de la Taille A, Zerbib M
Service d'urologie, CHU Henri-Mondor, 54, boulevard du Général-de-Lattre-de-Tassigny, 94000 Créteil, France.
Ann Urol (Paris). 2003 Dec;37(6):345-57. doi: 10.1016/s0003-4401(03)00121-9.
Radiation therapy is commonly used to treat pelvic or retroperitoneal cancers but has some impact on genito-urinary system: short-term side effects are frequent with usually a completed regression. However, the incidence of major complications is about 12% and is probably underestimated due to a long delay between radiation therapy and diagnosis of some adverse events such as ureteral strictures or fistula. Clinical follow-up must absolutely include an early diagnosis and treatment of radiation therapy complications such as renal dysfunction, ureteral stricture, ureteral fistula, chronic bladder injury, bladder fistula, urethral stricture, infertility or erectile dysfunction.
放射治疗常用于治疗盆腔或腹膜后癌症，但对泌尿生殖系统有一定影响：短期副作用很常见，通常会完全消退。然而，主要并发症的发生率约为12%，由于放射治疗与某些不良事件（如输尿管狭窄或瘘管）的诊断之间存在较长延迟，这一发生率可能被低估。临床随访必须绝对包括对放射治疗并发症的早期诊断和治疗，如肾功能障碍、输尿管狭窄、输尿管瘘、慢性膀胱损伤、膀胱瘘、尿道狭窄、不孕或勃起功能障碍。
