Transurethral Prostatectomy Before or After External Beam Radiotherapy: Complications and Reoperation Rates

Patients treated by external beam radiotherapy (EBRT) for localized carcinoma of the prostate (CAP) often suffer from urinary obstruction. While most patients can be treated medically, some require transurethral prostatectomy (TURP) for alleviation of obstruction. The consequences of combing EBRT an...

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Bibliographic Details
Published in:Research and reports in urology 2021-01, Vol.13, p.175-179
Main Authors: Molineros, Gabriel, Meirovitz, Amichay, Wygoda, Marc, Zuaiter, Mohammad, Yutkin, Vladimir, Duvdevani, Mordechai, Hidas, Guy, Gofrit, Ofer N
Format: Article
Language:English
Subjects:
Biopsy
Cancer therapies
carcinoma of the prostate
external beam radiotherapy
Hyperplasia
Original Research
Patients
Prostate
Prostate cancer
Prostatectomy
Radiation therapy
Surgery
Surgical outcomes
transurethral prostatectomy
Urological surgery
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Summary:Patients treated by external beam radiotherapy (EBRT) for localized carcinoma of the prostate (CAP) often suffer from urinary obstruction. While most patients can be treated medically, some require transurethral prostatectomy (TURP) for alleviation of obstruction. The consequences of combing EBRT and TURP are controversial. The objective of this study was to evaluate the success and complication rates of TURP combined with EBRT. Between 2001 and 2017, 3501 patients underwent TURP. Sixty-six of them were treated with EBRT for CAP. Surgical complications according to the Clavien-Dindo (CD) scale and the need for secondary interventions were compared to 66 randomly selected patients operated on for benign prostatic hyperplasia (BPH). Patients who underwent TURP for BPH were significantly older compared to the patients with CAP with an average of 76.4 (SD 4.3) vs 71 (SD 8.2) years, p
ISSN:2253-2447
2253-2447
DOI:10.2147/RRU.S307999