{"id":91,"date":"2015-07-31T03:07:37","date_gmt":"2015-07-31T03:07:37","guid":{"rendered":"https:\/\/www.alexandremiranda.com.br\/?page_id=91"},"modified":"2018-02-13T14:53:26","modified_gmt":"2018-02-13T16:53:26","slug":"prostate-cancer-sequelae","status":"publish","type":"page","link":"https:\/\/www.alexandremiranda.com.br\/en\/sequelas-cancer-de-prostata\/","title":{"rendered":"Sequelae of Prostate Cancer"},"content":{"rendered":"

[et_pb_section fb_built=”1″ fullwidth=”on” admin_label=”section” _builder_version=”3.0.47″][et_pb_fullwidth_header title=”Sequelas do C\u00e2nce de Pr\u00f3stata” text_orientation=”center” title_font_color=”#ffffff” content_font_color=”#ffffff” admin_label=”Cabe\u00e7alho de Largura Completa” _builder_version=”3.0.47″ title_text_color=”#ffffff” content_text_color=”#ffffff” background_color=”#98927a”]Ap\u00f3s o tratamento curativo para o c\u00e2ncer de pr\u00f3stata podemos ter complica\u00e7\u00f5es precoces e\/ou tardias. Muitas vezes o tratamento necessita de procedimentos avan\u00e7ados em reconstru\u00e7\u00e3o urol\u00f3gica
\n[\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”3.0.47″][et_pb_row admin_label=”row” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][et_pb_gallery gallery_ids=”92,93,94″ fullwidth=”on” admin_label=”Galeria” _builder_version=”3.0.101″ auto=”on” use_border_color=”off” border_color=”#ffffff” border_style=”solid” gallery_captions=”,,”] [\/et_pb_gallery][\/et_pb_column][et_pb_column type=”2_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Texto” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]Um estudo acompanhou por 5 anos 32.465 pacientes tratados para o c\u00e2ncer de pr\u00f3stata. (15.870 foram operados e 16.595 submetivos \u00e0 radioterapia).\u00a0 Durante o per\u00edodo de acompanhamento 32% foram submetidos \u00e0 algum procedimento urol\u00f3gico e 22,2% internaram de urg\u00eancia. O motivo mais comuns para a interna\u00e7\u00e3o foi a obstru\u00e7\u00e3o urin\u00e1ria, correspondendo \u00e0 36,7% dos pacientes internados[1].
\nNo mesmo estudo foi visto que a contratura do colo vesical (fechamento do canal de sa\u00edda da bexiga) era de 7,5%. Este fechamento ocorre no local em que \u00e9 feita a uni\u00e3o do orif\u00edcio de sa\u00edda da bexiga com a uretra (canal que leva a urina at\u00e9 a ponta do p\u00eanis), ap\u00f3s a retirada da pr\u00f3stata, que fica entre um e outro (veja as Figuras)
\nEm outro estudo com acompanhamento mais longo (7 anos) 26,9% dos pacientes operados apresentaram alguma complica\u00e7\u00e3o relacionada \u00e0 cirurgia (sequela do c\u00e2ncer de pr\u00f3stata)[2].
\nUma an\u00e1lise com 3.317 pacientes operados com o rob\u00f4 Da Vinci, para tratar c\u00e2ncer de pr\u00f3stata, 9,8% dos pacientes tiveram alguma complica\u00e7\u00e3o ap\u00f3s 2 anos[3]. Em outras an\u00e1lises com o rob\u00f4, a complica\u00e7\u00e3o variou de 3-36%[4]
\nUma complica\u00e7\u00e3o comum dos tratamentos para o c\u00e2ncer de pr\u00f3stata \u00e9 a disfun\u00e7\u00e3o sexual er\u00e9til (inabilidade para ter uma ere\u00e7\u00e3o suficiente para uma rela\u00e7\u00e3o sexual). Setenta e cinco por cento (75%) dos pacientes operados e 65% dos pacientes irradiados v\u00e3o apresentar esta complica\u00e7\u00e3o em at\u00e9 5 anos.
\nA incontin\u00eancia urin\u00e1ria (perda de urina de forma involunt\u00e1ria) acomete 15% dos pacientes submetidos \u00e0 cirurgia e 4% dos pacientes que fizeram radioterapia[5].
\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][et_pb_cta title=”Tratamento das complica\u00e7\u00f5es” admin_label=”Chamada \u00e0 A\u00e7\u00e3o” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]O Dr. Alexandre Miranda tem se dedicado ao tratamento das sequelas das terapias curativas do c\u00e2ncer de pr\u00f3stata, realizando cirurgias avan\u00e7adas e incorporando novas tecnologias. Cada paciente \u00e9 estudado de forma individualizada e seu tratamento personalizado
\n[\/et_pb_cta][\/et_pb_column][\/et_pb_row][et_pb_row admin_label=”row” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”1_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][\/et_pb_column][et_pb_column type=”2_3″ _builder_version=”3.0.47″ parallax=”off” parallax_method=”on”][et_pb_text admin_label=”Texto” _builder_version=”3.0.47″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]1- Estenose de colo vesical (fechamento do canal de sa\u00edda da bexiga)
\nGeralmente \u00e9 tratado com dilata\u00e7\u00e3o ou corte (endosc\u00f3pico) do canal estreitado. Nos casos em que estas op\u00e7\u00f5es n\u00e3o foram bem sucedidas \u00e9 necess\u00e1rio uma cirurgia reconstrutora, para refazer a anastomose (uni\u00e3o entre a sa\u00edda da bexiga e o canal que leva a urina para fora). A cirurgia \u00e9 chamada uretroplastia. Alternativamente podemos utilizar o LASER para tentar uma nova abertura, por\u00e9m o tratamento deve ser individualizado e discutido com seu cirurgi\u00e3o. Se voc\u00ea sofre com este problema agende agora uma consulta com o Dr. Alexandre Miranda.
\n2- Incontin\u00eancia urin\u00e1ria
\nO tratamento pode ser realizado com uma \u201cfita\u201despecial ou um esf\u00edncter artificial, para evitar perda de urina . Cada caso deve ser analisado de forma individual e discutido com o paciente. Se voc\u00ea sofre com este problema agende agora uma consulta com o Dr. Alexandre Miranda.
\n3- Disfun\u00e7\u00e3o sexual er\u00e9til
\nExistem formas n\u00e3o cir\u00fargicas para resolver este problema ou, em \u00faltimo caso, a inser\u00e7\u00e3o de pr\u00f3teses penianas.
\nSaiba agora como est\u00e1 a sua ere\u00e7\u00e3o. Clique AQUI<\/a>
\nSe voc\u00ea sofre com algum destes\u00a0problemas agende agora uma consulta com o Dr. Alexandre Miranda.<\/p>\n

