Kocot A, Spahn M, Loeser A, Riedmiller H
Klinik und Poliklinik für Urologie und Kinderurologie, Julius-Maximilians-Universität Würzburg, Oberdürrbacher Straße 6, Würzburg, Germany.
Urologe A. 2011 Nov;50(11):1428-30. doi: 10.1007/s00120-011-2653-0.
For patients with recurrent prostate cancer after initial external beam radiation salvage cryotherapy is considered as an alternative to salvage prostatectomy. We report a serious complication of salvage cryotherapy in a 72-year-old man suffering from a severe recto-vesico-cutaneous fistula 6 weeks after salvage cryotherapy. To manage this situation salvage cystoprostatectomy and continent urinary diversion with creation of an ileocaecal pouch with cutaneous stoma had to be performed.
对于初次外照射放疗后复发的前列腺癌患者，挽救性冷冻治疗被视为挽救性前列腺切除术的一种替代方案。我们报告了一例72岁男性患者在挽救性冷冻治疗6周后出现严重直肠膀胱皮肤瘘这一挽救性冷冻治疗的严重并发症。为处理这种情况，不得不实施挽救性膀胱前列腺切除术及采用回盲肠造口术建立可控性尿流改道。
