Case 6

Image: chippings of prostate tissue removed during a TURP procedure

These are chippings of prostate tissue removed during a TURP procedure.

Which of the following statements regarding the TURP procedure are correct? (Tick all that apply)

	a)	TURP stands for transrectal ultrasound guided resection of the prostate.
	b)	One usually sees some foci of adenocarcinoma in TURP chippings.
	c)	A TURP procedure aims to remove the whole prostate gland.
	d)	Retrograde ejaculation is a recognized complication of a TURP.
Correct. TURP stands for transurethral resection of the prostate. In the majority of TURP specimens one does not usually see adenocarcinoma. A TURP removes much of an enlarged prostate gland but not all of it. Approximately 70% of men undergoing TURP will experience retrograde ejaculation after the procedure. Incorrect. TURP stands for transurethral resection of the prostate. In the majority of TURP specimens one does not usually see adenocarcinoma. A TURP removes much of an enlarged prostate gland but not all of it. Approximately 70% of men undergoing TURP will experience retrograde ejaculation after the procedure. Your answer has been saved.

When these chippings were examined histologically, the features of benign prostatic hyperplasia were seen.

Which of the following statements about benign prostatic hyperplasia are correct? (Tick all that apply)

	a)	There is overgrowth of all the cellular elements of the prostate.
	b)	Presentation with acute urinary retention is common.
	c)	It is a premalignant condition.
	d)	Inhibition of alpha-adrenergic receptors can be an effective treatment.
Correct. Benign nodular hyperplasia is due to overgrowth of the epithelial, smooth muscle, and fibrous tissue of the prostate. It is a very common cause of acute urinary retention in men. There is no known association between benign prostatic hyperplasia and prostatic adenocarcinoma. Alpha-blockers are effective in some men by relaxing smooth muscle. Page reference for both questions: 229-31 Incorrect. Benign nodular hyperplasia is due to overgrowth of the epithelial, smooth muscle, and fibrous tissue of the prostate. It is a very common cause of acute urinary retention in men. There is no known association between benign prostatic hyperplasia and prostatic adenocarcinoma. Alpha-blockers are effective in some men by relaxing smooth muscle. Page reference for both questions: 229-31 Your answer has been saved.

Carton, Daly & Ramani: Clinical Pathology - Case Studies