Search

Introduction: Prostate cancer has an increasing incidence, with high survival rates in a localized stage, whereby quality of life has a high importance. Prospective studies have shown general impairment in quality of life in patients undergoing radical prostatectomy, with specific adverse effects at the urinary and sexual function. The objective of this study is to determine the alterations in quality of life in urinary and sexual function before and after radical prostatectomy, comparing the open and laparoscopic approaches. Methodology: Prospective and analytical study that included patients undergoing open or laparoscopic radical prostatectomy. Clinical variables, urinary and sexual quality of life were analyzed through patients-reported outcome measures (EPIC-CP and IIEF-EF) and social continence through the amount of pads/day. Measurements were made preoperatively and at 3, 6 and 12 months. Results: 68 patients were included (43 in PRL group and 25 in PRA group). At baseline 47.8% had alterations in urinary function and 56,7% in sexual function. In the follow-up, 73,5%, 64,6% and 62,5% of urinary incontinence were observed in the total of patients at 3, 6 and 12 months, respectively. We observed lower rates of urinary incontinence in the laparoscopic group but without a statistically significant difference. In social continence, continence rates of 69,1%, 82,8% and 89,3% were observed at 3, 6 and 12 months, respectively, with statistically significant differences between laparoscopic (90,5%) and open (69,6%) approach at 6 months (p = 0,04). In sexual function, 78,3% of erectile dysfunction were observed at 12 months of follow-up, with no difference between the laparoscopic (75%) and open (85,7%) approaches. Conclusion: Patients with prostate cancer have baseline alterations in urinary and sexual quality of life. Radical prostatectomy, open or conventional laparoscopic approach, generates an additional deterioration in quality of life in these settings. Laparoscopic approach is associated with lower rates of postoperative urinary incontinence, with significant improvement in social continence at 6 months compared to open surgery. The approach route did not show differences in erectile function at 1 year of follow-up in this series. [ABSTRACT FROM AUTHOR]

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

A 74-year-old man case with a pre-surgical diagnosis of prostate carcinoma is presented. At the pathological study of the radical prostatectomy, a high-grade adenocarcinoma (grade group 5) was identified; however, we observed some groups of pleomorphic giant cells with marked nuclear atypia, in up to 15% of the tissue. Immunostaining for NKX3.1, androgen receptor, p53 and ERG were positive, with strong and diffuse nuclear expression, both in the high-grade differentiated carcinoma and in the pleomorphic cell component. The final diagnosis was a Gleason 9 adenocarcinoma, associated with pleomorphic giant cell subtype and extraprostatic extension. [ABSTRACT FROM AUTHOR]

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cirugía y Cirujanos is the property of Publicidad Permanyer SLU and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Congenital anomalies of seminal vesicles are a rare clinical entity, which is demonstrated by the limited number of cases reported in the literature about their incidence. This is the case report of a 33-year-old patient, asymptomatic, with infertility and with a physical examination within normal parameters. As part of his diagnostic assessment, a magnetic resonance imaging was performed, which reported as a conclusion the fusion of the right seminal vesicle with the contralateral one. This fusion extends through the midline with blood content. The patient continues with his evaluation for infertility. Congenital malformations of the seminal vesicles are subdivided into agenesis, hypoplasia, fusion, duplication, or cysts, with the possible effect of infertility. These malformations are usually findings in magnetic resonance imaging and generally lack pathological implications; however, it is relevant to know about their existence due to the repercussion on the surgical approach during radical prostatectomy, modifying the dissection to an extensive dissection and avoiding injury to the vascular-nerve bundles. [ABSTRACT FROM AUTHOR]

