MP01-13 A HIGH PREOPERATIVE PSA LEVEL IS NOT ACCURATE TO PREDICT INCIDENTAL PROSTATE CANCER DETECTION IN PATIENT UNDERWENT ENDOSCOPIC ENUCLEATION OF THE PROSTATE FOR LARGE GLANDS.

INTRODUCTION AND OBJECTIVES:Incidental prostate cancer (IPCa) detection is estimated between 6 and 12% on open prostatectomy or morcellation sample chips analysis. High preoperative PSA level has been identified as a potential predictive factor. However, a significant increase in the value of PSA is frequently observed in large glands.The objective was to evaluate the accuracy of high preoperative PSA level for IPCa detection in patients underwent endoscopic enucleation of the prostate (EEP) for large glands.METHODS:Perioperative data from 308 consecutive patients underwent EEP for benign prostatic obstruction between July 2013 and December 2017 were collected prospectively and gathered in 3 groups according to preoperative PSA level: LOW-PSA (<4ng/mL), INTERMEDIATE-PSA (4 ≤PSA <10ng/mL) and HIGH-PSA (≥10ng/mL). Patients were matched in each group based on propensity score according to age, the use of 5alpha-reductase inhibitors and the prostatic volume (Figure 1). The detection rate of IPCa was compared ...