Abstract:
BACKGROUND:Limited data on patterns of recurrence (local or metastatic) after salvage radical prostatectomy (SP) is available. OBJECTIVE:To examine biochemical, local and metastatic patterns of recurrence in patients undergoing SP for radiation-recurrent prostate cancer. DESIGN, SETTING, AND PARTICIPANTS:146 patients with biopsy-proven local recurrence of prostate cancer after radiation therapy treated with SP were evaluated in a retrospective study at a single institution. INTERVENTION:All patients underwent SP by mainly two surgeons. MEASUREMENTS:Biochemical recurrence (BCR) after SP was defined as a serum prostate-specific antigen (PSA) level of >or=0.2 ng/ml or was defined by the initiation of androgen deprivation therapy. All predictors analyzed were determined after radiotherapy, before SP, and included PSA level, clinical stage, biopsy Gleason score, age at SP, and time interval from radiotherapy to SP. RESULTS AND LIMITATIONS:Of the 146 patients treated with SP, 65 developed BCR. The median follow-up period for recurrence-free patients was 3.8 yr; 43 patients (29%) were followed for >5 yr. Overall, the 5-yr recurrence-free probability was 54% (95% CI, 44-63%). Clinical local recurrence occurred in only one patient who also had bone metastases. Overall, there were 16 prostate cancer-specific deaths and 19 deaths from other causes. The 5-yr cumulative incidence of death from prostate cancer was 4% (95% CI, 2-11%). Pre-SP serum PSA level and biopsy Gleason score were significantly associated with death due to prostate cancer (p<0.0005 and p=0.002, respectively). This study is retrospective and included carefully selected patients treated over a long period by, mainly, two experienced surgeons. CONCLUSIONS:SP provides excellent local cancer control; only one patient in our series experienced a clinical local recurrence. Earlier identification of patients with persistent, viable local cancer despite radiation therapy will appropriately select patients for SP.
journal_name
Eur Uroljournal_title
European urologyauthors
Paparel P,Cronin AM,Savage C,Scardino PT,Eastham JAdoi
10.1016/j.eururo.2008.07.007subject
Has Abstractpub_date
2009-02-01 00:00:00pages
404-10issue
2eissn
0302-2838issn
1873-7560pii
S0302-2838(08)00828-2journal_volume
55pub_type
杂志文章相关文献
EUROPEAN UROLOGY文献大全abstract::We report on the conservative management of a renal stab wound by double-J stenting and specific percutaneous arterial embolization in a 34-year-old man. Surgical exploration was avoided because there was a little doubt about the associated intra-abdominal injuries. Recovery was excellent and the patient left the hosp...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000471710
更新日期:1991-01-01 00:00:00
abstract::In the absence of data from randomized trials, the role of local treatment in metastatic prostate cancer (PCa) is gaining interest. Our study aimed to assess perioperative and long-term oncologic outcomes of radical prostatectomy (RP) in a selected cohort of 11 patients with oligometastatic disease treated with RP and...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2016.08.040
更新日期:2017-08-01 00:00:00
abstract::The successful lithotrity of stones in the ureter under vision using electrohydraulic pressure waves is described. A 1.6-mm probe is guided, under visual control, to the concrement, which is then destroyed by a pressure wave released at the tip of the probe by a spark discharge. The apparatus itself has an impulse vol...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463514
更新日期:1984-01-01 00:00:00
abstract::We report a case of nonseminomatous testicular tumor with lymph node involvement and multiple lung and liver metastases. The patient was considered to have a poor prognosis. He received systemic chemotherapy and cytoreductive surgery. Postoperatively a residual metastatic tumor in the liver was treated by intrahepatic...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463917
更新日期:1990-01-01 00:00:00
abstract:CONTEXT:Conservative therapies for Peyronie's disease (PD) aim to treat early-stage disease by improving clinical outcomes such as penile curvature, penile length erectile dysfunction, and pain. OBJECTIVE:To summarise the available evidence regarding injection and mechanical therapies for PD treatment. EVIDENCE ACQUI...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2018.07.005
更新日期:2018-12-01 00:00:00
abstract::Fifty-five patients with muscle-invasive transitional cell carcinoma of the bladder were treated with preoperative cisplatin-based chemotherapy followed by radiotherapy (20 Gy within 1 week) and cystectomy. DNA flow cytometry (FCM) was performed in paraffin-embedded tissue obtained by transurethral resection immediate...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000474779
更新日期:1992-01-01 00:00:00
