Incidence of benign and malignant prostate tissue in biopsies of the bladder neck after a radical prostatectomy.
OBJECTIVE
We determined whether bladder neck sparing radical prostatectomy may leave prostate tissue in the unresected bladder neck.


METHODS
We intraoperatively evaluated the presence of prostate tissue in bladder neck biopsy specimens from 73 consecutive patients undergoing bladder neck sparing radical prostatectomy.


RESULTS
Of the 73 specimens 14 (19%) contained prostate tissue: 9 (12%) were positive for prostate cancer and 5 (7%) contained benign prostate tissue. All patients with a positive bladder neck biopsy had a positive margin at another site.


CONCLUSIONS
We recommend routine bladder neck biopsies for patients undergoing a bladder neck sparing procedure.
Wood
D P
DP
Department of Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084, USA.
Peretsman
S J
SJ
Seay
T M
TM
D001706:Biopsy; D006801:Humans; D015994:Incidence; D007430:Intraoperative Care; D008297:Male; D011468:Prostatectomy / Q000379:methods; D011471:Prostatic Neoplasms / Q000453:epidemiology / Q000473:pathology* / Q000601:surgery; D001743:Urinary Bladder / Q000473:pathology*