Robotic radical prostatectomy in a patient with prostate cancer and MERRF syndrome, a rare mitochondrial disorder affecting muscle fibers

Autor: Ramphis A. Morales-López, Ricardo Sanchez-Ortiz
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Urology Case Reports
ISSN: 2214-4420
Popis: Myoclonus epilepsy ragged-red fiber (MERRF) syndrome is a very rare mitochondrial encephalomyopathy characterized by varying degrees of muscle twitching and weakness, progressive spasticity, and exercise intolerance.1 Although the syndrome is not accompanied by bowel or bladder symptoms, in many patients it may characterized by peripheral neuropathy and muscle weakness which worsens during the day. In the event a patient with MERRF syndrome would be diagnosed with prostate cancer, the choice of treatment could be difficult since theoretically its associated myopathy might impact the recovery of continence if radical prostatectomy is undertaken and radiotherapy may be associated with muscle atrophy and demyelinization. Herein we report the first case of a patient with MERRF syndrome and prostate cancer treated with a robotic radical prostatectomy with satisfactory functional outcomes.
Databáze: OpenAIRE