Laparoscopic radical prostatectomy after transurethral resection of the prostate

The incidence of prostate cancer after transurethral resection of the prostate (TURP) in the first 7 years after intervention is approximately 4%. Historically radical retropubic prostatectomy (RRP) after previous TURP was associated with increased intraoperative and postoperative morbidity. Currently the effect of previous TURP on outcomes after RRP is still controversial. The laparoscopic radical prostatectomy (LRP) is becoming a more commonly performed procedure for the primary treatment of localized prostate cancer. Some studies noted that LRP is feasible after TURP. In a retrospective review of our database, we report that patients with a history of transurethral prostate resection who undergo laparoscopic radical prostatectomy have worse outcomes with respect to operative time, length of stay, positive margin rate and overall complication rate. This subset of patients should be made aware of these potential risks before undergoing laparoscopic radical prostatectomy.