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Current Urology Reports
Published in: Current Urology Reports 3/2012

01-06-2012 | Endourology (V Bird, Section Editor)

Current Status of Salvage Robot-Assisted Laparoscopic Prostatectomy for Radiorecurrent Prostate Cancer

Authors: Bernardo Rocco, Gabriele Cozzi, Matteo Giulio Spinelli, Angelica Grasso, Daniela Varisco, Rafael F. Coelho, Vipul R. Patel

Published in: Current Urology Reports | Issue 3/2012

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Abstract

Radiation therapy (RT) is one of the treatment options for prostate cancer (PCa). Transperineal low–dose rate brachytherapy (BT) is another safe and effective technique for low-risk PCa. Recurrence after RT for localized PCa can be defined by a PSA value of 2 ng/mL above the nadir after RT, and biochemical recurrence (BCR) rate after RT is 40–60 %. In case of radiorecurrent PCa, treatment options include salvage radical prostatectomy (RP), cryotherapy, high-intensity focused ultrasound (HIFU), and salvage BT. Only salvage RP has cancer control results for over 10-year follow-up in a substantial portion of patients (30–40 %). However, salvage RP is technically demanding, and experienced surgeons are needed; in fact, RT-induced cystitis, fibrosis, and tissue plane obliteration can lead to significant complications, such as rectal injuries, anastomotic stricture, and urinary incontinence. This review describes indications, oncologic and functional outcomes, surgical techniques, and complications of salvage robot-assisted RP.
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Metadata
Title
Current Status of Salvage Robot-Assisted Laparoscopic Prostatectomy for Radiorecurrent Prostate Cancer
Authors
Bernardo Rocco
Gabriele Cozzi
Matteo Giulio Spinelli
Angelica Grasso
Daniela Varisco
Rafael F. Coelho
Vipul R. Patel
Publication date
01-06-2012
Publisher
Current Science Inc.
Published in
Current Urology Reports / Issue 3/2012
Print ISSN: 1527-2737
Electronic ISSN: 1534-6285
DOI
https://doi.org/10.1007/s11934-012-0245-1

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