MAAUA: 2007 Abstracts - Comparison of a Radical Prostatectomy in Men With and Without Prior Transurethral Resection of the Prostate

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Comparison of a Radical Prostatectomy in Men With and Without Prior Transurethral Resection of the Prostate
Jaspreet Singh, Phillip C. Ginsberg, Michael J. Metro, Richard C. Harkaway
Albert Einstein Medical Center, Philadelphia, PA

Introduction- To determine if there are any measurable differences when performing radical retropubic prostatectomy in men with and without prior transurethral resection of the prostate (TURP)
Methods- A single surgeon performed 210 consecutive open radical retropubic prostatectomies between January 2000 and January 2005. Of these patients, 52/210 had undergone TURP at least six months prior to radical surgery and 158/210 patients did not. Both groups were compared in terms of estimated blood loss, margin positivity, continence at one year, operative time, and specimen weight.
Results- In comparing patients that did not have a previous TURP versus those that did have a prior TURP, there was no significant difference in the estimated blood loss (780 cc versus 800 cc), margin positivity (18% versus 17.5%), or continence rate at one year (88% versus 89.5%). However, there were significant differences noted inoperative time (168 minutes versus 220 minutes) (p<0.05), and specimen weight (48 grams versus 29 grams) (p<0.05).
Conclusion- When comparing radical retropubic prostatectomies performed in men with and without prior TURP, the only significant differences were the operative time and the specimen weight.

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