ABSTRACT

Introduction Prostatic carcinoma is the most common malignant tumour in men in the US and most European countries.1 At the time of diagnosis a considerable proportion of patients already have an advanced carcinoma with voiding difficulties.2,3 Furthermore, because of the patient’s advanced age, there are increasing numbers of patients who present serious surgical risks because of multiple concurrent diseases not related to the cancer. Ablative hormonal therapy is the classical mode of management for such patients:3-7 this form of treatment gives satisfactory results within 3 months in roughly two-thirds of all patients with bladder voiding disorders due to their carcinoma;8,9