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Salvage radical prostatectomy: refinement of an effective procedure
1Department of Urology, The University of Texas, M. D. Anderson Cancer Center, Houston, TX 77030, USA.
Seminars in Radiation Oncology
|May 3, 2003
Summary
Salvage radical prostatectomy offers improved outcomes for select patients. This procedure, when performed by experienced surgeons, shows superior biochemical results compared to cryotherapy or brachytherapy.
Area of Science:
- Urology
- Oncology
Background:
- Salvage radical prostatectomy (SRP) has evolved significantly.
- Refinements focus on patient selection and surgical techniques.
Purpose of the Study:
- To review advancements in SRP.
- Compare SRP efficacy against salvage cryotherapy and brachytherapy.
Main Methods:
- Review of recent literature on SRP.
- Comparative analysis of treatment outcomes.
Main Results:
- Modified surgical techniques reduce complications like incontinence and contracture.
- Biochemical outcomes favor SRP over salvage cryotherapy or brachytherapy.
Conclusions:
- SRP is a viable option for well-selected patients.
- Approximately 50% of suitable candidates may achieve cure with SRP.