[Ultrasonographic (intra- and extraluminal) pattern of cervico-urethral anastomosis after radical prostatectomy].
Thirteen patients, mean age 61 years (range 54 to 71), diagnosed with prostate adenocarcinoma underwent radical prostatectomy. To achieve a diagnosis they were all performed blood PSA determination, digital rectal examination, transrectal ultrasound and a prostate ultrasound-guided biopsy by automatic gun puncture. Serum PSA quantification, digital rectal examination and transrectal ultrasound were repeated in the immediate post-operative, and three and six months after surgery. Through the information obtained with endocavitary ultrasound, the lumen of the cervicourethral anastomosis and the perianastomotic tissue was assessed. Transrectal ultrasound plays a relevant role in the follow-up of patients undergoing radical prostatectomy. When a patient with prostate radical surgery shows an elevation of serum PSA and/or abnormal digital rectal examination, an ultrasound-guided biopsy (at the node or perianastomotic area) is indicated.
Castiñeiras
J
J
Servicio de Urología, Hospital Universitario de Puerto Real, Universidad de Cádiz.
Carnicer
I
I
Castro
C
C
Varo
C
C
Juárez
A
A
Alvarez-Ossorio
J L
JL
Sánchez-Bernal
C
C
Sánchez-Ferragut
C
C
García-Cabanillas
M J
MJ
Rodríguez-Rubio
F
F
D000230:Adenocarcinoma / Q000601:surgery*; D000368:Aged; D000714:Anastomosis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000601:surgery*; D014463:Ultrasonography; D014521:Urethra / Q000000981:diagnostic imaging* / Q000601:surgery*; D001743:Urinary Bladder / Q000000981:diagnostic imaging* / Q000601:surgery*
Patrón sonográfico (intra y extraluminal) de la anastomosis cérvico-uretral tras la prostatectomía radical.