Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press38110.17650/1726-9776-2014-10-3-64-68PROSTATE CANCERРАК ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫSalvage robot-assisted radical prostatectomy after brachytherapy: our experienceСальважная робот-ассиcтированная радикальная простатэктомия после бра хитерапии: наш опытGovorovA. V.ГоворовА. В.
Russian Federation
VasilyevA. O.ВасильевА. О.
Russian Federation
alexvasilyev@me.comPrilepskayaE. A.ПрилепскаяЕ. А.
Russian Federation
KоlоntaryovK. B.КолонтаревК. Б.
Russian Federation
PushkarD. Yu.ПушкарьД. Ю.
Russian Federation
Department of Urology of Moscow State University of Medicine and Dentistry named after A.I. EvdokimovКафедра урологии МГМСУ им. А.И. Евдокимова3009201410364680911201409112014https://oncourology.abvpress.ru/oncur/article/view/381

In case of recurrence of prostate cancer after radiation therapy patient may be offered salvage radical prostatectomy (both open and laparoscopic/robotic), hormone therapy, and a number of alternative techniques such as salvage cryoablation, HIFU-therapy and brachytherapy. Results of monitoring of patients for 10 years after salvage treatment of prostate cancer are known only after salvage prostatectomy. Technically radical prostatectomy after radiation therapy is associated with a large number of complications if compared with primary radical prostatectomy. The most frequent complications after salvage prostatectomy include incontinence, stricture formation of urethrovesical anastomosis, rectal injury, acute urinary retention and infectious complications.

В случае рецидива рака предстательной железы (РПЖ) после лучевой терапии (ЛТ) пациенту может быть предложена сальважная радикальная простатэктомия (РПЭ) (открытая и лапароскопическая/роботическая), гормональная терапия, а также ряд альтернативных методик, таких как сальважная криоаблация, HIFU-терапия и брахитерапия. Результаты наблюдения за больными в течение 10 лет после сальважного лечения РПЖ известны только после сальважной простатэктомии. Технически проведение РПЭ после ЛТ сопряжено с большим числом осложнений, чем после первичной РПЭ. К наиболее частым осложнениям после сальважной простатэктомии относят недержание мочи, формирование стриктуры уретровезикального анастомоза, повреждение прямой кишки, острую задержку мочеиспускания и инфекционные осложнения.

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