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13.
Spremljanje urološkega bolnika po posegih na prostati in sečnem mehurju
Mihelič, Miro
Following the operative procedures on prostate and urinary bladder for benign or malignant condition regular follow-up is mandatory. The treatment outcome for benign prostatic conditions is not ...successful in 3%. Evaluation criteria are preoperative infravesical obstruction, irritative symptoms, ultraound imaging of potential changes of the urinary tract because of the obstruction and uroflow measurement. Early pooperative complications are due to prostatic area resected, urinary and genital tract infection and bleeding. Early pooperative complications for the malignant prostate are practically the same.Key marker to detect the prostatic cancer progression is prostatic specific antigen (PSA). Levels higher than 0,4 ng/ml indicate recurrence of the disease after radical prostatectomy. Other diagnostic methods detect cancer recurrence or progression 4 to 8 years following PSA elevation. The regular follow-up shedule should be strictly held on a long term outpatient basis following transurethral resection of the superfitial bladder tumors. Endoscopy, cytologic washout analysis are the most important indicating further diagnostic steps.
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