13HOW RELEVANT IS THE EXPERIENCE OF THE UROLOGIST INTRANSRECTAL ULTRASOUND FOR AN ACCURATE PREOPERA-TIVE STAGING OF PROSTATE CANCER?
A. Bannowsky , A. Probst, L. Burle, T. Loch
Department ofE-mail address:
Background:sound (TRUS)tectomy and tvalue of TRUS
Methods: Theprostatectomycorrelated. Thdifined as fol2 = between 1than 5 years.all patients unhistopathologi(n = 55; 18.3%),
Results: Overawith TRUS inin organ-confidictive valueTRUS for stagtification of tfinal histologycomparison togroups (gp1: S0.41, 0.76; gp4
Conclusion: Otumors but atumors due toa significant cof the physicilong as the oof additional s
KIEL CONSILDENAFILAFTER NETWO YEAR
1 Ev.-Luth. DiakoHospital SchleswE-mail address:
Background:after nerve-spavious prospect(NPTR) in 95%
Methods: 43radical prostaterectile functiried out in thenocturnal erecat night. A coIIEF-5 questionoperation.
Results: 41 ofcatheter remopreoperative 210.4 at 36 weeweeks after p21.2 decreasedweeks, 9.3 atuation showederectile functi
Conclusion: Teven at the fthe cavernousintegrity. Dailyrecovery of er
15WHY MEN DIE AND SUFFER MORE THAN WOMENJames Achanyi-Fontem
Douala, Littoral Region, CameroonE-mail address: email@example.com, http://cameroonlink.blogspot.com.
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232 jmhUrology, Ev.-Luth. Diakonissen Hospital, Flensburg, Germanyabannowsky@gmx.de (A. Bannowsky).
The aim of the study was to compare preoperative transrectal ultra-findings with the final histopathological stage after radical prosta-he dependence to the experience of the physician to determine thein preoperative staging of prostate cancer.
evaluation was performed as a prospective study. In 300 radicalspecimens the histopathological and ultrasound findings were
e TRUS was performed by 20 physicians. Experience levels werelows: group 1= less than one year of TRUS experience, groupand 3 years, group 3=between 3 and 5 years, group 4=moreThe mean age of the patients was 66.7 years (5281 years) andderwent radical retropubic prostatectomy. The distribution of thecal results showed: pT2a (n = 78; 26%), pT2b (n = 128; 42.7%), pT3apT3b (n = 36; 12%), pT4 (n = 3, 1%).
ll organ-confined prostate cancer (T2a/b) was correctly identified81% and capsular penetration (T3/T4) in 37%. Sensitivity of TRUSned prostate cancer was 0.81, specificity 0.43 and the positive pre-0.76. Sensitivity, specificity and positive predictive value (PPV) ofe T3 were 0.37, 0.87 and 0.56 respectively. Concerning the iden-he tumor site, the correspondence of the TRUS results with thewas 56%. Statistical evaluation of sensitivity, specificity and PPV inthe experience levels showed significant difference between theens.: 0.90, spec.: 0.23, PPV: 0.70; gp2: 0.81, 0.36, 0.67; gp3: 0.79,: 0.91, 0.45, 0.83) (p