IS PROSTATE SPARING SURGERY A SAFE TECHNIQUE FOR RADICAL CYSTECTOMY WITH ORTHOTOPIC NEOBLADDER?
TURKISH JOURNAL OF UROLOGY, vol.31, no.4, pp.485-489, 2005 (ESCI)
- Publication Type: Article / Article
- Volume: 31 Issue: 4
- Publication Date: 2005
- Journal Name: TURKISH JOURNAL OF UROLOGY
- Journal Indexes: Emerging Sources Citation Index (ESCI)
- Page Numbers: pp.485-489
- Keywords: Prostate cancer, cystoprostatectomy, incidental diagnosis, prostatic apex
- Acibadem Mehmet Ali Aydinlar University Affiliated: No
Abstract
Introduction: Radical cystectomy is the standard treatment modality for invasive bladder cancer, and can be performed in patients with superficial bladder tumor refractory to intracavitary immuno/chemotherapy, recurrent high grade superficial bladder cancers and in the presence of carcinoma in-situ. There is a debate about prostatic dissection during radical cystoprostatectomy and neobladder in male patients. Some authors advocate leaving the prostatic apex or prostate for postoperative continence of the patient. As indicated in the literature, incidental prostate cancer can be detected in radical cystoprostatectomy specimens and this tumor can be located in the apical region of the prostate. Therefore, a prostate cancer focus could be left behind, if the surgeon does not perform prostatectomy or a proper apical dissection of the prostate. As a result some authors advocate performing prostatectomy with a wide apical resection of the prostatic apex. In this study we investigated the incidence and histomorphological properties of incidental prostate cancer in radical cystoprostatectomy specimens.