One of the most popular surgeries for an enlarged prostate uses a camera, which can sometimes find cancer in the bladder or urethra.
Buckingham Palace said Monday that King Charles III was identified with cancer after surgery for an enlarged prostate. The palace did not say what kind of cancer it was or how serious the condition was.
“During The King’s recent surgery for benign prostate enlargement, a different problem was noticed that was cause for concern.” “Later tests have shown that the person has a type of cancer,” the palace said in a statement.
The palace said Charles does not have prostate cancer, but it is not clear what kind of cancer was found.
This is a fairly common problem in older guys, but it is not related to cancer: Yale Medicine says that about 80% of guys over the age of 70 have it. In November, Charles turned 75.
The disease can sometimes cause symptoms like having trouble urinating, losing control of your bladder, or waking up several times at night to go to the bathroom. In these situations, doctors will often suggest transurethral removal, a surgery that gets rid of extra prostate tissue.
The chief medical officer of the Prostate Cancer Foundation, Dr. William Oh, said, “They go in and scrape some tissue so that you can pee better.” This is because the prostate sits right at the base of the bladder and can make it hard to urinate.
An endoscope, which is a tube with a camera on the end, is put through the urethra as part of a transurethral removal. Docs will be able to see the prostate and know where to cut the tissue.
A professor of urology and oncology at Johns Hopkins School of Medicine, Dr. Christian Pavlovich, said that the scope could find cancer in close parts of the body, like the bladder or the urethra.
He said, “Sometimes you’ll have a bladder tumor or something that doesn’t hurt, and you’ll just see it when you go in there.”
According to Dr. Justin Friedlander, a professor of urologic oncology at Fox Chase Cancer Center, bloody pee could also be found with a scope. “This could mean that something is bleeding from the kidney,” he said. He said that could be a sign of cancer in the kidneys or the ureter, which is the tube that brings pee from the kidneys to the bladder.
Sometimes, when doctors look at prostate tissue that was taken out during surgery, they may find dangerous tissue that came from other parts of the body.
Cancers that aren’t prostate-related, like lymphoma (a type of blood tumor) or urothelium cancer (which affects the walls of the urethra and bladder),” Pavlovich explained.
Friedlander said that would mean cancer had spread to other parts of the body and might be further along.
Dr. Julio Pow-Sang, who is in charge of the genitourinary oncology program at the Moffitt Cancer Center in Tampa, Florida, said that it is very uncommon to find cancerous tissue during a treatment to make the prostate bigger.
“90 or 95% of the time it’s benign, but you could have a surprise,” he said.
Although Buckingham Palace did not say what kind of surgery Charles had on Monday to fix his swollen prostate, it has in the past called it “corrective.”
Doctors will sometimes use a laser or high heat to get rid of extra prostate tissue instead of a transurethral removal, but this doesn’t happen very often.
Buckingham Palace says that Charles arrived in London on Monday to start his normal cancer treatments that he will do outside of hospital.
The palace said, “His Majesty is grateful to his medical team for their expert care and quick intervention. He is completely happy with his treatment and looks forward to returning to full public duty as soon as possible.”
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