Relationships between holmium laser enucleation of the prostate and prostate cancer

被引:5
|
作者
Lee, Matthew S. [1 ]
Assmus, Mark A. [2 ]
Guo, Jenny [3 ]
Siddiqui, Mohammad R. [3 ]
Ross, Ashley E. [3 ]
Krambeck, Amy E. [3 ]
机构
[1] Ohio State Univ, Dept Urol, Sch Med, Columbus, OH 43210 USA
[2] Univ Calgary, Inst Urol, Calgary, AB, Canada
[3] Northwestern Univ, Feinberg Sch Med, Dept Urol, Chicago, IL 60611 USA
关键词
URINARY-TRACT SYMPTOMS; ASSISTED RADICAL PROSTATECTOMY; PALLIATIVE TRANSURETHRAL RESECTION; BLADDER OUTLET OBSTRUCTION; LEARNING-CURVE; PSA VELOCITY; HYPERPLASIA; DIAGNOSIS; OUTCOMES; BIOPSY;
D O I
10.1038/s41585-022-00678-y
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Holmium laser enucleation of the prostate (HoLEP) is a size-independent surgical option for treating benign prostatic hyperplasia (BPH) and lower urinary tract symptoms (LUTS) with excellent, durable functional outcomes. The prevalence of LUTS secondary to BPH and prostate cancer both increase with age, although the two diseases develop independently. Urologists often face a diagnostic dilemma, as men with LUTS secondary to BPH might also present with an elevated PSA and, therefore, need a diagnostic work-up to exclude prostate cancer. Nevertheless, similar to 15% of men with a negative elevated PSA workup will undergo HoLEP and will be diagnosed with incidental prostate cancer at the time of HoLEP. Indeed, prostate cancer is often found in men undergoing HoLEP, and this situation can be challenging to manage. Variables associated with the detection of incidental prostate cancer, strategies to reduce incidental prostate cancer, as well as the natural history and management of this condition have been extensively studied, but further work in this area is still needed.
引用
收藏
页码:226 / 240
页数:15
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