Incidental prostate cancer after holmium laser enucleation of the prostate-A narrative review.
HoLEP
benign prostatic hyperplasia
holmium laser enucleation of the prostate
incidental prostate cancer
Journal
Andrologia
ISSN: 1439-0272
Titre abrégé: Andrologia
Pays: Germany
ID NLM: 0423506
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
revised:
05
10
2021
received:
03
09
2021
accepted:
19
11
2021
pubmed:
28
11
2021
medline:
11
3
2022
entrez:
27
11
2021
Statut:
ppublish
Résumé
Prostate cancer can be detected incidentally after surgical therapy for benign prostatic obstruction such as holmium laser enucleation of the prostate (HoLEP), thus called incidental prostate cancer (iPCa). We aimed to review the studies on iPCa detected after HoLEP and investigate its prevalence. A detailed search of original articles was conducted via the PubMed-MEDLINE, Web of Science, Wiley Online Library and Cochrane Library databases in the last 10 years up to 1 May 2021 with the following search string solely or in combination: "prostate cancer", "prostate carcinoma", "holmium laser enucleation of the prostate" and "HoLEP". We identified 19 articles to include in our analysis and divided them into six main categories: HoLEP versus open prostatectomy and/or transurethral resection of the prostate in terms of iPCa, oncological and functional outcomes, the role of imaging modalities in detecting iPCa, predictive factors of iPCa, the role of prostate-specific antigen kinetics in detecting iPCa and the management of iPCa after HoLEP. We found that the iPCa after HoLEP rate ranges from 5.64% to 23.3%. Functional and oncological outcomes were reported to be encouraging. Oncological treatment options are available in a wide range.
Substances chimiques
Holmium
W1XX32SQN1
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
e14332Informations de copyright
© 2021 The Authors. Andrologia published by Wiley-VCH GmbH.
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