Özet:

Purpose: Human prostate cancer (PCa) is defined as a pre-operative rectal key, prostate-specific antigen (PSA) and images that are detected after transuretral prostate resection (TURP) or open prostatectomy in normal patients. The purpose of this study is to determine the incidental PCa incidence and clinical significance in our clinic. Tools and Methods: 1020 patients who were administered by TURP or transvezical prostatectomy (TVP) with a pre-diagnosis of benign prostate hyperplasia between 2014-2019 were examined retrospective. The patient’s age, prostate volume, preoperative PSA value, Gleason score, ISUP score, stage and presence of preoperative prostate biopsy were noted. The methods of treatment for prostate cancer have been evaluated. Results: Between January 2014 and December 2019, a total of 1020 patients were surgically treated for BPH. 57 (5.6%) of the patient was diagnosed with incidental PCa. 51 of the patients (89 percent) had TURP and 6 (11 percent) had TVP. The average age was 69.9±7.1 years and the average PSA was 5.3±4.8 ng/ml. The majority of patients (82.4 percent) had Gleason score 6 (3+3) and 37 (64.9 percent) were to stage 1a. The prostate volume and PSA values of patients with preoperative prostate biopsy were significantly higher than those with non-biopsy (p<0.01). In total, 42 patients were actively monitored, 2 patients received radical prostatectomy, 6 patients received radiotherapy and 7 patients received androgen blockage. The result: the incidental PCa rate in our clinic was found similar to the rates in literature. Most patients have been diagnosed with stage 1a disease and Gleason 6 score. In the treatment of human prostate cancer, conservative treatment options are in the forefront. Keywords: accidental prostate cancer, benign prostate hyperplasia, transuretral prostate resection.

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