Prostate-Sparing Radical Cystectomy for Selected Patients with Bladder Cancer

被引：8

作者：

Macek, P. ^{[1
,2
,3
]}

Sanchez-Salas, R. ^{[1
]}

Rozet, F. ^{[1
]}

Barret, E. ^{[1
]}

Galiano, M. ^{[1
]}

Hanus, T. ^{[2
,3
]}

Cathelineau, X. ^{[1
]}

机构：

[1] Inst Montsouris, Dept Urol, FR-75014 Paris, France

[2] Gen Univ Hosp, Dept Urol, Prague, Czech Republic

[3] Charles Univ Prague, Fac Med 1, Prague, Czech Republic

来源：

UROLOGIA INTERNATIONALIS | 2013年 / 91卷 / 01期

关键词：

Bladder cancer; Prostate; Cystectomy; Continence; Erectile dysfunction; Ejaculation; Sparing; TRANSITIONAL-CELL CARCINOMA; ORTHOTOPIC URINARY-DIVERSION; JOURNAL-OF-UROLOGY; TERM-FOLLOW-UP; HIGH-RISK; UROTHELIAL CARCINOMA; PRESERVING CYSTECTOMY; PREDICTIVE FACTORS; EAU GUIDELINES; BCG THERAPY;

D O I：

10.1159/000348332

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：

Objectives: To review the current literature about prostate-sparing radical cystectomy (PSRC) and its potential for management of a selected population of patients with bladder cancer. Materials and Methods: The PubMed, EMBASE and Scopus databases were searched for the key words 'prostate', 'sparing' and 'cystectomy' between 1984 and 2012. Articles in English, French and German were considered relevant for review. Institutional experience with this procedure was also included. Results: PSRC remains a controversial procedure for the treatment of patients harboring bladder carcinoma, mainly due to insufficient knowledge of clear indications and/or contraindications. Experience with PSRC is still limited to very few referral centers and there is a lack of large series with long-term outcomes. The potential for excellent functional outcomes must be carefully balanced against inconsistent oncological results. Conclusions: PSRC may become an option for carefully selected and extensively informed patients. Suggestions for possible indications and contraindications are presented. Copyright (C) 2013 S. Karger AG, Basel

引用

页码：89 / 96

页数：8

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