Email this article PREVENTION OF DYSURIA AFTER HIFU THERAPY FOR PROSTATE CANCER
- Authors: Shestaev A.Y.1, Protoshchak V.V.1, Sinelnikov L.M.1, Kardinalova V.A.1, Yeloev R.A.2
-
Affiliations:
- Clinic of Urology, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
- City Hospital Forty, Saint Petersburg
- Issue: Vol 10, No 2 (2014)
- Pages: 62-66
- Section: PROSTATE CANCER
- Published: 30.06.2014
- URL: https://oncourology.abvpress.ru/oncur/article/view/62
- DOI: https://doi.org/10.17650/1726-9776-2014-10-2-62-66
- ID: 62
Cite item
Full Text
Abstract
Objective: to identify factors for the development of dysuria and its prevention in patients with prostate cancer (PC) after high-intensity focused ultrasound (HIFU) therapy.
Subjects and methods. In September 2008 to June 2013, the Clinic of Urology, S.M. Kirov Military Medical Academy, treated 98 patients, by performing HIFU sessions on an Ablatherm apparatus (EDAP, France). All the patients underwent transurethral resection of the prostate (TURP) to reduce the volume of the ablated tissue. The patients were divided into 2 groups: 1) 29 patients underwent TURP 3 days before HIFU therapy; 2) 69 did this 1 month before major surgery. Each group was divided into 2 subgroups: 1) after ultrasound ablation, a urethral catheter was inserted for 10 days; 2) epicystostoma was applied, followed by its overlapping on day 3 postablation and spontaneous urination. The postoperative incidence of dysuria was estimated from subjective (complaints, voiding diary, and Inter-national Prostate Symptom Score) and objective (uroflowmetry, small pelvic ultrasonography with determination of residual urine volume) criteria.
Results. In the patients who had undergone TURP one month before HIFU therapy, grades I–II urinary incontinence and urethral pros-tatic stricture occurred much less infrequently than in those who had undergone this maneuver 3 days prior to major surgery. Urinary in-continence and urethral prostatic stricture occurred 2-fold more frequently after TURP being carried out 3 days before HIFU therapy than after the urethral catheter being inserted. TURP performed one month before HIFU therapy showed no great difference in the incidence complications regardless of the type of bladder drainage.
Conclusion. The short interval between TURP and HIFU therapy for PC increases the risk of postoperative dysuric events. The optimal time to perform TURP prior to HIFU therapy is 1 month.
About the authors
A. Yu. Shestaev
Clinic of Urology, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
Email: vkardinalova@mail.ru
Russian Federation
V. V. Protoshchak
Clinic of Urology, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
Email: vkardinalova@mail.ru
Russian Federation
L. M. Sinelnikov
Clinic of Urology, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
Email: vkardinalova@mail.ru
Russian Federation
V. A. Kardinalova
Clinic of Urology, S.M. Kirov Military Medical Academy, Ministry of Defense of Russia, Saint Petersburg
Author for correspondence.
Email: vkardinalova@mail.ru
Russian Federation
R. A. Yeloev
City Hospital Forty, Saint Petersburg
Email: vkardinalova@mail.ru
Russian Federation
References
Supplementary files
