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- W2899649231 abstract "1406 Progressive palliative care relieves physical and emotional suffering throughout illness. 75-90% of patients with advanced urologic malignancies experience significant pain and all experience a degree of emotional distress. There are no clear guidelines in the literature for surgical or medical palliative care of patients with advanced urologic malignancies. A review of the available literature for palliative care in urologic oncology was combined with our clinical experience and patient databases to develop rational guidelines for supportive care for urologic oncology patients. Local progression of a primary tumor in the face of incurable metastasis is best treated with renal embolization for renal tumors and radiation therapy or palliative cystoprostatectomy for prostate and bladder cancers. Hematuria from prostate or bladder cancer is best treated with endoscopic resection, intavesical treatments or radiation therapy. Urinary diversion without cystectomy, percutaneous nephrostomy tubes or ureteral stents are all useful modalities to manage renal obstruction. Analgesia and radiation therapy remain the mainstay of advanced palliation for metastatic lesions and pain. Laser therapy of endobronchial metastases provides excellent relief of these lesions. For all patients with advanced disease, hospice team and continued physician support are central to the physical, emotional and spiritual patient and family needs. Interdisciplinary teams that focus on patient and family defined quality of life should be progressively utilized throughout illness." @default.
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- W2899649231 date "2004-04-01" @default.
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- W2899649231 title "Guidelines for palliative care in urology" @default.
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