title: [Treatment of specific complications of locally advanced prostate cancer].
abstract: Despite improved screening methods and earlier detection of prostate carcinoma, the complications of locally advanced disease remain a challenge for urologists. The spectrum of possible complications includes subvesical obstruction, hydronephrosis, hematuria, pain, and local invasion of adjacent organs. Urinary diversion, palliative transurethral resection of the prostate, and endoscopic diathermy are classic procedures. Urethral stenting, laser evaporation, and selective arterial embolization are alternate approaches for treating these complex cases. Cystoprostatectomy and pelvic exenteration are ultimate options for patients with chronic pain and debilitating local symptoms.
authors.affiliation: Klinik für Urologie und Kinderurologie, Helios-Klinikum, Heusner Strasse 40, 42283, Wuppertal, Deutschland. friedrich.von-rundstedt@helios-kliniken.de
authors.forename: F C
authors.initials: FC
authors.lastname: von Rundstedt
authors.forename: A S
authors.initials: AS
authors.lastname: Brandt
authors.forename: D
authors.initials: D
authors.lastname: Lazica
authors.forename: M J
authors.initials: MJ
authors.lastname: Mathers
authors.forename: S
authors.initials: S
authors.lastname: Roth
mesh_terms: D003131:Combined Modality Therapy; D006417:Hematuria / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006869:Hydronephrosis / Q000473:pathology / Q000601:surgery*; D008297:Male; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D010146:Pain / Q000473:pathology / Q000601:surgery*; D010166:Palliative Care / Q000379:methods; D011467:Prostate / Q000473:pathology; D011471:Prostatic Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D020728:Transurethral Resection of Prostate / Q000379:methods; D001743:Urinary Bladder / Q000473:pathology; D001748:Urinary Bladder Neck Obstruction / Q000473:pathology / Q000601:surgery*