Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica · 2002
["Post-actinic pelvic disease" and the ureter: the post-actinic ureter].
Аннотация на английскомСтатьяОбзорНазвание и аннотация: Перевод в очереди
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Simeone Claudio, Tanello Marco, Rosini Roberto, Botturi Alessandro, Tralce Luigi, Sironi Dario, Cunico Sergio Cosciani
Аннотация
PURPOSE: A retrospective study was done to analyze late urological complications following curative radiotherapy of primary gynecological carcinomas.
METHODS: From 1990 to 2000, 167 patients with primary gynecological cancer treated with external radiotherapy or intracavitary applications were observed. During the follow-up, all signs, symptoms and therapy of late treatment complications were recorded.
RESULTS: Most patients with ureteral stenosis or obstruction required surgical correction. Most patients with bladder fistulas were best served by creation of a cutaneous urinary diversion.
CONCLUSION: Ureteral complications after radiotherapy of the pelvis are rare but severe. Surgical therapy of irradiated tissues has a higher complication rate compared to surgery on non irradiated tissue. A cutaneous urinary diversion may be an acceptable and safe procedure when the bladder is definitely compromised.
METHODS: From 1990 to 2000, 167 patients with primary gynecological cancer treated with external radiotherapy or intracavitary applications were observed. During the follow-up, all signs, symptoms and therapy of late treatment complications were recorded.
RESULTS: Most patients with ureteral stenosis or obstruction required surgical correction. Most patients with bladder fistulas were best served by creation of a cutaneous urinary diversion.
CONCLUSION: Ureteral complications after radiotherapy of the pelvis are rare but severe. Surgical therapy of irradiated tissues has a higher complication rate compared to surgery on non irradiated tissue. A cutaneous urinary diversion may be an acceptable and safe procedure when the bladder is definitely compromised.
Предметные рубрики MeSH
AdultAgedCarcinomaCarcinoma, Transitional CellCombined Modality TherapyFemaleFibrosisGenital Neoplasms, FemaleHumansHydronephrosisItalyMiddle AgedNeoplasms, Radiation-InducedNeoplasms, Second PrimaryPalliative CarePelvic Inflammatory DiseasePostoperative ComplicationsRadiation InjuriesRadiotherapyRetrospective StudiesTreatment OutcomeUreterUreteral ObstructionUrinary Bladder NeoplasmsUrinary DiversionUrinary Fistula