Diagnosis and treatment of incidental prostate cancer following TUPVP (a report of 15 cases) / 中华男科学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the diagnosis and treatment of incidental prostate cancer (IPC) following transurethral plasma kinetic vaporization prostatectomy (TUPVP).</p><p><b>METHODS</b>Pathological examinations were conducted on 134 benign prostate hyperplasia specimens by means of series microtomy after TUPVP.</p><p><b>RESULTS</b>Fifteen cases of IPC were detected from the total number of TUPVP specimens, with a pick-up rate of 11.2%. Dual testicle resection with endocrine therapy was performed in 4 cases of Stage A2 patients, and endocrine therapy alone was conducted in 9 cases of Stage A1 patients. Thirteen patients were followed up for 7 to 15 months and all lived without cancer (PSA 0.15 - 4.0 microg/L).</p><p><b>CONCLUSION</b>TUPVP and series microtomy may be helpful to the diagnosis of IPC. Patients at Stage A1 need mere endocrine therapy, while those at Stage A2 warrant dual testicle resection.</p>