URETHRAL RECURRENCE FOLLOWING RADICAL CYSTECTOMY

被引:102
作者
HARDEMAN, SW
SOLOWAY, MS
机构
关键词
D O I
10.1016/S0022-5347(17)39549-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We reviewed the clinical courses of 86 men after radical cystoprostatectomy for transitional cell carcinoma of the bladder to determine who were at highest risk for urethral recurrence. We assessed patients for prostatic involvement as well as tumor extent in the bladder and distal ureters. Of the 30 patients with tumor in the prostate 11 (37%) suffered urethral recurrences. Of the 56 patients with all other types of tumor involvement patterns exclusive of disease in the prostate only 2 (4%) had recurrence. We recommend rigorous screening for transitional cell carcinoma of the prostate before cystectomy. Prophylactic urethrectomy is indicated for patients with prostatic involvement, while those without such involvement may be considered at low risk for urethral recurrence.
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页码:666 / 669
页数:4
相关论文
共 16 条
[1]   RISK OF LOCAL URETHRAL RECURRENCE AFTER RADICAL CYSTECTOMY FOR BLADDER-CANCER [J].
BEAHRS, JR ;
FLEMING, TR ;
ZINCKE, H .
JOURNAL OF UROLOGY, 1984, 131 (02) :264-266
[2]  
CLARK PB, 1984, J UROLOGIE, V90, P173
[3]  
COLTON T, 1974, STAT MED, P174
[4]   URETHRECTOMY IN MEN WITH TRANSITIONAL CELL-CARCINOMA OF BLADDER [J].
FAYSAL, MH .
UROLOGY, 1980, 16 (01) :23-26
[5]   AN APPLIANCE-FREE, SPHINCTER-CONTROLLED BLADDER SUBSTITUTE - THE URETHRAL KOCK POUCH [J].
GHONEIM, MA ;
KOCK, NG ;
LYCKE, G ;
ELDIN, ABS ;
SKINNER, DG .
JOURNAL OF UROLOGY, 1987, 138 (05) :1150-1154
[6]   TRANSITIONAL CELL-CARCINOMA OF THE PROSTATE FOLLOWING INTRAVESICAL THERAPY FOR TRANSITIONAL CELL-CARCINOMA OF THE BLADDER [J].
HARDEMAN, SW ;
PERRY, A ;
SOLOWAY, MS .
JOURNAL OF UROLOGY, 1988, 140 (02) :289-292
[7]   THE ILEAL NEOBLADDER [J].
HAUTMANN, RE ;
EGGHART, G ;
FROHNEBERG, D ;
MILLER, K .
JOURNAL OF UROLOGY, 1988, 139 (01) :39-42
[8]   25-YEAR EXPERIENCE WITH REPLACEMENT OF THE HUMAN BLADDER (CAMEY PROCEDURE) [J].
LILIEN, OM ;
CAMEY, M .
JOURNAL OF UROLOGY, 1984, 132 (05) :886-891
[9]   MANAGEMENT OF URETHRA IN PATIENTS UNDERGOING RADICAL CYSTECTOMY FOR BLADDER CARCINOMA [J].
RAZ, S ;
MCLORIE, G ;
JOHNSON, S ;
SKINNER, DG .
JOURNAL OF UROLOGY, 1978, 120 (03) :298-300
[10]   BLADDER REPLACEMENT AFTER CYSTOPROSTATECTOMY - EFFORTS TO ACHIEVE TOTAL CONTINENCE [J].
REDDY, PK ;
LANGE, PH ;
FRALEY, EE .
JOURNAL OF UROLOGY, 1987, 138 (03) :495-499