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Archivos Españoles de Urología (Ed. impresa)

Print version ISSN 0004-0614

Abstract

BALLESTEROS SAMPOL, Juan José; GIMENO BELTRAN, Javier  and  FUMADO CIUTAT, Lluís. Histo-morpho- biochemical findings of the residual prostate (III): Undetectable" PSA maintained after retropubic adenomectomy for BPH. Arch. Esp. Urol. [online]. 2010, vol.63, n.4, pp.282-286. ISSN 0004-0614.

Objectives: To present 4 cases with "undetectable" PSA levels (PSA <0.15ng/ml) on longterm 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.

Keywords : PSA; Retropubic adenomectomy; BPH.

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