Is the use of transurethral resection adequate in the therapy of carcinoma of the prostate?

• Published in: Archivos españoles de urología Vol. 42 Suppl 2; p. 179
• Main Authors: Valdivia Uría, J G, López López, J A
• Format: Journal Article
• Language: Spanish
• Published: Spain 1989
• Subjects: Carcinoma - surgery; Endoscopy; Evaluation Studies as Topic; Humans; Male; Prostatectomy - methods; Prostatic Neoplasms - surgery
• ISSN: 0004-0614

Following a brief discussion of the different factors that assigned only a palliative role to transurethral resection, a procedure considered applicable in the advanced stages of prostate carcinoma, it is suggested that in the light of current knowledge and the experience of many urologists relative to resection, as well as the possibilities afforded by currently available instruments, transurethral resection should, in certain cases, aim at surgical cure and complete removal of all cancer tissue should be attempted. Patients are described in whom only urethral "funneling" was performed, others in whom resection aimed at creating a wide concave and regular prostate lodge leaving the capsular tissue exposed, and those who underwent subradical resection of prostate. In view of the fact that sub-radical resection of the prostate does not significantly increase morbidity and mortality in comparison with simple transurethral resection of prostate hyperplasia, this technique is proposed as a valid alternative in patients with prostatic carcinoma who either refuse or are unamenable to open radical prostatectomy.