Urethral cancer surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
'''Role of Surgery''' | |||
Surgery is the mainstay of therapy for urethral cancers in both women and men. The surgical approach depends on tumor stage and anatomic location, and tumor grade plays a less important role in treatment decisions. Although the traditional recommendation has been to achieve a 2-cm tumor-free margin, the optimal surgical margin has not been rigorously studied and is not well defined. The role of lymph node dissection is not clear in the absence of clinical involvement, and the role of prophylactic dissection is controversial. Radiation therapy and/or chemotherapy may be added in some cases in patients with extensive disease or in an attempt at organ preservation; but there are no clear guidelines for patient selection, and the low level of evidence precludes confident conclusions about their incremental benefit. | |||
Ablative techniques, such as transurethral resection, electroresection and fulguration, or laser vaporization-coagulation, are used to preserve organ function in cases of superficial anterior tumors, although the supporting literature is scant. | |||
Surgery is the most common treatment for cancer of the urethra. One of the following types of surgery may be done: | Surgery is the most common treatment for cancer of the urethra. One of the following types of surgery may be done: | ||
* Open excision surgery | * Open excision surgery | ||
Revision as of 14:42, 4 September 2015
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Urethral cancer Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Urethral cancer surgery On the Web |
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American Roentgen Ray Society Images of Urethral cancer surgery |
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Risk calculators and risk factors for Urethral cancer surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Surgery
Role of Surgery
Surgery is the mainstay of therapy for urethral cancers in both women and men. The surgical approach depends on tumor stage and anatomic location, and tumor grade plays a less important role in treatment decisions. Although the traditional recommendation has been to achieve a 2-cm tumor-free margin, the optimal surgical margin has not been rigorously studied and is not well defined. The role of lymph node dissection is not clear in the absence of clinical involvement, and the role of prophylactic dissection is controversial. Radiation therapy and/or chemotherapy may be added in some cases in patients with extensive disease or in an attempt at organ preservation; but there are no clear guidelines for patient selection, and the low level of evidence precludes confident conclusions about their incremental benefit.
Ablative techniques, such as transurethral resection, electroresection and fulguration, or laser vaporization-coagulation, are used to preserve organ function in cases of superficial anterior tumors, although the supporting literature is scant.
Surgery is the most common treatment for cancer of the urethra. One of the following types of surgery may be done:
- Open excision surgery
- Electro-resection with flash surgery
- Laser surgery
- Cystourethrectomy surgery
- Cystoprostatectomy surgery
- Anterior body cavity surgery
- Incomplete penectomy surgery
- Basic penectomy surgery