Successful salvage robotic-assisted radical prostatectomy after external beam radiotherapy failure.
We describe the first case of salvage robotic-assisted radical prostatectomy for local recurrence after external beam radiotherapy. A 50-year-old man initially underwent combined external beam radiotherapy and hormonal treatment for Stage T2a prostate adenocarcinoma. The prostate-specific antigen level was 10.5 ng/mL, and the Gleason score was 3+3. Two years later, he developed biopsy-proven recurrent disease. He underwent salvage robotic-assisted radical prostatectomy. The patient was discharged on day 1 postoperatively. The histologic analysis revealed an organ-confined tumor. His prostate-specific antigen at 3 months was <0.03 ng/mL, and he was continent. Salvage robotic-assisted radical prostatectomy is a safe and technically feasible salvage treatment for prostate cancer for which primary radiotherapy has failed.
Department of Urology, Guy's Hospital and King's College London School of Medicine, London, United Kingdom.
Karim
K
Jamal
Ben
B
Challacombe
Oussama
O
Elhage
Rick
R
Popert
Roger
R
Kirby
Prokar
P
Dasgupta
D006801:Humans; D008297:Male; D008875:Middle Aged; D017430:Prostate-Specific Antigen / Q000097:blood; D011468:Prostatectomy / Q000379:methods*; D011471:Prostatic Neoplasms / Q000532:radiotherapy* / Q000601:surgery*; D011878:Radiotherapy / Q000379:methods*; D012371:Robotics; D016879:Salvage Therapy; D016896:Treatment Outcome; D013520:Urologic Surgical Procedures / Q000379:methods
D017430:Prostate-Specific Antigen