Hormonal treatment of obstructed kidneys in patients with prostatic cancer.
A review of 1288 patients with previously untreated prostatic cancer revealed 209 patients (16%) with ureteric obstruction; the obstruction was bilateral in 36%. The effect of hormonal treatment was assessed in 88 patients with 120 obstructed kidneys: 77 patients had androgen deprivation or hormonal medication alone and 11 patients needed percutaneous nephrostomy or ureteric catheters in addition. Drainage improved in 58% of the kidneys. The diverting catheter was withdrawn in 9 of the 11 patients after a median of 4 weeks. In all, 95% of patients were discharged. The patients with hormonal therapy alone survived for a median of 26 months (range 1-111), while the patients who also needed diversion survived for a median of 13 months (range 1-28). The median time spent at home was 24 months (0-102) and 10 months (0-23) respectively, presumably reflecting the worse general condition of the patients who required diversion.
Honnens de Lichtenberg
M
M
Department of Urology, Bispebjerg Hospital, Copenhagen, Denmark.
Miskowiak
J
J
Rolff
H
H
D000368:Aged; D000369:Aged, 80 and over; D006728:Hormones / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009919:Orchiectomy; D011471:Prostatic Neoplasms / Q000150:complications* / Q000401:mortality; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery / Q000628:therapy*; D014547:Urinary Diversion
D006728:Hormones