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• W1976004766 abstract "No AccessJournal of UrologyClinical Urology: Original Articles1 Dec 1997DOES PROSTATE TRANSITIONAL CELL CARCINOMA PRECLUDE ORTHOTOPIC BLADDER RECONSTRUCTION AFTER RADICAL CYSTOPROSTATECTOMY FOR BLADDER CANCER? Christophe E. Iselin, Cary N. Robertson, George D. Webster, Johannes Vieweg, and David F. Paulson Christophe E. IselinChristophe E. Iselin More articles by this author , Cary N. RobertsonCary N. Robertson More articles by this author , George D. WebsterGeorge D. Webster More articles by this author , Johannes ViewegJohannes Vieweg More articles by this author , and David F. PaulsonDavid F. Paulson More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)68174-6AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined if urethral preservation and orthotopic bladder replacement in patients with transitional cell carcinoma within the prostatic urethra or prostate placed these patients at risk for urethral recurrence or death. Materials and Methods: The clinical course of all patients undergoing urethral preservation and orthotopic bladder replacement was reviewed. The urethra was sacrificed only if the distal prostatic urethral margin was positive for transitional cell carcinoma. The pathological T stage and the grade of the primary malignancy, local recurrence, site of recurrence (urethral, pelvic, distant) and death were documented. Results: Of 81 patients, 70 were evaluated (June 1996) with a mean followup of 35 months. Of the 70 patients 48 were alive without evidence of disease for a mean of 38 months (range 8 to 107) and 5 died without evidence of disease. Eight of these 53 patients (15%) had prostatic involvement (carcinoma in situ in 6, intraductal carcinoma in 1 and stromal invasive transitional cell carcinoma in 1). Of the 70 patients 17 had disease recurrence (13 died of disease and 4 are alive, 1 of whom had urethral recurrence without initial prostatic transitional cell carcinoma). Of the 17 patients (35%) 6 had transitional cell carcinoma prostatic involvement (carcinoma in situ in 4 and stromal invasion in 2), and 5 of these 6 died, none with or of urethral recurrence but of the primary bladder pathology. Of these 5 patients 1 had stromal invasive transitional cell carcinoma of the prostate and experienced a bulbar urethra recurrence at 1 month and a pelvic recurrence at 3 months, and died at 5 months. Death was not secondary to the urethral recurrence. Thus, of the 14 patients who had prostatic transitional cell carcinoma, only 1 had urethral recurrence (7%), and this recurrence did not present as the cause of death. Conclusions: The guidelines for urethral resection can be relaxed, increasing the opportunities for orthotopic reconstruction, without placing the patients at increased risk for death of transitional cell carcinoma. References 1 : Management of the patient with bladder cancer. Urethral recurrence.. Urol. Clin. N. Amer.1994; 21: 645. Google Scholar 2 : Urethral tumor recurrences after radical cystoprostatectomy: the case for primary cystoprostatourethrectomy?. J. Urol.1990; 143: 41. Link, Google Scholar 3 : Indications for urethrectomy in an era of continent urinary diversion.. J. Urol.1990; 144: 73. Abstract, Google Scholar 4 : Urethral recurrence following radical cystectomy.. J. Urol.1990; 144: 666. 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Google Scholar From the Division of Urologic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina.Accepted for publication May 9 1997.Supported by a grant from the Fonds de Perfectionnement, Geneva University Hospital, Geneva, Switzerland.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byRevelo M, Cookson M, Chang S, Shook M, Smith J and Shappell S (2018) Incidence and Location of Prostate and Urothelial Carcinoma in Prostates from Cystoprostatectomies: Implications for Possible Apical Sparing SurgeryJournal of Urology, VOL. 179, NO. 5S, (S27-S32), Online publication date: 1-May-2008.STEIN J, CLARK P, MIRANDA G, CAI J, GROSHEN S and SKINNER D (2018) URETHRAL TUMOR RECURRENCE FOLLOWING CYSTECTOMY AND URINARY DIVERSION: CLINICAL AND PATHOLOGICAL CHARACTERISTICS IN 768 MALE PATIENTSJournal of Urology, VOL. 173, NO. 4, (1163-1168), Online publication date: 1-Apr-2005.REVELO M, COOKSON M, CHANG S, SHOOK M, SMITH J and SHAPPELL S (2018) Incidence and Location of Prostate and Urothelial Carcinoma in Prostates From Cystoprostatectomies: Implications for Possible Apical Sparing SurgeryJournal of Urology, VOL. 171, NO. 2, (646-651), Online publication date: 1-Feb-2004.VAROL C, THALMANN G, BURKHARD F and STUDER U (2018) TREATMENT OF URETHRAL RECURRENCE FOLLOWING RADICAL CYSTECTOMY AND ILEAL BLADDER SUBSTITUTIONJournal of Urology, VOL. 172, NO. 3, (937-942), Online publication date: 1-Sep-2004.HASSAN J, COOKSON M, SMITH J and CHANG S (2018) URETHRAL RECURRENCE IN PATIENTS FOLLOWING ORTHOTOPIC URINARY DIVERSIONJournal of Urology, VOL. 172, NO. 4 Part 1, (1338-1341), Online publication date: 1-Oct-2004.NIXON R, CHANG S, LAFLEUR B, SMITH J and COOKSON M (2018) CARCINOMA IN SITU AND TUMOR MULTIFOCALITY PREDICT THE RISK OF PROSTATIC URETHRAL INVOLVEMENT AT RADICAL CYSTECTOMY IN MEN WITH TRANSITIONAL CELL CARCINOMA OF THE BLADDERJournal of Urology, VOL. 167, NO. 2 Part 1, (502-505), Online publication date: 1-Feb-2002.DONAT S, WEI D, McGUIRE M and HERR H (2018) THE EFFICACY OF TRANSURETHRAL BIOPSY FOR PREDICTING THE LONG-TERM CLINICAL IMPACT OF PROSTATIC INVASIVE BLADDER CANCERJournal of Urology, VOL. 165, NO. 5, (1580-1584), Online publication date: 1-May-2001.COLOMBO R, BERTINI R, SALONIA A, DA POZZO L, MONTORSI F, BRAUSI M, ROSCIGNO M and RIGATTI P (2018) NERVE AND SEMINAL SPARING RADICAL CYSTECTOMY WITH ORTHOTOPIC URINARY DIVERSION FOR SELECT PATIENTS WITH SUPERFICIAL BLADDER CANCER: AN INNOVATIVE SURGICAL APPROACHJournal of Urology, VOL. 165, NO. 1, (51-55), Online publication date: 1-Jan-2001. Volume 158Issue 6December 1997Page: 2123-2126 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Christophe E. Iselin More articles by this author Cary N. Robertson More articles by this author George D. Webster More articles by this author Johannes Vieweg More articles by this author David F. Paulson More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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