Prostate International

A randomized, active-controlled, multicenter, phase 3 clinical trial to evaluate the efficacy and safety of GV1001 in patients with benign prostatic hyperplasia
Shin TJ, Ha JY, Kwon SY, Park DJ, Kim JH, Lee SW, Jeong IG, Lee JY, Yoo TK, Kim TH, Moon DG, Hong SK, Cho JS, Moon HS, Lee JW, Yun SJ, Jeon YS, Park JG, Kang TW, Moon KH, Park JS, Hah YS, Kwon TG, Chung JW, Chung JI, Ryu DS, Park SW and Lee KS
To determine and compare the efficacy and safety of GV1001 and 5 mg finasteride for benign prostatic hyperplasia (BPH) patients.
Comparative outcomes of transurethral resection of the prostate in benign prostatic hyperplasia patients with and without upper urinary tract dilatation: a propensity score matching analysis
Utlu A, Aksakalli T, Aksakalli IK, Cinislioglu AE and Karabulut I
Upper urinary system dilation appears to be a precursor to the progression to renal failure as a result of benign prostatic hyperplasia (BPH). This study aimed to compare the outcomes of transurethral resection of the prostate (TUR-P) between BPH patients who develop upper urinary tract dilation (UUTD) and those in the normal group.
Biopsy-free radical prostatectomy: a narrative review considering rationale, limitations, and current data
Bahadori A, Woods J, Yuan L, Emmett L, Yaxley J and Roberts MJ
Prostate biopsy prior to radical treatment for prostate cancer is a common practice worldwide to allow diagnosis, prognostication, and treatment planning. However, recent advances in prostate multiparametric magnetic resonance imaging (mpMRI) and prostate-specific membrane antigen (PSMA)-positron emission tomography (PET) have made the possibility of a "biopsy-free" radical prostatectomy, without prior biopsy, closer to reality than before. The biopsy-free approach serves to avoid investigation-related morbidity, health care resources, and time to definitive treatment, but is not without risk. Here we review the literature surrounding the rationale, limitations, and current data.
Application of robotics in the treatment of benign prostatic hyperplasia: a narrative review
Kim HJ and Hong SK
A range of surgical approaches are available for treating benign prostatic hyperplasia (BPH), with emphasis placed not only on their effectiveness but also on minimizing invasiveness. The advent of surgical robotics has revolutionized BPH treatment, with robot-assisted simple prostatectomy offering a less invasive alternative to traditional approaches. The emergence of single-port systems has also earned attention for being effective in confined spaces. Aquablation represents a distinct robotic platform utilizing a heat-free, high-velocity waterjet to ablate prostate adenomas according to pre-registered configurations under real-time imaging. These novel technologies have proven to treat large prostates exceeding 80 mL efficiently and safely. Furthermore, Aquablation, along with technical modifications such as urethra-sparing robot-assisted simple prostatectomy, have demonstrated effectiveness in preserving ejaculatory function, thereby enhancing patients' overall quality of life. As evidence accumulates and technology and techniques evolve, robotic interventions for BPH may serve as a new standard in the field in the future.
The prognostic value of elimination rate constant K score of prostate-specific antigen in metastatic castration-resistant prostate cancer patients treated with docetaxel
Yazgan SC, Sarı A, Bölek H, Yekedüz E and Ürün Y
To evaluate the prognostic value of the elimination rate constant K (KELIM), a marker of chemosensitivity, in mCRPC patients treated with docetaxel.
The addition of peri-operative gentamicin with ciprofloxacin reduces infection and sepsis rates post transrectal prostate biopsy
Guduguntla A, Xu A, Benn KW and Satasivam P
Despite the advent of transperineal (TP) biopsy and reduced risk of infective complications, transrectal ultrasound-guided (TRUS) prostate biopsy is still widely performed worldwide. The accepted prophylactic antibiotic is usually a single agent oral fluoroquinolone; however, this approach is beset by growing antibiotic resistance. The aim of this study was to assess whether the addition of intravenous gentamicin (2 mg/kg or at least 160 mg), immediately prior to biopsy, in conjunction with routine ciprofloxacin prophylaxis, reduced infection and sepsis rates post TRUS biopsy.
