Robotic Radical Prostatectomy in Patients with Previous Prostate Surgery and Radiotherapy
Identifieur interne : 000E86 ( Main/Exploration ); précédent : 000E85; suivant : 000E87Robotic Radical Prostatectomy in Patients with Previous Prostate Surgery and Radiotherapy
Auteurs : Ömer Acar [Turquie] ; Tar K Esen [Turquie]Source :
- Prostate Cancer [ 2090-3111 ] ; 2014.
Abstract
Herein, we will review the available literature about robot-assisted radical prostatectomy in patients who have undergone prostate surgery or radiotherapy. Current data about this topic consists of small case series with limited follow-up. Despite being technically demanding, robot-assisted radical prostatectomy (RARP) can be considered feasible in either setting. Prostate surgery or prostatic irradiation should not be considered as a contraindication for robot-assisted radical prostatectomy. Nevertheless, patient counseling about the possible complications and the need for reintervention is of extreme importance in this patient population. Early oncologic and functional results of RARP performed in case of radiorecurrent prostate cancer look promising. Regarding postprostate surgery RARP, some series have reported comparable results, while some have demonstrated more inferior outcomes than those of naive cases. In order to assess the exact functional and oncologic outcome of RARP in patients with previous prostate surgery and radiotherapy, studies enrolling higher number of patients and providing longer follow-up data are needed.
Url:
DOI: 10.1155/2014/367675
PubMed: 25120933
PubMed Central: 4120925
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Robotic Radical Prostatectomy in Patients with Previous Prostate Surgery and Radiotherapy</title><author><name sortKey="Acar, Omer" sort="Acar, Omer" uniqKey="Acar O" first="Ömer" last="Acar">Ömer Acar</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, VKF American Hospital, 34365 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Urology, VKF American Hospital, 34365 Istanbul</wicri:regionArea><wicri:noRegion>34365 Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Esen, Tar K" sort="Esen, Tar K" uniqKey="Esen T" first="Tar K" last="Esen">Tar K Esen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, VKF American Hospital, 34365 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Urology, VKF American Hospital, 34365 Istanbul</wicri:regionArea><wicri:noRegion>34365 Istanbul</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">School of Medicine, Koc University, 34450 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>School of Medicine, Koc University, 34450 Istanbul</wicri:regionArea><wicri:noRegion>34450 Istanbul</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">25120933</idno><idno type="pmc">4120925</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120925</idno><idno type="RBID">PMC:4120925</idno><idno type="doi">10.1155/2014/367675</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002803</idno><idno type="wicri:Area/Pmc/Curation">002803</idno><idno type="wicri:Area/Pmc/Checkpoint">000987</idno><idno type="wicri:Area/Ncbi/Merge">003211</idno><idno type="wicri:Area/Ncbi/Curation">003211</idno><idno type="wicri:Area/Ncbi/Checkpoint">003211</idno><idno type="wicri:doubleKey">2090-3111:2014:Acar O:robotic:radical:prostatectomy</idno><idno type="wicri:Area/Main/Merge">000E86</idno><idno type="wicri:Area/Main/Curation">000E86</idno><idno type="wicri:Area/Main/Exploration">000E86</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Robotic Radical Prostatectomy in Patients with Previous Prostate Surgery and Radiotherapy</title><author><name sortKey="Acar, Omer" sort="Acar, Omer" uniqKey="Acar O" first="Ömer" last="Acar">Ömer Acar</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, VKF American Hospital, 34365 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Urology, VKF American Hospital, 34365 Istanbul</wicri:regionArea><wicri:noRegion>34365 Istanbul</wicri:noRegion></affiliation></author><author><name sortKey="Esen, Tar K" sort="Esen, Tar K" uniqKey="Esen T" first="Tar K" last="Esen">Tar K Esen</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Urology, VKF American Hospital, 34365 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>Department of Urology, VKF American Hospital, 34365 Istanbul</wicri:regionArea><wicri:noRegion>34365 Istanbul</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="I2">School of Medicine, Koc University, 34450 Istanbul, Turkey</nlm:aff><country xml:lang="fr">Turquie</country><wicri:regionArea>School of Medicine, Koc University, 34450 Istanbul</wicri:regionArea><wicri:noRegion>34450 Istanbul</wicri:noRegion></affiliation></author></analytic><series><title level="j">Prostate Cancer</title><idno type="ISSN">2090-3111</idno><idno type="eISSN">2090-312X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Herein, we will review the available literature about robot-assisted radical prostatectomy in patients who have undergone prostate surgery or radiotherapy. Current data about this topic consists of small case series with limited follow-up. Despite being technically demanding, robot-assisted radical prostatectomy (RARP) can be considered feasible in either setting. Prostate surgery or prostatic irradiation should not be considered as a contraindication for robot-assisted radical prostatectomy. Nevertheless, patient counseling about the possible complications and the need for reintervention is of extreme importance in this patient population. Early oncologic and functional results of RARP performed in case of radiorecurrent prostate cancer look promising. Regarding postprostate surgery RARP, some series have reported comparable results, while some have demonstrated more inferior outcomes than those of naive cases. 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