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Prostate cancer is the most common form of cancer among males around the world. However, lesions in the anterior urethral zone are difficult to treat with this approach because it may exacerbate urethral deterioration during HIFU therapy, which may exacerbate bladder outlet obstruction and symptoms related to bladder outlet obstruction. After catheter removal less than 48 hours after the surgery, the patient developed urinary retention after catheter removal, which resolved after the second catheter was removed a week later. Compared to baseline results, no significant changes in the International Prostate Symptom Score and Quality of Life score were found. With proper setup, magnetic resonance-guided focused ultrasound surgery for PCa lesions in the anterior urethral zone could be used safely for urethra-sparing surgeries for PCa lesions in the anterior urethral zone, but not affecting post-treatment urination. The catheter's indwelling time should be extended optimally for complete recovery from treatment-related urinary edema around the prostatic urethra to avoid urinary retention.
Source link: https://doi.org/10.21037/tcr-21-1757
We wanted to conduct a systematic review and meta-analysis aimed at finding the occurrence and risk factors of urethral recurrence in patients with UR after radical cystectomy for bladder cancer. Comparing to non-ONB and male patients, Orthotopic neobladder diversion was associated with a reduced risk of UR, with a significantly higher risk of UR relative to female patients. Among risk factors, prostatic urethral or prostatic stromal involvement, and tumor multifocality were all associated with reduced urethral recurrence-free survival. Patients with UR had a 5-year CSS that ranged from 47 percent to 63%, as well as an OS that was not correlated to poor survival outcomes; UR did not appear to be linked to lower survival rates. After RC, Male patients treated with non-ONB diversion, as well as patients with prostatic involvement and tumor multifocality seem to be at the highest risk of UR after RC.
Source link: https://doi.org/10.1016/j.urolonc.2021.06.009
Following the procedure, Cystoscopy revealed a foreign body obstruction of the bladder, and the patient experienced immediate relief after its removal. Following FLA, this is the first case of intermittent urethral obstruction by a sloughed median prostatic lobe, and this case highlights the need for ongoing monitoring of long-term results of this procedure.
Source link: https://doi.org/10.46883/ONC.2021.3507.0422
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