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Prostate biopsy needn’t substantially delay laser enucleation

Reuters Health - 25/12/2020 - Holmium-laser enucleation of the prostate (HoLEP) to relieve bladder-outlet obstruction can be safely carried out within six weeks of transrectal ultrasound (TRUS)-guided prostate biopsy, according to a retrospective review. Because urologists often treat patients with both an obstructive prostate and elevated prostate-specific antigen (PSA) levels, a biopsy is necessary before treating the enlarged prostate to make sure there is no cancer, explained Dr. Hemendra N. Shah of the University of Miami Miller School of Medicine, in Florida. "Our study showed that there is no need to significantly delay treating an enlarged prostate with Holmium laser enucleation of the prostate following prostate biopsy, which is important as many men have very bothersome symptoms from their enlarged prostates and often want treatment as quickly as is safe," he told Reuters Health by email. In a paper in Urology, Dr. Shah and colleagues note that a ma...

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