title: Risk of incontinence with transurethral resection of the prostate after radiation therapy for prostate cancer.
abstract: BACKGROUND
  It has been reported that transurethral resection of the prostate (TURP) after definitive radiation therapy for prostate cancer is associated with a significant risk of incontinence. The presumed reason for incontinence is external sphincter damage from TURP or pre-existing damage from either extension of prostate cancer or radiation therapy.
  
  
  METHODS
  We reviewed seven recent cases of TURP for bladder outlet obstruction in patients who had undergone radiation therapy for clinical stage T(3-4)M(0)N(0) adenocarcinoma of the prostate. All seven men progressed to either chronic retention or debilitating obstructive symptoms with weak peak flows from 3.4 to 5.1 cc/s (mean 4 cc/s). Each of them subsequently underwent a limited TURP.
  
  
  RESULTS
  Voiding symptoms were reduced in all patients and peak flows were improved to 6.3 to 20 cc/s (mean 14.8 cc/s) with mean follow-up 35 m. No patient developed stress urinary incontinence postoperatively.
  
  
  CONCLUSIONS
  These results suggest that TURP can be performed successfully after radiation therapy with minimal risk of stress incontinence.
authors.affiliation: Department of Urology, Southern California Permanente Medical Group, Kaiser Foundation Hospital, Los Angeles, USA.
authors.forename: H
authors.initials: H
authors.lastname: Patel
authors.forename: A V
authors.initials: AV
authors.lastname: Peddada
authors.forename: P E
authors.initials: PE
authors.lastname: Zimmern
authors.forename: R
authors.initials: R
authors.lastname: Hernandez
authors.forename: R
authors.initials: R
authors.lastname: Kagan
mesh_terms: D000230:Adenocarcinoma / Q000503:physiopathology / Q000532:radiotherapy* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000503:physiopathology / Q000532:radiotherapy* / Q000601:surgery; D012306:Risk; D014549:Urinary Incontinence; D014563:Urodynamics