abstract::Urethral duplication (UD) is a very rare congenital malformation, either in its complete or incomplete presentation. Its different types of appearance as well as the usually associated malformations (genitourinary, gastrointestinal, musculo-skeletal, and others) make it a complex disorder which requires an individuali...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000463928
更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:One of the most effective and popular current procedures for the surgical treatment of stress urinary incontinence (SUI) is tension-free midurethral slings. OBJECTIVE:To evaluate the outcomes of women with retropubic tension-free vaginal tape (TVT) for urodynamic stress incontinence (USI) after 10-yr follow...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2012.01.038
更新日期:2012-05-01 00:00:00
abstract:OBJECTIVES:The aim of our study was to determine the value of duplex Doppler ultrasonography (DDU) in the patients' evolution with renal colic. The study of the resistive index (RI), difference of the RI (ARI) associated with a DDU intravesical recording (ureteral jets) were compared with renographic findings in renal ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/s0302-2838(01)00005-7
更新日期:2002-01-01 00:00:00
abstract::Univariate and multivariate analyses were performed in 632 patients treated with cisplatin combination chemotherapy for metastatic non-seminomatous testicular germ cell tumours. Multivariately, the most important poor prognosis factors for the prediction of survival were: HCG > or = 10,000 IU/l, lung metastases > or =...
journal_title:European urology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1159/000474594
更新日期:1993-01-01 00:00:00
abstract:OBJECTIVE:The purpose of the present study was to evaluate the length of telomeres in patients with bladder cancer using a quantitative flow cytometry (flow-FISH) technique. METHODS:Bladder washing samples from 51 patients with bladder cancer were obtained immediately before transurethral resection. The average length...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2005.04.030
更新日期:2005-09-01 00:00:00
abstract:BACKGROUND:Metastatic castration-resistant prostate cancer (mCRPC) is the lethal form of the disease. Several recent studies have identified genomic alterations in mCRPC, but the clinical implications of these genomic alterations have not been fully elucidated. OBJECTIVE:To use whole-genome sequencing (WGS) to assess ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2019.03.020
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVES:A project was initiated by the Health Care Office of the European Association of Urology in order to formulate common recommendations and guidelines for the treatment of patients with urolithiasis. The basic task for the working group therefore was to extract and evaluate evidence from the literature in orde...
journal_title:European urology
pub_type: 共识发展会议,指南,杂志文章,评审
doi:10.1159/000049803
更新日期:2001-10-01 00:00:00
abstract:BACKGROUND:Several guidelines have indicated that in patients with well-differentiated or moderately well-differentiated prostate cancer (PCa), a staging bone scan may be omitted. However, the guidelines recommendations have not yet been externally validated. OBJECTIVE:The aim of the study was to externally validate t...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2009.12.023
更新日期:2010-04-01 00:00:00
abstract::The European Randomized study of Screening for Prostate Cancer (ERSPC) has shown a 20% relative reduction in prostate cancer mortality after 16yr [rate ratio (RR) 0.80], but centers varied by attendance, screen interval, biopsy compliance, contamination in the control arm, and treatments. We used a microsimulation mod...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1016/j.eururo.2019.04.007
更新日期:2019-09-01 00:00:00
abstract:OBJECTIVES:TIMPs control the activity of MMPs, one of the key molecules for tumor invasion and metastasis. The aim of this study was to assess the usefulness of MMP-2 and MMP-9 in relation to their inhibitor (TIMP2) as noninvasive diagnostic tests for bilharzial bladder cancer. MATERIAL AND METHODS:Voided urine sample...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2007.04.006
更新日期:2007-11-01 00:00:00
abstract::Nineteen lambs underwent colocystoplasty using a segment of demucosalised sigmoid colon, and were compared to 14 control animals. Nine animals had a procedure which included the addition of the muscle patch to an autoaugmented bladder, and 10 had a clam cystoplasty with the denuded colon. Six months after the procedur...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000475387
更新日期:1994-01-01 00:00:00
abstract:UNLABELLED:Molecular profiling of individual cancers is key to personalised medicine. While sequencing technologies have required stringent sample collection and handling, recent technical advances offer sequencing from tissues collected in routine practice and tissues already stored in archives. In this paper, we esta...
