Treatment of Radiation-Induced Urethral Strictures

被引：13

作者：

Hofer, Matthias D. ^{[1
]}

Liu, Joceline S. ^{[2
]}

Morey, Allen F. ^{[1
]}

机构：

[1] Univ Texas Southwestern, Dept Urol, Dallas, TX USA

[2] Northwestern Univ, Dept Urol, Feinberg Sch Med, Chicago, IL 60611 USA

来源：

UROLOGIC CLINICS OF NORTH AMERICA | 2017年 / 44卷 / 01期

关键词：

Urethroplasty; Prostate cancer; Radiation therapy; LOCALIZED PROSTATE-CANCER; DOSE-RATE BRACHYTHERAPY; MANAGEMENT; THERAPY; URETHROPLASTY; COMPLICATIONS; EXPERIENCE; OUTCOMES; STENOSIS; STENTS;

D O I：

10.1016/j.ucl.2016.08.005

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Radiation therapy may result in urethral strictures from vascular damage. Most radiation-induced urethral strictures occur in the bulbomembranous junction, and urinary incontinence may result as a consequence of treatment. Radiation therapy may compromise reconstruction due to poor tissue healing and radionecrosis. Excision and primary anastomosis is the preferred urethroplasty technique for radiation induced urethral stricture. Principles of posterior urethroplasty for trauma may be applied to the treatment of radiation-induced urethral strictures. Chronic management with suprapubic tube is an option based on patient comorbidities and preference.

引用

页码：87 / +

页数：7

共 23 条

[1] Complications after treatment with external-beam irradiation in early-stage prostate cancer patients: A prospective multiinstitutional outcomes study [J].

Beard, CJ ;

Propert, KJ ;

Rieker, PP ;

Clark, JA ;

Kaplan, I ;

Kantoff, PW ;

Talcott, JA .

JOURNAL OF CLINICAL ONCOLOGY, 1997, 15 (01) :223-229

[2] Trends in Management for Patients With Localized Prostate Cancer, 1990-2013 [J].

Cooperberg, Matthew R. ;

Carroll, Peter R. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2015, 314 (01) :80-82

[3] Time Trends and Local Variation in Primary Treatment of Localized Prostate Cancer [J].

Cooperberg, Matthew R. ;

Broering, Jeanette M. ;

Carroll, Peter R. .

JOURNAL OF CLINICAL ONCOLOGY, 2010, 28 (07) :1117-1123

[4] Preservation of lower urinary tract function in posterior urethral stenosis: Selection of appropriate patients for urethral Stents [J].

Eisenberg, Michael L. ;

Elliott, Sean P. ;

McAninch, Jack W. .

JOURNAL OF UROLOGY, 2007, 178 (06) :2456-2460

[5]

Eisenberg ML, 2007, J UROLOGY, V178, P2460

[6] Incidence of urethral stricture after primary treatment for prostate cancer: Data from CaPSURE [J].

Elliott, Sean P. ;

Meng, Maxwell V. ;

Elkin, Eric P. ;

McAninch, Jack W. ;

Duchane, Janeen ;

Carroll, Peter R. .

JOURNAL OF UROLOGY, 2007, 178 (02) :529-534

[7] Management of severe urethral complications of prostate cancer therapy [J].

Elliott, Sean P. ;

McAninch, Jack W. ;

Chi, Thomas ;

Doyle, Sean M. ;

Master, Viraj A. .

JOURNAL OF UROLOGY, 2006, 176 (06) :2508-2513

[8] Management for Prostate Cancer Treatment Related Posterior Urethral and Bladder Neck Stenosis With Stents [J].

Erickson, Bradley A. ;

McAninch, Jack W. ;

Eisenberg, Michael L. ;

Washington, Samuel L. ;

Breyer, Benjamin N. .

JOURNAL OF UROLOGY, 2011, 185 (01) :198-203

[9] Late normal tissue sequelae in the second decade after high dose radiation therapy with combined photons and conformal protons for locally advanced prostate cancer [J].

Gardner, BG ;

Zietman, AL ;

Shipley, WU ;

Skowronski, UE ;

McManus, P .

JOURNAL OF UROLOGY, 2002, 167 (01) :123-126

[10] Urethroplasty After Radiation Therapy for Prostate Cancer [J].

Glass, Allison S. ;

McAninch, Jack W. ;

Zaid, Uwais B. ;

Cinman, Nadya M. ;

Breyer, Benjamin N. .

UROLOGY, 2012, 79 (06) :1402-1405

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