneyJ.T., SchuesslerW.W., VancailleT.H., GriffithD.P.: Initial results of endoscopic pelvic lymph node dissection as compared with open pelvic lymph node dissection. Abstract AUA Toronto, june 2–61991, n. 840.
20.
BeislandH.O., StrandenE.: Rectal temperature monitoring during Nd:YAG laser irradiation for prostatic carcinoma. Urol. Res., 12: 257–259, 1984.
21.
BeislandH.O., SanderS.: First clinical experience on neodymium-YAG laser irradiation of localized prostatic cancer. Scand. J. Urol. Nephrol., 20: 113–117, 1986.
22.
BeislandH.O.: L'associazione TUR e Nd:YAG laser nel trattamento del carcinoma prostatico iniziale. Urologia, 54: 280–83, 1987.
23.
McNicholasT.A., CarterS. St C., WickhamJ.E.A., O'DonoghueE.P.N.: YAG laser treatment of early carcinoma of the prostate. Br. J. Urol., 20: 239–43, 1988.
