| Acute urinary retention secondary to carcinoma of the prostate. Is initial channel TURP beneficial? | |
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MedLine Citation:
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PMID: 1625259 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Over a 2-year period patients presenting with acute urinary retention secondary to locally advanced prostate carcinoma (stage T3/T4) were randomized to one of two treatments. Ten patients underwent channel transurethral resection of prostate (TURP) and bilateral orchidectomy, 12 patients underwent bilateral orchidectomy alone. Treatment by channel TURP and bilateral orchidectomy was complicated by difficulties in voiding in four patients, one requiring a further TURP. Ten of the 12 patients were voiding well one month following bilateral orchidectomy alone. Only two patients in this group required TURP. In patients with acute urinary retention secondary to prostate carcinoma, in whom hormonal manipulation is thought appropriate due to bulk of local tumour or metastatic disease, channel TURP may confer extra morbidity and therefore be held in reserve for those patients unable to void after hormonal manipulation. |
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Authors:
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D J Thomas; V J Balaji; M J Coptcoat; G F Abercrombie |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of the Royal Society of Medicine Volume: 85 ISSN: 0141-0768 ISO Abbreviation: J R Soc Med Publication Date: 1992 Jun |
Date Detail:
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Created Date: 1992-08-13 Completed Date: 1992-08-13 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 7802879 Medline TA: J R Soc Med Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 318-9 Citation Subset: IM |
Affiliation:
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Department of Urology, St Mary's Hospital, Portsmouth. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Humans Male Neoplasm Staging Orchiectomy Prostatectomy Prostatic Neoplasms / complications, pathology, surgery* Urinary Retention / etiology, surgery* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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