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Original Research

How Does Previous Transurethral Resection of the Prostate Affect the Results of Robotic Radical Prostatectomy?


1 Sağlık Bilimleri Üniversitesi, Kayseri Şehir Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Kayseri

2 Koç Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, İstanbul

3 Yıldırım Beyazıt Üniversitesi Tıp Fakültesi, Ankara Atatürk Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara

4 Ankara Atatürk Eğitim ve Araştırma Hastanesi, Üroloji Kliniği, Ankara


DOI : 10.33719/yud.582509
New J Urol. 2019; 14 (2): 91-98

Abstract

Objectives: Limited data exist regarding the comparison of 6, 8, 10 and 12 cores of tran-srectal ultrasound guided biopsy (TRUS-Bx) of the prostate in detecting prostate cancer (PCa). The purpose of this study was to compare the cancer detection rates of 6, 8, 10 and 12 cores TRUS-Bx of the prostate on the same cohort of patients.

Material and Methods: Between February 2005 and January 2011, 2033 men with serum PSA levels higher than 2.5 ng/mL and/or with an abnormal digital rectal examination under-went TRUS-Bx of the prostate. Of the patients, 1131 (55.6%) who underwent initial 12 cores TRUS-Bx of the prostate were included in the study. Patients’ pathology results were re-evalu-ated if they had undergone 6, 8, and 10 cores bi-opsies rather than 12 cores. PCa detection rates of these techniques were compared.

Results: Overall, 20.9% (236 of 1131) of the patients had PCa detected on 12 cores biopsy. Cancer detection rates of 6 cores, 8 cores and 10 cores biopsies were calculated as 16.4%, 20.1% and 20.4%, respectively. No significant dif-ference was detected between 10 and 12 cores biopsy techniques in detecting PCa (P = 0.06). However, 12 cores biopsy had significantly higher PCa detection rate compared to both 6  (P < 0.0001) and 8 (P = 0.0039) cores biopsies.

Conclusion: Standard 6 and 8 cores of prostate biopsy seem to be inferior compared to 10 or 12 cores of TRUS-Bx of the prostate in detecting PCa. Therefore, 12 cores should be included in the initial TRUS-Bx of the prostate.

Keywords: Biopsy, prostate, prostate neo-plasm


Abstract

Objectives: Limited data exist regarding the comparison of 6, 8, 10 and 12 cores of tran-srectal ultrasound guided biopsy (TRUS-Bx) of the prostate in detecting prostate cancer (PCa). The purpose of this study was to compare the cancer detection rates of 6, 8, 10 and 12 cores TRUS-Bx of the prostate on the same cohort of patients.

Material and Methods: Between February 2005 and January 2011, 2033 men with serum PSA levels higher than 2.5 ng/mL and/or with an abnormal digital rectal examination under-went TRUS-Bx of the prostate. Of the patients, 1131 (55.6%) who underwent initial 12 cores TRUS-Bx of the prostate were included in the study. Patients’ pathology results were re-evalu-ated if they had undergone 6, 8, and 10 cores bi-opsies rather than 12 cores. PCa detection rates of these techniques were compared.

Results: Overall, 20.9% (236 of 1131) of the patients had PCa detected on 12 cores biopsy. Cancer detection rates of 6 cores, 8 cores and 10 cores biopsies were calculated as 16.4%, 20.1% and 20.4%, respectively. No significant dif-ference was detected between 10 and 12 cores biopsy techniques in detecting PCa (P = 0.06). However, 12 cores biopsy had significantly higher PCa detection rate compared to both 6  (P < 0.0001) and 8 (P = 0.0039) cores biopsies.

Conclusion: Standard 6 and 8 cores of prostate biopsy seem to be inferior compared to 10 or 12 cores of TRUS-Bx of the prostate in detecting PCa. Therefore, 12 cores should be included in the initial TRUS-Bx of the prostate.

Keywords: Biopsy, prostate, prostate neo-plasm