journal_title:European urology
pub_type: 信件
doi:10.1016/j.eururo.2014.07.045
更新日期:2014-12-01 00:00:00
abstract::During a 15-year period, 34 patients with renal cell carcinoma extending into the inferior vena cava were submitted to radical ablative surgery at our institution. 8 patients had caval tumor thrombus (TT) extension at the level of the renal veins, 17 had infrahepatic, 8 retrohepatic and 1 atrial TT extension. Cavograp...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000472731
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Laparoscopic cryoablation (LCA) and percutaneous cryoablation (PCA) of small renal masses have gained popularity, but only limited data exist on the complication rates. OBJECTIVES:In this study, we report on postoperative complications associated with LCA and PCA in a single tertiary center experience. DES...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2010.03.035
更新日期:2010-07-01 00:00:00
abstract::Adrenal myelolipoma is a rare benign tumor that is usually asymptomatic. This case is believed to be the 13th surgically removed, attesting to the rarity of this tumor. ...
journal_title:European urology
pub_type: 杂志文章
doi:10.1159/000473191
更新日期:1981-01-01 00:00:00
abstract::22 patients diagnosed as having bladder neck disease were evaluated retrospectively point of view. Urodynamic study including intravesical pressure, rectal pressure, intrinsic detrusor pressure and urine flow was performed in every case. A relation was established between the findings and the definite etiology. Two ur...
journal_title:European urology
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract:BACKGROUND:Near-infrared fluorescence (NIRF) imaging is a technology with emerging applications in urologic surgery. OBJECTIVE:To describe surgical techniques and provide clinical outcomes for robotic partial nephrectomy (RPN) with selective clamping and robotic upper urinary tract reconstruction featuring novel appli...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2013.09.023
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVES:To assess the usefulness of the phosphodiesterase type 5 inhibitors (PDE5-Is) in the treatment of premature ejaculation (PE) and to describe possible mechanisms to explain their effect. METHODS:A MedLine search was performed for peer-reviewed articles on the role of PDE5-Is in managing PE. No meta-analysis ...
journal_title:European urology
pub_type: 杂志文章,评审
doi:10.1016/j.eururo.2007.08.005
更新日期:2007-11-01 00:00:00
abstract:OBJECTIVES:To assess and compare the risk of prostatic surgery in (subsets of) patients with a diagnosis of BPH. We sought to expand on data of an earlier pharmacy-based study by obtaining more information on BPH disease parameters by using a Dutch GP-based research database. METHODS:A retrospective cohort study (1994...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2004.11.001
更新日期:2005-04-01 00:00:00
abstract:BACKGROUND:Actors of the angiogenesis pathways are targets for the new promising targeted therapies already used in several malignancies. In bladder cancer, antiangiogenic molecules could also add to already existing treatment options. OBJECTIVE:To evaluate the involvement of angiogenesis pathways in bladder carcinoge...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2008.05.027
更新日期:2009-10-01 00:00:00
abstract:BACKGROUND:Plasmakinetic enucleation of the prostate (PKEP) has recently been proved a safe and technically feasible procedure for benign prostatic hyperplasia (BPH). However, its long-term safety, efficacy, and durability in comparison with the gold-standard transurethral resection of the prostate (TURP) have not yet ...
journal_title:European urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.eururo.2010.08.026
更新日期:2010-11-01 00:00:00
abstract:BACKGROUND:Solifenacin, an effective, well-tolerated treatment for adult overactive bladder (OAB) symptoms, has not been evaluated in placebo-controlled paediatric clinical trials. OBJECTIVES:To evaluate the efficacy and safety of once-daily oral solifenacin suspension in OAB patients aged 5-<12 yr (children) and 12-<...
journal_title:European urology
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.eururo.2016.08.061
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:The oncologic safety of blunt tumor enucleation (TE) of renal cell carcinoma (RCC) depends on the presence of a continuous pseudocapsule (PS) around the tumor and on the possibility of obtaining negative surgical margins (SMs). OBJECTIVE:To investigate the PS and SMs after TE to define the real need to take...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2008.07.038
更新日期:2009-06-01 00:00:00
abstract::Molecular subtyping may inform on prognosis and treatment response in bladder cancer. However, intratumoral molecular heterogeneity is not well studied in this disease and could complicate efforts to use molecular subtyping to guide patient management. To investigate intratumoral heterogeneity in bladder cancer, we ex...
journal_title:European urology
pub_type: 杂志文章
doi:10.1016/j.eururo.2018.09.003
更新日期:2019-01-01 00:00:00