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Prostate Injury


Presentation

  • We present an unreported case of rectal injury caused by an ultrasound probe. A 67-year-old male presented with a serum prostate-specific antigen level of 5.50 ng/ml, a Gleason score of 7 (3 4) and clinical T2a adenocarcinoma of the prostate.[ncbi.nlm.nih.gov]
  • The study was scheduled for presentation Tuesday at the annual meeting of the American Society of Anesthesiologists in Washington, D.C.[consumer.healthday.com]
  • .- ) Type 2 Excludes injury of peritoneum ( S36.81 ) injury of retroperitoneum ( S36.89- ) Injury of urinary and pelvic organs Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs[icd10data.com]
  • The abstract, “The Use of Injectable Tissue Spacer in Conjunction With Adaptive Radiotherapy for Prostate Cancer,” will be presented at 10:00 a.m. Eastern time on April 30, 2011.[newswise.com]
Internal Bleeding
  • Complications: Blood in urine Chronic pelvic pain Decreased sexual function Fever Nausea Scarring Tearing of the bowel leading to internal bleeding Death Using the Da Vinci Surgical Robot is completely different from traditional surgery.[badrobotsurgery.com]
Abdominal Pain
  • The patient subsequently complained of abdominal pain postoperatively. A gastrointestinal perforation was suspected based on an abdominal X-ray obtained on the day after the brachytherapy.[ncbi.nlm.nih.gov]
  • Side or abdominal pain and urinary tract infection/pyelonephritis (kidney inflammation) are commonly seen.[urology.wustl.edu]
  • Most patients with bladder rupture complain of suprapubic or abdominal pain. Difficulty or inability to void. Many can still void but the ability to urinate does not exclude bladder injury or perforation.[patient.info]
Suprapubic Pain
  • Suprapubic pain or tenderness. Most patients with bladder rupture complain of suprapubic or abdominal pain. Difficulty or inability to void. Many can still void but the ability to urinate does not exclude bladder injury or perforation.[patient.info]
Fecal Incontinence
  • incontinence Treatment Treatment is different for early and advanced prostate cancers.[medicalnewstoday.com]
Insect Bite
  • .- ) effects of foreign body in stomach, small intestine and colon ( T18.2- T18.4 ) frostbite ( T33-T34 ) insect bite or sting, venomous ( T63.4 ) Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals S37 ICD-10-CM Diagnosis[icd10data.com]
Facial Swelling
  • Consequences include facial swelling, arm injury, as well as corneal and other visual injuries. In Dr.[asahq.org]
  • While undergoing robotic-assisted radical prostatectomy, patients are positioned head-down and are at risk for facial swelling, arm injuries, as well as corneal or other eye injuries, the researchers explained.[consumer.healthday.com]
Enlargement of the Prostate
  • Prostatectomy, or the removal of the Prostate, is typically caused by benign prostatic hyperplasia (enlargement of the prostate) or cancer. Prostate cancer affects approximately 189,000 men in the US each year.[badrobotsurgery.com]
  • A physician can diagnose enlarged prostate through a digital rectal exam which typically occurs during a routine physical examination.[medicalneg.com]
  • In many of those instances, although the patient was exhibiting signs that would be either an enlarged prostate or prostate cancer, the doctor simply assumed it was an enlarged prostate, and thereafter did not perform or recommend any other tests.[litigationandtrial.com]
  • Bladder Outlet Obstruction The most common cause of a bladder outlet obstruction is an enlarged prostate.[urologyclinics.com]
  • Enlargement of the prostate or BPH The most frequent cause of prostate trouble is a condition called BPH. This stands for benign prostatic hyperplasia, which means noncancerous enlargement of the prostate.[stanleyducharme.com]
Painful Ejaculation
  • Symptoms that you may need your prostate removed are pain during urination, restrictions during urine flow, frequent urination, and painful ejaculation. The risks and rewards of undergoing a prostatectomy are high for men.[badrobotsurgery.com]
  • ejaculation Flu-like signs and symptoms (with bacterial prostatitis) When to see a doctor If you have pelvic pain, difficult or painful urination, or painful ejaculation, see your doctor.[mayoclinic.org]
  • Others have pain or burning during urination, blood in the urine or semen, pain in the back, hips, or pelvis, and painful ejaculation.[medicinenet.com]
  • […] held liable for failure to diagnose your prostate cancer if any of the following symptoms were not followed up with further testing: Blood in urine or semen Frequent urination, especially at night Inability to urinate Weak or interrupted urinary flow Painful[kytrial.com]
Prostatic Disease
  • "The PSA level may differ depending on many factors such as age, race and family history of prostate diseases such as prostatitis.[prnewswire.com]
  • Like other saddle issues, you can minimize or even eliminate this one with proper saddle adjustment and bike fit, says Pruitt, who's worked with men with prostate disease using PSA as a bike-fit marker.[bicycling.com]
  • Since urinary changes are often the first signs of prostate problems, it may be difficult for the man with spinal cord injury to recognize early prostate disease without regular PSA (prostatic specific antigen) blood tests.[stanleyducharme.com]
Prostatic Pain
  • At the end of the trial, participants in both groups felt better, but those in the aerobic exercise group experienced significantly greater improvements in prostatitis pain, anxiety and depression, and quality of life.[harvardprostateknowledge.org]

