ADJUVANT RADIATION THERAPY DOES NOT CAUSE URINARY INCONTINENCE AFTER RADICAL PROSTATECTOMY: RESULTS OF A PROSPECTIVE RANDOMIZED STUDY

Autor:	Françoise Richard, Yves Castille, Francois X. Wese, Paul Van Cangh, Pierre Scaillet, Reinier-Jacques Opsomer, Luc De Visscher, Francis Lorge, Anne Moxhon
Rok vydání:	1998
Předmět:	medicine.medical_specialty Urinary continence business.industry Prostatectomy Urology medicine.medical_treatment Perforation (oil well) Urinary incontinence medicine.disease Surgery Radiation therapy Neck of urinary bladder Prostate cancer medicine medicine.symptom business Prospective cohort study
Zdroj:	Journal of Urology. 159:164-166
ISSN:	1527-3792 0022-5347
Popis:	Purpose: We analyzed the potential influence of adjuvant radiotherapy on urinary continence after radical prostatectomy.Materials and Methods: A total of 100 patients with N0M0 prostate cancer randomized in a prospective study on postoperative radiotherapy for locally advanced disease (positive surgical margin, capsular perforation and/or seminal vesicle infiltration) were studied. Objective pad weighing tests corroborated by direct personal interviews were used to evaluate urinary continence at regular postoperative intervals.Results: Of the patients 48 received 60 Gy. external radiotherapy with 18 MV photon beams between 12 and 16 weeks postoperatively, and 52 were followed expectantly. Risk factors were similar in both groups. With a mean followup of 24 months, no difference in complete urinary continence was observed. Of the irradiated group 77% and of the surveillance group 83% were totally dry. The fate of the bladder neck had no significant influence on final continence status, although the...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::d6556004cde28c049247bf59c91f5509 https://doi.org/10.1016/s0022-5347(01)64044-8 Zobrazit plný text záznamu