Evaluation of incidental prostate cancer in patients who underwent radical cystectomy and its effect on survival

Aim: Our study aimed to investigate the incidence of incidental prostate adenocarcinoma, its histopathological results and its effect on survival in patients who underwent radical cystectomy due to bladder tumor. Materials and Methods: Patients who underwent radical cystectomy with a diagnosis of bladder tumor in our clinic in the last ten years and who had no preoperative suspicion or diagnosis of prostate cancer were included in the study. Patients were divided into two groups those with and without incidentally prostate cancer. Both groups were compared in terms of age, PSA value, histopathological features and overall survival. Results: 15 (22.6%) of 79 patients who underwent radical cystectomy and were followed up for an average of 62 months were incidentally diagnosed with prostate adenocarcinoma. There was a significant difference between mean PSA value in patients with prostate cancer and the group without prostate cancer (p=0.004). When we evaluated it in terms of five-year overall survival, no significant difference was found between the two groups. Conclusion: Although incidental prostate cancer does not seem to affect survival, it is necessary to follow up regularly in the presence of prostate cancer and be more careful, especially in the presence of locally advanced prostate cancer.