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Documentos de Enfermeria is the property of Colegio Oficial de Enfermeria de Huelva and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Radical prostatectomy is the treatment of choice in patients with localized prostate cancer and erectile dysfunction after this, is because the cavernous nerve injury, with an increased adrenergic (a1A receptors) and decreased nitrinergic response, favoring the contraction of smooth muscle in the corpora cavernosa and inhibiting the erection. Objective: To compare the efficacy of tadalafil versus tadalafil + tamsulosin in patients undergoing radical prostatectomy. Material and methods: It is a randomized clinical trial of 27 patients admitted to the Urology Department of the Hospital Juarez de Mexico from January 1st to December 31th, 2017 with localized prostate adenocarcinoma in which extraperitoneal videoendoscopic radical prostatectomy was performed. International index of erectile function was > 12. Results: 16.6% and 33% of the second group presented moderate and severe erectile dysfunction, respectively, compared to 33.3% and 37.5% of the first group at the end of 6 months. The mean of IIFE-5 in the second group is 10.5 versus 8.6 in the first group with p = 0.47. (p < 0.05, statistically significant). Conclusions: There is no statistically significant difference between the two treatments for penile rehabilitation with the aim of recovering sexual function. [ABSTRACT FROM AUTHOR]

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Chilena de Urologia is the property of Sociedad Chilena de Urologia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Radical prostatectomy in patients with good performance status and life expectancy greater than ten years is currently the main treatment for clinically localized prostate cancer. In patients with low risk disease, imaging of the urinary tract is not indicated in routine evaluation before surgical treatment. Upper urinary tract malformations are rare and the symptoms present in most male patients make their finding during a surgical procedure at advanced ages uncommon. Unidentified urinary tract malformations may increase technical difficulty and surgical complications. We report the case of a right single ectopic ureter inserting into the prostatic urethra incidentally found during a radical prostatectomy in a patient with low risk prostate cancer. [ABSTRACT FROM AUTHOR]

We present the association between bladder neck stricture and migration of a titanium clip into the urethrovesical anastomosis after a neuropreservative laparoscopic radical prostatectomy in a patient suffering of recurrent acute urinary retention and the eventual resolution after extracting endoscopically the foreign body from the scarred tissue. [ABSTRACT FROM AUTHOR]

Purpose: To present the surgical experience in patients that underwent radical prostatectomy in our center in the last 10 years. Material and method: We performed an observational, comparative, retrospective study between october 1997 to december 2007, a total of 145 patients with diagnosis of organ confined prostate cancer, were included. All patients had rectal examination, prostatic specific antigen and transrectal ultrasound guided biopsies. We analyzed the clinical and pathological stage, margin status, transoperative complication, length of surgical procedure, functional outcome. We evaluated biochemical failure by Kaplan Meier curve. Results: A total of 145 patients were included with a mean age of 65 years, the mean follow up was of 30 months. Of the surgical procedures 12% were laparoscopic and 88% non laparoscopic, the mean surgical time for both groups was 302 vs. 214 minutes respectively. Twenty patients required adjuvant treatment for locally advanced disease, and 13 for positive margins. A total of 19 patients had biochemical recurrence. Forty seven per cent developed erectile dysfunction and 21% had some degree of incontinence. Conclusion: Radical retropubic prostatectomy offers satisfactory oncological outcomes, evolution in the surgical technique and learning curve bears to decrease complication and increase functional outcomes. [ABSTRACT FROM AUTHOR]

An analysis of the literature of Erectile Dysfunction in patients treated with radiation and surgery for localized cancer of the prostate is made. These treatments can produce this complication in a number of patients so treated. The etiology of each modality of treatment, according to the data of the literature, is made. Hormonal manipulation is not taken in consideration for this analysis. Nerve Sparing Radical Prostatectomy (Walsh 0peration) has improved the proportion of patients that developed this complication very significantly. External Radiotherapy has improved the complication rates, , with the development of conformational techniques (3D, IMRT). It is supposed that Erectile Dysfunction is to be reduced with these techniques because doses to normal tissue can be diminished (especially IMRT) without compromising of therapeutic doses to the target. The advances in Brachytherapy have permitted to administrate a more precise distribution of the sources to obtain better implants in real time. These factors are critical for better therapeutic effects. In this analysis we intended to do a relative comparison with these three modalities and its relationship with Erectile Dysfunction in cancer of the prostate. [ABSTRACT FROM AUTHOR]

