Histo-morpho-biochemical findings of the residual prostate (III): (undetectable) PSA maintained after retropubic adenomectomy for BPH.
OBJECTIVE
To present 4 cases with "undetectable" PSA levels (PSA <0.15 ng/ml) long-term postoperative follow-up after retropubic adenomectomy for BPH METHODS: They come from a series of 70 consecutive cases of retropubic prostatic adenomectomies, monitored and controlled at the hospital in their biochemical, histological and morphometric analysis for 5 years following the intervention.


RESULTS
Four patients have demonstrated PSA levels <0.15 in all controls after surgery. Mean follow-up of the global series: 45.25 months. There is correlation between this determination and histological and morphometric data, when they were achieved.


CONCLUSIONS
"Undetectable" PSA after open prostatic adenomectomy could be an equivalent to the expression of "radical cure"of BPH, and a reliable marker for monitoring neo-hyperplasia.
Department of Urology, UQTR and Pathology IMAS Hospitals, Instituto Municipal de Asistencia Sanitaria, Nuestra Señora de la Esperanza Hospital and Nuestra Señora del Mar Hospital, Barcelona, Spain. jballesteros@imas.imim.es
Juan José
JJ
Ballesteros Sampol
Javier
J
Gimeno Beltrán
Lluís
L
Fumadó Ciutat
D000368:Aged; D006801:Humans; D008297:Male; D011467:Prostate / Q000473:pathology*; D017430:Prostate-Specific Antigen / Q000097:blood*; D011468:Prostatectomy; D011470:Prostatic Hyperplasia / Q000473:pathology* / Q000601:surgery*
D017430:Prostate-Specific Antigen