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Risk of incontinence with transurethral resection of the prostate after radiation therapy for prostate cancer
Author(s) -
Patel Hetal,
Peddada Anuj V.,
Zimmern Philippe E.,
Hernandez Reynaldo,
Kagan Robert
Publication year - 1997
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/(sici)1096-9098(199702)64:2<127::aid-jso7>3.0.co;2-d
Subject(s) - medicine , prostate cancer , radiation therapy , prostate , urology , transurethral resection of the prostate , oncology , cancer
Background It has been reported that transurethral resection of the prostate (TURP) after definitive radiation therapy for prostate cancer is associated with a significant risk of incontinence. The presumed reason for incontinence is external sphincter damage from TURP or pre‐existing damage from either extension of prostate cancer or radiation therapy. Methods We reviewed seven recent cases of TURP for bladder outlet obstruction in patients who had undergone radiation therapy for clinical stage T 3–4 M 0 N 0 adenocarcinoma of the prostate. All seven men progressed to either chronic retention or debilitating obstructive symptoms with weak peak flows from 3.4 to 5.1 cc/s (mean 4 cc/s). Each of them subsequently underwent a limited TURP. Results Voiding symptoms were reduced in all patients and peak flows were improved to 6.3 to 20 cc/s (mean 14.8 cc/s) with mean follow‐up 35 m. No patient developed stress urinary incontinence postoperatively. Conclusion These results suggest that TURP can be performed successfully after radiation therapy with minimal risk of stress incontinence. J. Surg. Oncol. 64:127–129. © 1997 Wiley‐Liss, Inc.