Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press38710.17650/1726-9776-2014-10-3-95-99CLINICAL CASEКЛИНИЧЕСКИЙ СЛУЧАЙSurgical treatment for progressive prostate cancer: A clinical caseКлинический случай: хир ургическое лечение прогрессирующего рака предст ательной железыVelievE. I.ВелиевЕ. И.
Russian Federation
GolubtsovaE. N.ГолубцоваЕ. Н.
Russian Federation
engolubtsova@yandex.ruTomilovA. A.ТомиловА. А.
Russian Federation
Department of Urology and Surgical Andrology, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia, MoscowКафедра урологии и хирургической андрологии ГБОУ ДПО РМАПО Минздрава России, Москва3009201410395990911201409112014https://oncourology.abvpress.ru/oncur/article/view/387

In spite of its existing standards, the treatment of patients with progressive prostate cancer (PC) remains a matter of debate. Ensuring that the patients have good quality of life is also relevant. The paper describes a clinical case of a patient with progressive PC after hormone therapy, brachytherapy, salvage prostatectomy, enucleation of the testicular parenchyma, and salvage lymphadenectomy. A phallic prosthesis and an artificial urinary sphincter have been implanted to improve quality of life. The results of preoperative examination and the technological features of surgical interventions are given.

Несмотря на существующие стандарты, лечение пациентов с прогрессирующим раком предстательной железы (РПЖ) остается предметом дискуссий. Не менее актуальны и вопросы обеспечения достойного качества жизни. В статье представлено клиническое наблюдение пациента с прогрессирующим РПЖ, перенесшего гормональную терапию, брахитерапию, спасительную простатэктомию, энуклеацию паренхимы яичек, спасительную лимфаденэктомию. С целью улучшения качества жизни была выполнена имплантация фаллопротеза и искусственного мочевого сфинктера. Приводятся результаты предоперационного обследования и технические особенности оперативных вмешательств.

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