Treatment profile and complications associated with cryotherapy for localized prostate cancer: A population-based study
| Autor: | Thomas L. Jang, Calpurnyia B. Roberts, Shaum M Kabadi, Dirk F. Moore, Yu-Hsuan Shao, Grace L. Lu-Yao |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Male
Cancer Research medicine.medical_specialty Urology medicine.medical_treatment Population Surveillance Epidemiology and End Results program 030232 urology & nephrology Cryotherapy Urinary incontinence Medicare Article 03 medical and health sciences Prostate cancer 0302 clinical medicine Erectile Dysfunction Risk Factors Urinary Fistula Humans Medicine education Aged Aged 80 and over education.field_of_study business.industry Prostatectomy Prostatic Neoplasms medicine.disease 3. Good health Surgery Urinary Incontinence Erectile dysfunction Oncology 030220 oncology & carcinogenesis medicine.symptom business Urinary tract obstruction |
| Zdroj: | Prostate cancer and prostatic diseases |
| ISSN: | 1476-5608 1365-7852 |
| DOI: | 10.1038/pcan.2011.17 |
| Popis: | The aim of this study was to assess the treatment patterns and 3 to 12-month complication rates associated with receiving prostate cryotherapy in a population-based study. Men > 65 years diagnosed with incident localized prostate cancer in Surveillance Epidemiology End Results (SEER) - Medicare linked database from 2004 to 2005 were identified. A total of 21,344 men were included in the study, of which 380 were treated initially with cryotherapy. Recipients of cryotherapy versus aggressive forms of prostate therapy (i.e. radical prostatectomy or radiation therapy) were more likely to be older, have one co-morbidity, low income, live in the South, and be diagnosed with indolent cancer. Complication rates increased from 3 to 12 months following cryotherapy. By the twelfth month, the rates for urinary incontinence, lower urinary tract obstruction, erectile dysfunction, and bowel bleeding reached 9.8%, 28.7%, 20.1%, and 3.3%, respectively. Diagnoses of hydronephrosis, urinary fistula, or bowel fistula were not evident. The rates of corrective invasive procedures for lower urinary tract obstruction and erectile dysfunction were both |
| Databáze: | OpenAIRE |
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