geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Salvage laparoscopic radical prostatectomy following high-intensity focused ultrasound for treatment of prostate cancer


, : Salvage laparoscopic radical prostatectomy following high-intensity focused ultrasound for treatment of prostate cancer. Urology 80(1): 130-133

To test the feasibility and safety of salvage laparoscopic radical prostatectomy (sLRP) for recurrent prostate cancer after high-intensity focused ultrasound (HIFU) treatment. Thirteen men (median age 61.3 years) fulfilled the criteria of recurrent prostate cancer after HIFU undergoing sLRP with HIFU performed using Ablatherm devices (EDAP TMS, Lyon, France). The median interval from primary treatment and biochemical recurrence was 38 months, and the median serum PSA nadir after primary therapy was 1.5 ng\mL. Perioperative data and functional outcome were recorded for each patient. Complications were recorded and graded according to Clavien scale. The prostatectomy specimens were analyzed for Gleason score, extracapsular extension, and surgical margins. Mean follow-up was 14 months. There was no perioperative mortality and no conversion to open surgery was necessary. Mean operation time was 22 minutes, mean blood loss was 15 mL, and none of the patients received any transfusion. On histopathologic evaluation, 8 patients had extracapsular extension (pT3a) and 5 patients had intracapsular disease (pT2b). Positive surgical margins (PSMs) were detected in 2 patients in the pT3a group. Gleason score was 7 (3 + 4) in 6 patients and (4 + 3) in 5 patients. Two patients had a Gleason score of 8. The median time to achieve continence was 6 months. Four patients showed mild incontinence and used 2 pads per day. None of the patients in our series were potent after sLRP. sLRP is feasible for men in whom HIFU has failed but has a higher morbidity rate than primary surgery.

US$19.90

PMID: 22626582

DOI: 10.1016/j.urology.2012.04.014


Other references

Iyer, Jaya G., 1958: Iodine content of some Indian fodder plants. The maximum, minimum and mean iodine-contents of 22 fodder species of Western India were determined. The highest and lowest values obtained were, respectively, 0.076 ppm. in D ichanthium annulatum and 0.002 ppm. in Pseudanthistiria heterodita. Mea...

Miller, L., W.; Kubo, S., H.; Young, J., B.; Stevenson, L.-Warner; Loh, E.; Costanzo, M.-Rosa, 1995: Report of the Consensus Conference on Candidate Selection for Heart Transplantation-1993 (Boca Raton, Florida, USA; 1993). Background: Despite several task forces and numerous reviews, criteria for candidate selection for heart transplantation are not uniform. Methods and Results: This report summarizes results compiled from a survey that was reviewed at a consensus c...

Xu, D.; Li, S.; Chen, Z.; Du, L., 2012: Reply to "how to diagnose Mycoplasma pneumoniae etiology in a child with pneumonia". European Journal of Pediatrics 171(3): 595-596

Bauer, E.M.; Mack, G.H., 2011: Depositional environments, sediment dispersal and provenance of the Lower Permian Glorieta Sandstone, central and northern New Mexico. New Mexico Geology 33.2

Tang, M.; Wen, G.; Luo, Y.; Liang, A.; Jiang, Z., 2015: A simple resonance Rayleigh scattering method for determination of trace CA125 using immuno-AuRu nanoalloy as probe via ultrasonic irradiation. AuRu nanoalloy (GR) with Au/Ru molar ratio of 32/1 was prepared by the sodium borohydride reduction method. It was used to label the CA125 antibody (Ab) to obtain an immunonanoprobe (GRAb) for cancer antigen 125 (CA125). In pH 7.0 citric acid-Na2H...

Schapira, D.; Israel, O.; Goldsher, D.; Nahir, M.; Scharf, Y., 1989: Transient osteoporosis of the hip: case report and review of the literature. A case of idiopathic transient osteoporosis of the hip is reported and the literature reviewed. The clinical and radiological features of this syndrome are described, as well as the diagnostic contribution of bone scintigraphy. The need for conser...

Fayaz, A.; Simani, S.; Janani, A.; Farahtaj, F.; Biglari, P.; Howeizi, N.; Eslami, N., 2011: Antibody persistence, 32 years after post-exposure prophylaxis with human diploid cell rabies vaccine (HDCV). In 1975-1976 forty-five persons severely bitten by rabid wolves and dogs in Iran were treated successfully against rabies with HDCV. In this study contact was made with 26 of 45 above persons, 32 years after their initial treatment and all had rab...

McConn Walsh, R.; Harney, M.S., 2002: Management of snoring. Irish Medical Journal 94(10): 294, 296-294, 296

Gouy, M.; Gautier, C., 1982: Codon usage in bacteria: correlation with gene expressivity. The nucleic acid sequence bank now contains over 600 protein coding genes of which 107 are from prokaryotic organisms. Codon frequencies in each new prokaryotic gene are given. Analysis of genetic code usage in the 83 sequenced genes of the Escher...

Bunch, T.Jared.; Day, J.D., 2012: Examining the risks and benefits of transesophageal echocardiogram imaging during catheter ablation for atrial fibrillation. Circulation. Arrhythmia and Electrophysiology 5(4): 621-623