Prostate Restored
Prostate Restored
Photo: Jonathan Petersson
Transurethral resection of the prostate associated with lower risk of repeat procedures. Repeat surgery occurs two to three times as often after newer minimally invasive interventions for BPH compared with transurethral resection of the prostate.
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Read More »Atlanta-Repeat surgery occurs two to three times as often after newer minimally invasive interventions for BPH compared with transurethral resection of the prostate (TURP), a review of Medicare claims data showed. Overall, four different minimally invasive interventions had repeat surgery rates of about 20%. In contrast, repeat surgery occurred after 8.3% of TURP procedures. In most cases, TURP was the repeat procedure, even among patients who had TURP as the initial treatment, first author Sean Elliott, MD, reported at the AUA annual meeting in Atlanta. "Even though TURP might be declining in frequency as the primary procedure for benign prostatic hyperplasia, it still seems to be the go-to procedure for primary treatment failure," Dr. Elliott, associate professor of urologic surgery at the University of Minnesota in Minneapolis, told Urology Times. "I think that probably emphasizes the fact that everyone, regardless of what they use as primary therapy, still recognizes TURP as the gold standard." To examine the comparative long-term effectiveness of BPH procedures, Dr. Elliott and colleagues reviewed Medicare records to identify men who underwent BPH surgeries from 2001 through 2007. Using CPT codes, they identified 616,735 patients ages 66 years and older at the time of initial treatment. Duration of follow-up averaged 3.6 years. TURP accounted for 51.8% of all the procedures, followed by TUMT (21.4%), laser vaporization (12.2%), laser coagulation (7.6%), and TUNA (7.0%). TURP's share of all procedures declined steadily over the study period, from 19.0% in 2001 to 9.2% in 2007. During the last year of the study period, laser vaporization was the most commonly performed BPH procedure (31.3%), followed by TUMT (17.1%), TUNA (15.2%), TURP, and laser coagulation (8.9%). The primary outcome was repeat surgery. Investigators extended the review period to 2008 to capture repeat procedures. The secondary outcome was urologic complications associated with the BPH interventions.
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Read More »Only the prostate gland releases PSA, so your numbers should drop to almost zero within 4 weeks after your surgery. A test result above 0.2 ng/mL a few months after your procedure could be a sign that your prostate cancer has come back.
If you're a man over age 55, you may have already had a PSA, or prostate-specific antigen test. This test screens for prostate cancer by measuring the amount of a protein in your bloodstream released by cells in your prostate gland. This test isn't just for screening, though. You'll also have it after a prostatectomy -- surgery to take out all or part of your prostate. This will tell you how well the treatment worked and whether your cancer has come back. You'll need this test every few months after your operation. But getting tested for cancer many times can cause a lot of anxiety. And because the results aren't always clear, you may worry about them. A little knowledge can help calm your fears. Before you have this test, find out what to expect. Ask your doctor what your results might mean and what will happen if your PSA level is higher than it should be.
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