Abstract：
:Transurethral resection of the prostate (TURP) is necessary in a significant proportion of men with a diagnosis of carcinoma of the prostate. Often, "channel" TURP (resection of visually obstructing tissue without extension to the prostatic capsule in a patient with metastatic or locally advanced disease to improve voiding symptoms) is required. Although several theoretical concerns regarding the efficacy and morbidity of this procedure have been voiced, data to support these contentions are lacking. In a review of 41 patients undergoing channel TURP, all were able to void following the procedure. Two patients in whom the resection was carried through the external urinary sphincter, which had been invaded by tumor, were incontinent postoperatively. Two patients had mild stress incontinence. There were no perioperative deaths. These data suggest that incontinence is higher than expected with TURP for benign disease but that results may be acceptable to the patient with significant outlet obstructive symptoms.
journal_name
Urologyjournal_title
Urologyauthors
Mazur AW,Thompson IMdoi
10.1016/0090-4295(91)80170-csubject
Has Abstractpub_date
1991-12-01 00:00:00pages
526-8issue
6eissn
0090-4295issn
1527-9995pii
0090-4295(91)80170-Cjournal_volume
38pub_type
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