Incidence of Prostatic Carcinoma in Transurethral Resection Specimen

Abstract

Objective: This study done to identify the rates of incidentally detected prostate cancer in patients undergoing surgical management of Benign Prostatic Hyperplasia (BPH).

Methods: This cross section study was done on all transurethral resections of the prostate (TURP) cases. One hundred and eighty one men, aged 45 to 94 year, underwent TURP and their specimens were sent for the histopathological analysis. Those with a known diagnosis of prostate cancer prior to TURP were excluded (ð‘› = 5) from the analysis.

Results: Hundred eighty-one patients had prostatic enlargement; fifteen patients (8.29%) patients were found to have prostate adenocarcinoma. Grade of disease ranged from Gleason score 7 to 10. Majority of them (fourteen patients) aged 65 year or above.

Conclusion: Prostate carcinoma is showing high grade at the diagnosis and widely frequent (8.29%) in TURP, especially in-patient above 65 years (11.0%) and therefore a screening program advised.