First experience in the Czech Republic with perirectal hydrogel injection before radiotherapy for prostate cancer
| Autor: | Martin Lukeš, Petr Holý, Viktor Vik, Tomáš Novotný |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty business.industry medicine.medical_treatment Ultrasound Rectum Prostatic Neoplasms Hydrogels medicine.disease Injections Radiation therapy Food and drug administration Prostate cancer medicine.anatomical_structure Oncology Prostate medicine Prostate radiotherapy Humans Complication rate Radiology business Radiation Injuries Czech Republic |
| Zdroj: | Klinicka onkologie : casopis Ceske a Slovenske onkologicke spolecnosti. 33(6) |
| ISSN: | 1802-5307 |
| Popis: | PURPOSE SpaceOAR® is a Food and Drug Administration approved hydrogel injection used to create space between the prostate and rectum before prostate radiotherapy (RT). This bio-degradable hydrogel was not available in the Czech Republic until 2019. We present our first experience as a new established SpaceOAR® centre. We namely focused on technical difficulties with a new procedure and possible medical complications. METHODS We injected SpaceOAR® to 58 patients indicated for prostate RT due to prostate cancer. Prospectively and retrospectively, we monitored the learning curve and complication rate and we assessed the feasibility as an out-patient procedure in the Czech medical environment. RESULTS The procedure is technically feasible as an out-patient procedure in a urological office. The learning curve with reasonable ultrasound experience and adequate equipment is acceptably short. The number of complications which might be associated with hydrogel injection was very low, with one exception in our centre - ulceration of the rectum. CONCLUSION SpaceOAR® injection is a minimally invasive out-patient procedure with expected minimum complications and it is easy to learn. |
| Databáze: | OpenAIRE |
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