Use versus nonuse of antimicrobial prophylaxis prior to transperineal prostate biopsy: a propensity score-matched analysis
Lee DS, Lee SJ, Kim SJ, Yoo JM, Choi YH and Kim HY
Transperineal prostate biopsy offers advantage over a transrectal approach by reducing the risk of infectious complications. However, the necessity for antimicrobial prophylaxis (AP) before a transperineal prostate biopsy is less clear. This study aimed to study the rate of infectious complications following transperineal prostate biopsy with or without AP.
Exploring the rarity: insights into primary diffuse large B-cell lymphoma of the prostate from a global retrospective analysis
Yuan H, Li Y, Wu J, Zhao Y, Feng F, Zhao H, Yu G and Peng P
The purpose of this study is to comprehensively analyze cases of primary diffuse large B-cell lymphoma of the prostate (P-DLBCL-P) from a global perspective, aiming to understand the disease's characteristics, treatment responses, and outcomes. By doing so, we seek to establish a valuable reference for the clinical management of this rare malignancy.
Usefulness of free PSA ratio to enhance detection of clinically significant prostate cancer in patients with PI-RADS<3 and PSA≤10
Heo JE, Han HH, Jang WS, Ham WS, Han WK, Choi YD and Lee J
The necessity of prostate biopsy in patients with a Prostate Imaging-Reporting and Data System (PI-RADS) score below 3 and prostate-specific antigen (PSA) levels of 4-10 ng/ml remains controversial. We tested the diagnostic performance of the free PSA ratio (%fPSA) in detecting clinically significant cancer (CSC) in patients with PI-RADS <3 and PSA ≤10 ng/ml.
Preoperative prostatic artery embolization before transurethral resection of the prostate for prostate glands larger than 80 mL: the first randomized controlled trial
Lee AYM, Neo SH, Brodie BA, Ng TK, Aslim EJ, Chin ZY, Ladera MM, Chong SH, Kumar P, Sim ASP, Yuen JSP, Chandramohan S and Chen K
This study aimed to evaluate the impact of preoperative prostate artery embolization (PAE) on intraoperative blood loss during transurethral resection of the prostate (TURP) in glands larger than 80 cc.
Skin rash in metastatic hormone sensitive prostate cancer patients treated with apalutamide: a retrospective multicenter study in Korea
Kim WT, Han HH, Yun SJ, Yu SH, Kang TW, Ha YS, Lee JN, Kwon TG, Kim BH, Seo WI, Lee CH, Chung JI, Jo JK, Ha US, Lee JY, Jeon HG, Seo SI, Koo KC, Chung BH, Kim JW, Choi J, Park JW, Park H, Park S, Kim SD, Lee HM, Hong SK, Joung JY and
Skin rash is a common adverse event in patients with metastatic hormone-sensitive prostate cancer (mHSPC) treated with apalutamide. This study aims to investigate the incidence rate of skin rash and the predictive value of inflammation markers for skin rash in real-world Korean patients.
A comparison of surgical outcomes between outpatient and inpatient robot-assisted radical prostatectomy: A systematic review and meta-analysis
Nguyen TT, Moukhtar Hammad MA, Dobbs RW, Vuong HG, Basilius J, Quy K, Ngo HTT, Nguyen A, Tran TTM, Khanmammadova N, Van TNK, Ali SN, Tiong HY, Choi SY, Shahait M and Lee DI
Several institutions have reported their experience with outpatient robot-assisted radical prostatectomy (O-RARP). However, it is unclear if the utilization of this approach represents an improvement over inpatient robot-assisted radical prostatectomy (I-RARP). This meta-analysis sought to compare the surgical outcomes between O-RARP and I-RARP.
Clinical significance of primary tumor progression in metastatic hormone-sensitive prostate cancer
Yamada Y, Sakamoto S, Tsujino T, Saito S, Sato K, Nishimura K, Fukushima T, Nakamura K, Yoshikawa Y, Matsunaga T, Maenosono R, Kanesaka M, Arai T, Sazuka T, Imamura Y, Komura K, Mikami K, Nakamura K, Fukasawa S, Chiba K, Naya Y, Nagata M, Komaru A, Nakatsu H, Azuma H and Ichikawa T
Clinical significance of primary tumor progression in patients with metastatic hormone-sensitive prostate cancer (mHSPC) is unclear.
Sex hormones, blood metabolites and proteins mediating the causal associations between gut microbiota and prostatic diseases: evidences from Mendelian randomization study
Liu T, Yang F, Wang Z, Mei Y, Li H, Wang K, Zhang X, Chen Y, Zhang Y and Meng J
The causal relationships between the gut microbiota and prostate cancer, prostatitis, and benign prostatic hyperplasia remain uncertain. We intend to identify the causal connections between the gut microbiota and prostatic diseases and investigate the potential mechanisms involved.
