Objective: To investigate the role of transurethral resection of the prostate (TURP) in the treatment of lower urinary tract obstruction due to advanced prostate cancer.
Methods: A retrospective analysis was made of the clinical materials of 26 patients with advanced prostate cancer treated by TURP from May, 2002 to November, 2003.
Results: Of the 26 patients, aged 56 - 92 years (75 on average), 3 were at Stage C and 23 at Stage D, and 9 had a history of urine retention, of whom 1 with renal function insufficiency received TURP after 1 month suprapubic drainage. There was little blood loss and no need for blood transfusion. Incontinence was temporary and no retention occurred after surgery. The international prostate symptom score (IPSS) and Karnofsky score improved significantly (29.7 +/- 4.6 versus 8.6 +/- 3.4 and 55 +/- 20 versus 77 +/- 32 respectively, P < 0.05).
Conclusion: TURP is a safe and efficient therapeutic option to relieve lower urinary tract obstruction due to advanced prostate cancer.