Copyright of Revista Española de Patología is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To determine if the postoperative Penrose drainage is a prognostic factor in developing bladder neck contracture in patients with radical retropubic prostatectomy . Material and Methods: Retrospective, descriptive and observative study. 80 medical files from patients with radical prostatectomy from 2004-2006 in La Raza National Medical Center were checked. The Penrose drainage from the first three postoperative days and the patients who developed bladder neck contracture were captured. Results: Bladder neck contracture was found with a 21.3% frequency. The Penrose drainage in patients who developed bladder neck contracture showed a mean of 1675.88 mL, and the mean for those who did not developed bladder neck contracture was 165.11 mL, with a 1,510 mL difference (p < 0.01). The analysis under de ROC curve showed that the bladder neck contracture can be predicted in 97.8% of the patients. The cut point was 232 ml with a 90% sensitivity and a 94% specificity. Conclusions: Bladder neck contracture in patients with radical prostatectomy was found with a frequency similar than those showed in other series. The developing of this postoperative complication can be predicted in 97.8% of the patients and by doing this we could give them an early treatment. [ABSTRACT FROM AUTHOR]

Introduction: Tumor stadification by Gleason grade is important for therapeutic decision in patients with prostate cancer. Objective: To compare Gleason grade between transrectal biopsy and Gleason grade radical prostatectomy. Methods: Observational retrospective transversal and comparative study in male patients of Urology Department in "Hospital de Especialidades del Centro Médico Nacional La Raza" from September 2002 to January 2006 evaluating prostatic specific antigen, prostate volume, transrectal biopsy and radical prostatectomy Gleason's grade, extraprostatic extension with Sperman's correlation and χ². Results: Transrectal biopsy: Gleason's 5: 1 patient, Gleason's 6: 28, Gleason's 7 (3 + 4): 2, Gleason's 7 (4+3): 8 and Gleason's 8: 1. Radical prostatectomy: Gleason's 6: 14, G7 (3+4): 6, G7 (4+3): 11, G8: 5, G9 (4+5): 2, G9 (5+4): 1 and G10: 1. The results were independent with the statistical analysis. Conclusions: There were no statistical relationship between the studied values because the sub or supradiagnostic of the comparative study. There were an independent correlation. [ABSTRACT FROM AUTHOR]

Today radical retropubic prostatectomy (RRP) is the choice procedure and best alternative for localized prostate cancer treatment in selected patients. A potential complication of this procedure is severe urinary incontinence, that can be related to sphincteric damage and less frequent with bladder injury. Sphincteric incompentence has been attributed to ischemia, scars, atrophy and structural sphincteric injury or damage to pudendal nerve which produces membranous urethral alteration under its length an critical pressure to maintain urinary continence. The objective of this study was to evaluate sphincteric urethra before and after RRP to detect anatomic and functional variations that can lead development of urinary incontinence after RPP. We perform urodynamic and radiologic evaluation to 38 patients with median age of 62.8 years, with clinically localized prostate cancer, undergone to RPP. Twenty eight had total urinary continence, 7 with mild incontinence (group I) and 3 with severe incontinence (group II). Before RPP functional urethral length (FUL) and maximum urethral closure pressure (MUCP) were higher for group II (P = 0.015 and 0.02 respectively); membranous urethral radiological length (MURL) and urethral closure total area (UCTA) showed no difference between both groups. After RPP were statistically significant difference between all parameters (MURL, FUL, MUCP and UCTA) in group II patients compared with group I patients. Conclusion: Anatomic and functional variations of sphincteric urethra before to RRP, do not determine development of postoperative urinary incontinence, therefore RPP itself is the responsible of sphincteric damage. [ABSTRACT FROM AUTHOR]