Ureteral Reimplantation or Percutaneous Nephrostomy: Which One Is Better in Management of Complete Ureteral Obstruction Due to Advanced Prostate Cancer?

Javanmard, Babak; Yousefi, Mohammad; Yaghoobi, Mohammad; Hadad, Amin Hasanzadeh; Amani, Maryam; Fadavi, Behruz; Karkan, Morteza Fallah

doi:10.5812/ijcm.6074

Cited by 6 publications

(7 citation statements)

References 31 publications

(59 reference statements)

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“…Of these, 468 were excluded by title and abstract screening, and a further 189 were excluded after full‐text assessment. Of the studies screened, 82 met the study criteria and were included in this review 4–85 . Figure 1 illustrates the process.…”

Section: Resultsmentioning

confidence: 99%

Malignant upper urinary tract obstruction in cancer patients: A systematic review

Shah,

Blest,

Blackmur

et al. 2024

BJUI Compass

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ObjectiveTo systematically summarise the current clinical evidence for de novo malignant upper urinary tract obstruction treatment with a focus on standards of reporting, patient outcomes and future research needs.MethodsThis review protocol was published via PROSPERO (CRD42022341588). OVID MEDLINE (R), EMBASE, Cochrane Central Register of Controlled Trials—CENTRAL were searched up to June 2022 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐analyses. Prospective and retrospective studies were included.ResultsOf 941 articles identified, 82 with 8796 patients were eligible for inclusion.Most studies in the published literature are retrospective and investigate heterogenous malignancies. Percutaneous nephrostomy and ureteric stenting are the most studied interventions. Few studies describe the outcomes from no intervention or investigate patient perspectives. Overall reported median survival after intervention was around 11.7 months. A lack of standardised reporting of outcomes was evident.ConclusionsMalignant upper urinary tract obstruction is an important clinical condition affecting patients globally. Overall survival after intervention appears poor however the current evidence base has significant limitations due to studies of low methodological quality and the lack of a standardised framework for reporting outcomes.We have provided a pragmatic framework for future studies based on the review to ensure a uniform methodology is utilised moving forward.

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Section: Resultsmentioning

confidence: 99%

Malignant upper urinary tract obstruction in cancer patients: A systematic review

Shah,

Blest,

Blackmur

et al. 2024

BJUI Compass

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“…In the same study were mentioned metastases of the retroperitoneum, kidney, and adrenal glands, but with no mention of the ureter (3) For complete obstruction of the ureter from tumoral involvement, the treatment of choice for long term obstruction relief is the placement of a nephrostomy tube, which is associated with important complications such as febrile UTI, perirenal abscess, dislodgement of a nephrostomy tube, local inflammation and dermatitis of nephrostomy tract, and hemorrhage during nephrostomy placement. (4,5) The difficulty of diagnosis was high because of the lack of bone metastasis in the presence of iliac and retroperitoneal lymph nodes involvement, which could also be suggestive for upper tract urothelial carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Renal colic secondary to ureteral metastasis: Rare presenting manifestation of prostate cancer

Pirvut

Mihai

Micu³

et al. 2020

Med Sci Discov

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Objective: Ureteral metastasis of prostate cancer is a very rare pathology, that can be confused with an upper urinary tract urothelial carcinoma, with great implications in the surgical management and therapy of the disease. Case: A 56-years old male patient admitted to the emergency room with 2 weeks history of left flank pain without low urinary tract symptoms or hematuria. PSA level was 43,4 ng/ml. The patient underwent prostate needle biopsy and ureteral biopsy using flexible ureteroscopy, after the Lich-Gregoire ureterovesical reimplantation. In this case, renal colic as the first symptom of a ureteral metastasis secondary to prostate cancer is extremely rare which diagnosed in the patient. Conclusion: Neoureterocystostomy is a safe and effective treatment for ureteral obstruction due to prostate cancer metastasis, with low morbidity and significant benefits in terms of quality of life for patients with life expectancy more than 10 years.

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“…GS includes two scores ranging from 1 to 5; the first score presents the most com-mon patterns and the second score presents the highest grade patterns for the tumor (14). The accuracy of GS is important because any fault in the assessment and calculation leads to inappropriate approaches and complications (15,16).…”

Section: Introductionmentioning

confidence: 99%

Pathological Association Between Radical Prostatectomy and Needle Biopsy Specimen in Prostate Cancer Patients

et al. 2020

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Background: Prostate cancer (PCa) is the second most common cancer in men worldwide. The accuracy of Gleason score (GS), as a useful system for histopathological assessment, is important because any fault in the assessment and calculation leads to inappropriate approaches and complications. Multifocality is common in PCa and it is expected that different grading of cancer would be seen in different areas. This is one of the sources of diversity in pathologic reports of transrectal ultrasound guided biopsy (TRUS BX) and radical prostatectomy, which is obtained in 41% to 43% of samples with exact accordance; so, when choosing the treatment plan is based on of the needle biopsy sample, the accuracy of TRUS BX GS is bolded. Objectives: In this study, we compared the pathology reports of initial biopsy and final pathology of the prostate after radical prostatectomy to determine the discrepancy among the Iranian population. Methods: In this retrospective study, 105 of 127 patients that underwent both TRUS Bx and radical prostatectomy in Shohada-e-Tajrish Hospital from August 2009 to October 2017 enrolled in the study. Results: In the current study, 55% of the patients were without change and 36% were upgraded. The rate of abnormal digital rectal examination and the increase of prostate-specific antigene levels have a statistically significant correlation with the upgrading of GS, respectively (P = 0.001 and 0.02). Conclusions: It is generally concluded that the initial biopsy with the final pathology of radical prostatectomy is similar in our investigation.

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Ureteral Reimplantation or Percutaneous Nephrostomy: Which One Is Better in Management of Complete Ureteral Obstruction Due to Advanced Prostate Cancer?

Cited by 6 publications

References 31 publications

Malignant upper urinary tract obstruction in cancer patients: A systematic review

Malignant upper urinary tract obstruction in cancer patients: A systematic review

Renal colic secondary to ureteral metastasis: Rare presenting manifestation of prostate cancer

Pathological Association Between Radical Prostatectomy and Needle Biopsy Specimen in Prostate Cancer Patients

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