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Palliative prostatectomy of locally advanced and metastatic prostate cancer with obstructive uropathy

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dc.creatorChavarriaga Soto, Juliánspa
dc.creatorÁlvarez Villarraga, Davidspa
dc.creatorSilva Herrera, Joséspa
dc.creatorFakih Garcia, Nayibspa
dc.creatorÁlvarez Jaramillo, Julianaspa
dc.creatorQuiñones, Andrésspa
dc.creatorOcampo, Maríaspa
dc.creatorIregui, Juanspa
dc.date.accessioned2020-05-26T00:02:00Z
dc.date.available2020-05-26T00:02:00Z
dc.date.created2018spa
dc.description.abstractConclusiones La pRTUP es una buena opción de tratamiento para la desobstrucción al tracto de salida de la vejiga secundaria al adenocarcinoma de próstata localmente avanzado, con mejoría considerable de los síntomas urinarios obstructivos bajos, el IPSS y con buena calidad de vida después de la intervención. Sin evidencia de progresión oncológica de la enfermedad secundaria a la intervención quirúrgica desobstructiva. Introduction Patients with locally advanced prostate cancer usually complaint of lower urinary tract symptoms secondary to bladder outlet obstruction as a consequence of obstructive uropathy due to prostate adenocarcinoma growth. The aim of this study is to evaluate QoL, IPSS, perioperative characteristics and safety of the palliative transurethral prostatectomy. Methods Retrospective study that asses 20 men with histopathological confirmed diagnosis of locally advanced prostate cancer and LUTS who underwent palliative prostatectomy. Results The average way of our simple was 73 years, alla of our patients underwent pTURP between 2011 and 2017, only one patient was discharged the same day of the procedure, the average internation time was 2.1 days, 5 patients (26%) had already underwent pTURP and needed a second time for palliation of the LUTS. Average initial IPSS was 23.2 5.4, the Qmax before the surgery was 8.3 1 and the majority of patients were classified as high risk according to D amico classification system due to the gleason score. Regards the QoL we found that in the physical and psychologic health domains the average score was low while in the other domains was considerably better. Postoperative IPSS was 16.5 3.4. Conclusion pTURP can be performed in patients with locally advanced prostate cancer and LUTS safely and effective with improvement in quality of life, micturition parameters and LUTS, without evidence that the surgical intervention increases oncologic progression of the disease. Copyright © 2018, Sociedad Colombiana de Urología.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1055/s-0038-1651512
dc.identifier.issn0120789X
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/23435
dc.language.isoengspa
dc.publisherThieme Medical Publishers, Inc.spa
dc.relation.citationEndPage253
dc.relation.citationIssueNo. 3
dc.relation.citationStartPage248
dc.relation.citationTitleUrologia Colombiana
dc.relation.citationVolumeVol. 27
dc.relation.ispartofUrologia Colombiana, ISSN:0120789X, Vol.27, No.3 (2018); pp. 248-253spa
dc.relation.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85069782523&doi=10.1055%2fs-0038-1651512&partnerID=40&md5=5cb22977e6381ad46c0c6b98bccf1531spa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subject.keywordAdvanced cancerspa
dc.subject.keywordArticlespa
dc.subject.keywordCancer localizationspa
dc.subject.keywordCancer palliative therapyspa
dc.subject.keywordCancer riskspa
dc.subject.keywordClinical articlespa
dc.subject.keywordGleason scorespa
dc.subject.keywordHigh risk patientspa
dc.subject.keywordHospital dischargespa
dc.subject.keywordHumanspa
dc.subject.keywordLower urinary tract symptomspa
dc.subject.keywordMalespa
dc.subject.keywordObstructive uropathyspa
dc.subject.keywordProstate cancerspa
dc.subject.keywordQuality of lifespa
dc.subject.keywordRetrospective studyspa
dc.subject.keywordTransurethral resectionspa
dc.subject.keywordLower urinary tract symptomsspa
dc.subject.keywordObstructive uropathyspa
dc.subject.keywordProstate cancerspa
dc.subject.keywordProstatectomyspa
dc.subject.keywordQuality of lifespa
dc.titlePalliative prostatectomy of locally advanced and metastatic prostate cancer with obstructive uropathyspa
dc.title.TranslatedTitleProstatectomía paliativa en cáncer de próstata localmente avanzado y metastásico con uropatía obstructivaspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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