Prostate specific antigen levels following transurethral resection of the prostate
Int. braz. j. urol
; 34(1): 41-48, Jan.-Feb. 2008. graf, tab
Article
em En
| LILACS
| ID: lil-482941
Biblioteca responsável:
BR1.1
ABSTRACT
OBJECTIVE:
Determine how serum prostate-specific antigen (t-PSA) levels and free PSA (f/t PSA) ratio change following transurethral resection of the prostate (TURP). MATERIALS ANDMETHODS:
Thirty men with a mean age of 67.0 + 4.2 years (range 46 to 84 years) underwent TURP for BPH between May 2005 and October 2005. Preoperative assessment included symptom evaluation with the International Prostate Symptom Score (I-PSS) and the prostate volume estimation by transrectal ultrasound. Total PSA and f/t PSA ratio were assessed before the procedure, as well as 30, 60 and 180 days after the TURP.RESULTS:
Clinical improvement after TURP, reflected by I-PSS score, was demonstrated as early as 30 days and remained stable until the end of the follow-up. Mean t-PSA declined 71 percent after TURP and 60 days after surgery the reduction reached its peak, stabilizing afterwards. It varied from 6.19 + 7.06 ng/mL before surgery to 1.75 + 1.66 ng/mL on day 60 (p < 0.001). The mean baseline f/t PSA ratio was 18.2 percent + 3.4 percent and was not significantly changed at any given time point in the postoperative period (p = 0.91). There were also no statistically significant differences in t-PSA or f/t PSA between patients with and without prostatitis at any time point (p = 0.23). Resected prostate fragments weighed 29.9 + 19.6 g, corresponding to 39.1 percent of the estimated preoperative prostate volume. Each gram of tissue resected decreased PSA by 0.15 + 0.11 ng/mL, while 1 percent prostate volume resected led to a reduction of 2.4 percent + 0.4 percent in serum PSA from baseline.CONCLUSIONS:
PSA decreases drastically in patients who undergo TURP. These low levels stabilize within 60 days after surgery. The f/t PSA ratio did not change, and the finding of chronic prostatitis did not affect the levels of these variables.Palavras-chave
Texto completo:
1
Índice:
LILACS
Assunto principal:
Hiperplasia Prostática
/
Antígeno Prostático Específico
/
Ressecção Transuretral da Próstata
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
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Prognostic_studies
Limite:
Aged
/
Aged80
/
Humans
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Male
Idioma:
En
Revista:
Int. braz. j. urol
Assunto da revista:
UROLOGIA
Ano de publicação:
2008
Tipo de documento:
Article