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.
Jamal
Karim
K
Department of Urology, Guy's Hospital and King's College London School of Medicine, London, United Kingdom.
Challacombe
Ben
B
Elhage
Oussama
O
Popert
Rick
R
Kirby
Roger
R
Dasgupta
Prokar
P
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