Title
Current Status of Salvage Robot-Assisted Laparoscopic Prostatectomy for Radiorecurrent Prostate Cancer
Abbreviated Journal Title
Curr. Urol. Rep.
Keywords
Prostate cancer; Surgery; Endourology; Radiorecurrent prostate cancer; Recurrence; Radiation therapy; Radiation failure; Brachytherapy; Salvage; robot-assisted laparoscopic prostatectomy; sRALP; Urology & Nephrology
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.
Journal Title
Current Urology Reports
Volume
13
Issue/Number
3
Publication Date
1-1-2012
Document Type
Article
Language
English
First Page
195
Last Page
201
WOS Identifier
ISSN
1527-2737
Recommended Citation
"Current Status of Salvage Robot-Assisted Laparoscopic Prostatectomy for Radiorecurrent Prostate Cancer" (2012). Faculty Bibliography 2010s. 3204.
https://stars.library.ucf.edu/facultybib2010/3204
Comments
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