TURP prior to LRP

[Nik]

Dr Kongrad

The study shown on the main page http://www.ncbi.nlm.nih.gov/pubmed/7100001?ordinalpos=3&itool=E... shows a reasonable success rate from radical TURP in significantly reducing/eliminating symptoms (67%). I understand the risk of incontinence/impotence to be minimal with TURP. I have read about those who were not helped by TURP (Not radical however-big difference) on forums and another guy who was cured.
If one was to have an unsuccessful result with radical TURP, how difficult is it to do an LRP succesfully with nerve sparing, at a later date on the much smaller prostatic capsule?

[Arnon Krongrad, MD]

Not an issue.

I have done LRP after TURP, open partial prostatectomy, aorta aneurysm repair, colostomy, radiation ... The issue is always: who's the surgeon?

[Nik]

Thats very reassuring, thanks Dr Krongrad. It gives people another option without ruining the second if needed.

Arnon Krongrad, MD said:

Not an issue.
I have done LRP after TURP, open partial prostatectomy, aorta aneurysm repair, colostomy, radiation ... The issue is always: who's the surgeon?

[Mark]

Arnon Krongrad, MD said:

Not an issue.

I have done LRP after TURP, open partial prostatectomy, aorta aneurysm repair, colostomy, radiation ... The issue is always: who's the surgeon?

See, this is what scares me the most about your study. If you are successful, and treat most if not all your patients and cure them, other inexperienced surgeons are going to start performing this procedure and will end up harming someone and leaving him worse than he was before...

[Arnon Krongrad, MD]

Always a concern. It was the same when we started to do LRP for cancer. And it is the same with anything new. So we must insist on safety where we can: surgery as a last resort, surgery by experienced practitioners. This is part of the education process.