OBJECTIVES: To determine the oncological impact and adverse events of performing simultaneous transurethral resection of bladder tumour (TURB) and transurethral resection of the prostate (TURP), as evidence on the outcomes of simultaneous TURB for bladder cancer and TURP for obstructive benign prostatic hyperplasia is limited and contradictory. PATIENTS AND METHODS: Patients from 12 European hospitals treated with either TURB alone or simultaneous TURB and TURP (TURB+TURP) were retrospectively analysed. A propensity score matching (PSM) 1:1 was performed with patients from the TURB+TURP group matched to TURB-alone patients. Associations between surgery approach with recurrence-free (RFS) and progression-free (PFS) survivals were assessed in Cox regression models before and after PSM. We performed a subgroup analysis in patients with risk factors for recurrence (multifocality and/or tumour size >3 cm). RESULTS: A total of 762 men were included, among whom, 76% (581) underwent a TURB alone and 24% (181) a TURB+TURP. There was no difference in terms of tumour characteristics between the groups. We observed comparable length of stay as well as complication rates including major complications (Clavien-Dindo Grade ≥III) for the TURB-alone vs TURB+TURP groups, while the latest led to longer operative time (P < 0.001). During a median follow-up of 44 months, there were more recurrences in the TURB-alone (47%) compared to the TURB+TURP group (28%; P < 0.001). Interestingly, there were more recurrences at the bladder neck/prostatic fossa in the TURB-alone group (55% vs 3%, P < 0.001). TURB+TURP procedures were associated with improved RFS (hazard ratio [HR] 0.39, 95% confidence interval [CI] 0.29-0.53; P < 0.001), but not PFS (HR 1.63, 95% CI 0.90-2.98; P = 0.11). Within the PSM cohort of 254 patients, the simultaneous TURB+TURP was still associated with improved RFS (HR 0.33, 95% CI 0.22-0.49; P < 0.001). This was also true in the subgroup of 380 patients with recurrence risk factors (HR 0.41, 95% CI 0.28-0.62; P < 0.001). CONCLUSION: In our contemporary cohort, simultaneous TURB and TURP seems to be an oncologically safe option that may, even, improve RFS by potentially preventing disease recurrence at the bladder neck and in the prostatic fossa.

• MeSH
• hyperplazie prostaty * komplikace   MeSH
• lidé MeSH
• lokální recidiva nádoru patologie   MeSH
• nádory močového měchýře * patologie   MeSH
• prostata chirurgie   patologie   MeSH
• retrospektivní studie MeSH
• transuretrální resekce prostaty * škodlivé účinky   metody   MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH

• MeSH
• management nemoci MeSH
• mezioborová komunikace MeSH
• nádory prostaty terapie   MeSH
• Publikační typ
• sborníky MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• urologie
• onkologie

• MeSH
• erektilní dysfunkce farmakoterapie   MeSH
• inhibitory fosfodiesteras farmakokinetika   farmakologie   terapeutické užití   MeSH
• Publikační typ
• sborníky MeSH

• Konspekt
• Farmacie. Farmakologie
• NLK Obory
• sexuologie
• urologie
• farmacie a farmakologie

• MeSH
• erekce penisu účinky léků   MeSH
• erektilní dysfunkce MeSH
• nemoci koronárních tepen MeSH
• prostatektomie MeSH
• Publikační typ
• sborníky MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• urologie
• andrologie

• MeSH
• agonisté dopaminu terapeutické užití   MeSH
• aplikace sublinguální MeSH
• erektilní dysfunkce farmakoterapie   MeSH
• management nemoci MeSH
• morfin - deriváty aplikace a dávkování   farmakokinetika   terapeutické užití   MeSH
• Publikační typ
• sborníky MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• urologie
• farmacie a farmakologie

• MeSH
• erektilní dysfunkce MeSH
• muži MeSH
• sexuální dysfunkce fyziologická MeSH
• ženy MeSH
• Publikační typ
• abstrakty MeSH
• kongresy MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• andrologie
• sexuologie