Role of formal 12 core Prostatic biopsy as a routine following CAP diagnosed on biopsy of TUR chips
57 yr old healthy male with normal DRE undergoes TURP after failing medical management on alpha blockers for 35g Prostate.
Biopsy S/O Gleason 3+3 Ca Prostate(attaching the biopsy report)
Today is 10th day after TURP, PSA is done first time today and is 11.4
My doubt is:
Should this patient undergo a 12 core TRUS guided prostatic biopsy now?
Since, in TURP we remove the transitional zone only and we need to risk stratify the patient.
As per Risk stratification, this patient already falls in intermediate risk(d/t PSA more than 10).
The problem is I haven’t come across any such recommendation to do TRUS biopsy following TURP.
Am I missing something?
Seniors, pls guide on further management of this scenario. Patient is willing for Radical Prostatectomy also( if necessary)View Document