RESUMO
Prostatic carcinoma metastasising to the penis is a rare occurrence with only 56 cases reported in the literature. The incidence of transitional cell carcinoma arising primarily in the prostate ranges from 1. 5 to 4%. These tumors have uniformly poor prognosis regardless the type of therapy. Most of the patients die within two to six moths and very few survive beyond twelve months. A case of transitional cell carcinoma of the prostate with penile metastases and priapism is presented.
Assuntos
Carcinoma de Células de Transição/secundário , Neoplasias Penianas/secundário , Priapismo/etiologia , Neoplasias da Próstata/patologia , Idoso , Carcinoma de Células de Transição/complicações , Carcinoma de Células de Transição/patologia , Humanos , Masculino , Neoplasias Penianas/complicações , Neoplasias Penianas/patologiaRESUMO
A total of 205 patients have undergone stone extraction surgery. Three groups were studied: in 70 patients the stones were removed by flank incision, in 20 patients by posterior incision and 80 patients were treated by percutaneous nephrolithotomy. Patients submitted to percutaneous nephrolithotomy had a shorter hospitalization, operative time and a significantly reduced period of recuperation, allowing earlier return to work and decreased disability. Narcotic drugs were demanded in a lower amount in the percutaneous nephrolithotomy group.