 <\/p>\n

1.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nam, R. K., Cheung, P., Herschorn, S. et al.: Incidence of complications other than urinary incontinence or erectile dysfunction after radical prostatectomy or radiotherapy for prostate cancer: a population-based cohort study. Lancet Oncol, 15: 223, 2014
\n2.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Constantinides, C. A., Tyritzis, S. I., Skolarikos, A. et al.: Short- and long-term complications of open radical prostatectomy according to the Clavien classification system. BJU Int, 103: 336, 2009
\n3.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Agarwal, P. K., Sammon, J., Bhandari, A. et al.: Safety profile of robot-assisted radical prostatectomy: a standardized report of complications in 3317 patients. Eur Urol, 59: 684, 2011
\n4.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Novara, G., Ficarra, V., Rosen, R. C. et al.: Systematic review and meta-analysis of perioperative outcomes and complications after robot-assisted radical prostatectomy. Eur Urol, 62:431, 2012
\n5.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Potosky, A. L., Davis, W. W., Hoffman, R. M. et al.: Five-year outcomes after prostatectomy or radiotherapy for prostate cancer: the prostate cancer outcomes study. J Natl Cancer Inst, 96: 1358, 2004<\/p>\n

Tel: + 55 (21) 3183-7395
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Ap\u00f3s o tratamento curativo para o c\u00e2ncer de pr\u00f3stata podemos ter complica\u00e7\u00f5es precoces e\/ou tardias. Muitas vezes o tratamento necessita de procedimentos avan\u00e7ados em reconstru\u00e7\u00e3o urol\u00f3gica Um estudo acompanhou por 5 anos 32.465 pacientes tratados para o c\u00e2ncer de pr\u00f3stata. (15.870 foram operados e 16.595 submetivos \u00e0 radioterapia).\u00a0 Durante o per\u00edodo de acompanhamento 32% foram […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-91","page","type-page","status-publish","hentry"],"yoast_head":"\nSequelas do c\u00e2ncer de pr\u00f3stata - Dr. Alexandre Miranda \/ Andrologia & Urologia<\/title>\n<meta name=\"description\" content=\"Aproximadamente 30% dos homens que\u00a0trataram o c\u00e2ncer de pr\u00f3stata v\u00e3o apresentar algum tipo de sequela ao longo da vida. Saiba mais aqui.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.alexandremiranda.com.br\/en\/prostate-cancer-sequelae\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dr. Alexandre Miranda | Urologia, Andrologia e Sa\u00fade Sexual Masculina\" \/>\n<meta property=\"og:description\" content=\"Especialista em disfun\u00e7\u00f5es sexuais masculinas, o Dr. Alexandre Miranda \u00e9 refer\u00eancia em andrologia e oferece atendimento \u00e9tico, discreto e com embasamento cient\u00edfico. 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