Efficacy of prostatectomy using a Retzius-sparing approach as an additional excision in anal canal carcinoma after brachytherapy for prostate adenocarcinoma

Q4 Medicine IJU Case Reports Pub Date : 2025-03-02 DOI:10.1002/iju5.70003
Takahiro Yanase, Taku Naiki, Aya Naiki-Ito, Ryosei Okawa, Sosuke Niwa, Nobuhiko Shimizu, Shuzo Hamamoto, Yoshiaki Fujii, Hiroki Takahashi, Takahiro Yasui
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Abstract

Introduction

Standard treatments for squamous cell carcinoma of the anal canal include chemoradiotherapy and surgical resection. We report a rare case of squamous cell carcinoma of the anal canal with prostate invasion treated with curative surgical methods using a Retzius-sparing robot-assisted approach.

Case presentation

A 76-year-old male had undergone brachytherapy for prostate adenocarcinoma (cT2aN0M0). Nine years later, the patient was diagnosed with anal canal carcinoma (cT2N0M0) following the onset of anal pain. During a robot-assisted abdominoperineal resection, prostate invasion was suspected and a prostatectomy was performed as an additional excision of the prostate using a Retzius-sparing approach. Although an anastomotic leak was observed postoperatively, it was conservatively managed with bilateral ureteral stent placement. The patient remained recurrence-free after surgery.

Conclusion

A Retzius-sparing robot-assisted approach in radical prostatectomy may be a safe and feasible option for cases of anal canal carcinoma with suspected prostate invasion.

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前列腺腺癌近距离放射治疗后,采用保留 Retzius 的前列腺切除术作为肛管癌的附加切除术的疗效
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来源期刊
IJU Case Reports
IJU Case Reports Medicine-Urology
CiteScore
0.60
自引率
0.00%
发文量
147
审稿时长
15 weeks
期刊最新文献
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