1984 Volume 75 Issue 8 Pages 1299-1305
In 130 patients prostatic fluid which was obtained by a specially designed catheter was examined cytologically. The catheter was made as follows; a hole of a balloon catherter-tip was shifted to 2, 5cm proximal to the balloon base so that the catheter hole was located at the prostatic urethra when the balloon was placed at the bladder neck. Prostatic fluid was aspiratated with a connected injection syringe during and following prostatic massage. The prostatic fluid within the catheter and syringe was washed out with 5ml of saline solution. The saline solution being centrifugated, smears of its sediment were made. They were fixed in ether-alcohol, stained by the Papanicolaou method and examined cytologically.
Cytology was positive in 15 of 18 patients with clinically diagnosed prostatic carcinoma, in 8 of 33 patients with suspected carcinoma and in 3 of 49 patients with clinical prostatic hypertrophy. All of these cytologically positive patients were finally confirmed to have carcinoma histologically. In 3 patients, despite the presence of prostatic carcinoma, cytology was not positive. In one of them, obtained cells were not enough to make diagnosis and, in the remaining two, estrogen therapy had been done.
It is concluded that this method of prostatic exfoliative cytology is simple and effective.
