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Komplikace spojené s radioterapií karcinomu prostaty, jejich prevence a léčba
Title in English | Prostate cancer radiotherapy – related complications, their prevention and treatment |
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Authors | |
Year of publication | 2011 |
Type | Article in Periodical |
Magazine / Source | Urologie pro praxi |
MU Faculty or unit | |
Citation | |
Field | Other medical specializations |
Keywords | Prostate cancer; radiotherapy; complications |
Description | Radiotherapy for prostate cancer is connected with urinary and gastrointestinal toxicity. We distinguish two types of adverse effects: early (acute) and late (chronic). In the course of radiotherapy and shortly after the treatment completion we can expect intestinal frequency, tenesmus, diarrhoea, rectal bleeding, pollakisuria, dysuria, acute urinary retention and hematuria. Late sequelae of radiotherapy originate several months till years after the treatment and manifest as postradiation proctitis and cystitis, rectal a urethral strictures, ulcers, bowel obstruction and perforation and fistulae. 40–50 % patiens with prostate cancer treated with external beam radiation therapy have erectile dysfunction. Patient co-operation and régime and dietary arrangements are important in prevention of postradiation complications. Treatment of less serious complications is symptomatic, serious acute and late sequelae of treatment are subjekt matter for gastroenterologist and urologist. |