Accurate preoperative staging of prostate adenocarcinoma is especially
important before radical prostatectomy. The purpose of this prospecti
ve study was to investigate the staging accuracy of transrectal ultras
onography in prostatic adenocarcinoma. The results of the preoperative
staging evaluation in 126 patients with endorectal ultrasound were co
mpared with the histopathologic findings after radical prostatectomy.
Correct staging by transrectal sonography was possible in 82 of 126 pa
tients (65%). For stage pT3 tumors, sensitivity, specificity and posit
ive predictive value were 69%, 51% and 82% respectively.