Simultaneous thulium laser resection of the prostate and transperineal prostate biopsy in clinically diagnosed metastatic prostate cancer with bladder outlet obstruction: Why hurry?

The letter responds to a study on simultaneous thulium laser resection of the prostate and transperineal prostate biopsy in patients with metastatic prostate cancer and bladder outlet obstruction. The authors express concerns about the rationale for the procedure, the lack of clarity regarding patient selection, and the absence of a control group for comparison. They also question the reported improvements and complications associated with the procedure. The authors caution readers to interpret the procedure as a quick fix for lower urinary tract symptoms in metastatic prostate cancer patients. [Extracted from the article]