Fourcade R O
Ann Urol (Paris). 1984 Dec;18(6):424-6.
Prostatic carcinoma was discovered in seven patients presenting with renal failure, with ages ranging from 44 to 84. Management consisted of various associations of estrogens, steroids, hemodialysis, TUR, ureteral implantation, or ureteral prostheses. Cutaneous ureterostomy was avoided whenever possible. Survival was less than one year for four patients with anaplastic carcinoma, while all the others survived for at least four years. Two different obstructive mechanisms caused the acute renal failure in these patients: simple infravesical obstruction, easily relieved by TUR, and retroperitoneal ureteral obstruction, requiring a more complex operative procedure in hormone dependent patients.
在7例出现肾衰竭的患者中发现了前列腺癌，年龄在44岁至84岁之间。治疗方法包括雌激素、类固醇、血液透析、经尿道前列腺切除术（TUR）、输尿管植入术或输尿管假体的各种联合应用。尽可能避免行皮肤输尿管造口术。4例间变性癌患者的生存期不到1年，而其他所有患者至少存活了4年。两种不同的梗阻机制导致了这些患者的急性肾衰竭：单纯膀胱下梗阻，可通过TUR轻松缓解；以及腹膜后输尿管梗阻，在激素依赖型患者中需要更复杂的手术操作。