Treatment

  • Many large-scale prospective studies have analysed the correlations of patient-related and treatment-related parameters with acute and late toxicity to optimize patient selection and treatment planning.[ncbi.nlm.nih.gov]
  • The treatment sections of the book correspond to the staging of disease. The treatment of localized disease addresses the range of multidisciplinary management options including a discussion of prostate cancer's impact on the quality of life.[books.google.com]
  • “Removing rectal injury from the treatment essentially makes radiation therapy the treatment of choice for prostate cancer,” Kenneth Tokita, MD, senior author of the study and the founder and medical director of Cancer Center of Irvine in Irvine, Calif[newswise.com]
  • Besides the clear benefits to the patients, the study shows such preventive measures can also help avoid prolonged, expensive hospitalization, need for additional treatment or surgery, as well as the costs of follow-up treatments.[sciencedaily.com]
  • We know from other studies that statins may augment the effect of conventional systemic treatments. Here, we see it may have a protective effect in the context of radiotherapy.[journals.lww.com]

Prognosis

  • Unfortunately, if there is spread of the cancer, the prognosis becomes worse.[medicalneg.com]
  • Prognosis for most patients with prostate cancer, especially when it is localized or regional, is very good.[merckmanuals.com]
  • Erectile dysfunction occurs in 20-60% of patients after traumatic urethral rupture. [ 9 ] Prognosis Traumatic bladder ruptures were once uniformly fatal. They are currently usually managed successfully.[patient.info]

Epidemiology

  • The book first reviews fundamental issues including epidemiology, screening, risk reduction, diagnosis and pathologic characterization, staging, and imaging.[books.google.com]
Sex distribution
Age distribution

Prevention

  • There may be warning signs to help surgeons avoid damaging part of the urinary system during robot-assisted surgical removal of prostate cancer, ultimately preventing the expense of additional surgery, according to researchers at Henry Ford's Vattikuti[sciencedaily.com]
  • “And physicians caring for patients undergoing RARP should be more watchful of these potential injuries and take the necessary steps to help prevent them.”[asahq.org]
  • "And physicians caring for patients undergoing [robotic-assisted radical prostatectomy] should be more watchful of these potential injuries and take the necessary steps to help prevent them."[consumer.healthday.com]
  • Hayes, J.D. and Pulford, D.J. (1995) The Glutathione S-transferases (GST) supergene family: regulation of GST and contriburion of the isoenzymes to cancer prevention and drug resistance. Cret. Rev. Biochem. Mol. Biol. 30, 445–600.[link.springer.com]
  • The role of statins in preventing or ameliorating late radiation injury deserves further study.” He and his colleagues recruited 53 patients for the study. “We followed them all for a minimum of two years,” Anscher said.[journals.lww.com]

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