Objective: To determine frequency of cancer of prostate in patients undergoing Trans urethral resection of prostate (TURP) for clinically benign prostate in our setup.
Methodology: This is a retrospective analysis of 189 patients who underwent TURP in Department of Urology and Kidney Transplant, Shifa International hospitals, Islamabad, Pakistan. All had normal PSA and clinically benign prostate on digital rectal examination. Data regarding patient’s age, presenting symptoms and histopathological examination of TURP chips was collected on specified proforma.
Results: Mean age of patients was 62.12±2.34 years. Eleven out of 189 (5.8%) patient had adenocarcinoma, one had PIN, 177 (93.7%) patients have benign prostatic hyperplasia on histopathology. Out of 11 patients with ca-prostate, six had Gleason score of 6, four had Gleason score of 7 and one had Gleason score of 9.
Conclusion: There is risk of Ca prostate even in presence of normal digital examination and normal PSA.
Prostate cancer,TURP, incidental finding