Assessing the influence of prostate tissue traits on Gallium-68 prostate-specific membrane-antigen positron-emission tomography/computed tomography: predictive factors for image positivity and locoregional recurrence in prostate cancer patients treated with radical prostatectomy and without prior or salvage treatment
Gutiérrez Castañé C, Robles García JE, Núñez-Córdoba JM, Calva López A, Talavera Cobo V, Muñoz Bastidas CA, Colombas Vives J, Ancizu Marckert FJ and Miñana López B
Gallium-68 prostate-specific membrane-antigen positron emission tomography/computed tomography (Ga-PSMA-11 PET/CT) has recently emerged as a novel imaging modality, potentially improving oncologic outcomes for prostate cancer patients. This study aimed to assess the potential predictive factors associated with Ga-PSMA-11 PET/CT positivity following persistent prostate-specific antigen (PSA) levels and primary biochemical recurrence post-radical prostatectomy (RP), focusing on prostate specimen characteristics. Furthermore, we aim to identify predictive factors for locoregional recurrence.
Comparative adverse event profiles of triplet therapy versus docetaxel-based therapy in patients with metastatic prostate cancer: a multicenter retrospective study
Urabe F, Kagawa H, Yanagisawa T, Takahashi H, Hashimoto M, Hara S, Fukuokaya W, Imai Y, Iwatani K, Igarashi T, Atsuta M, Tashiro K, Murakami M, Tsuzuki S, Yanada BA, Yamamoto T, Hata K, Yamada H, Miki J, Kimura T and
To compare adverse event (AE) profiles between patients with prostate cancer receiving triplet therapy (docetaxel, androgen receptor signaling inhibitors [ARSIs], and androgen deprivation therapy [ADT]) and those receiving docetaxel-based therapy (docetaxel and ADT). Additionally, we sought to identify risk factors for severe AEs associated with these treatment regimens.
Incidence and risk factors for dermatologic adverse events following apalutamide use: a real-world data analysis in the Korean population
Lee S, Lim B, Kim JK, Jeong IG, Hong JH, Ahn H and Suh J
This study aimed to assess the incidence, severity, and onset of dermatologic adverse events (dAEs) in Korean patients treated with apalutamide for metastatic hormone-sensitive prostate cancer (mHSPC) and to identify clinical and laboratory predisposing factors.
Single-dose vs prolonged antibiotic prophylaxis of fosfomycin for transrectal prostate biopsy: a single-center prospective, randomized, controlled trial
Fehér ÁM, Bajory Z, Czimbalmos N, Burián K, Lázár A, Rárosi F and Köves B
Transrectal prostate biopsy is a commonly performed urological procedure in which antibiotic prophylaxis is recommended. Fluoroquinolone-type antibiotics are no longer acceptable in the EU. Fosfomycin-trometamol may be used, but there is no evidence regarding its ideal dose and administration time.
Comparison of oncological outcomes between extended and no pelvic lymph node dissection in patients with high- or very high-risk prostate cancer: a multi-institutional study
Washino S, Kawase M, Shimbo M, Yamasaki T, Ohba K, Miki J, Miyagawa T and Koie T
Despite providing valuable staging and prognostic information, the therapeutic benefit of pelvic lymph node dissection (PLND) remains uncertain. We sought to assess the effect of extended PLND (ePLND) on the biochemical recurrence (BCR) of patients with National Comprehensive Cancer Net (NCCN) high- or very high-risk prostate cancer treated via robot-assisted radical prostatectomy (RARP).
Hematospermia does not increase the risk of prostate cancer detection in prostate biopsy
Park JR, Paick SH, Choi WS, Kim A, Kim HG, Chung BI and Park HK
Studies on the association between hematospermia and prostate cancer are insufficient. The purpose of this study was to determine the prevalence of prostate cancer in patients with hematospermia using large United States population data.
A new parameter to increase the predictive value of multiparametric prostate magnetic resonance imaging for clinically significant prostate cancer in targeted biopsies: lesion density
Şahin B, Çelik S, Sözen S, Türkeri L, Aslan G, Yazıcı S, Çetin S and
To investigate the predictive value of lesion length in multiparametric prostate magnetic resonance imaging with respect to prostate volume for clinically significant prostate cancer diagnosis in targeted biopsies.