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How to minimize lymphoceles and treat clinically symptomatic lymphoceles after radical prostatectomy.

Authors
  • Lee, Hak J
  • Kane, Christopher J
Type
Published Article
Journal
Current urology reports
Publication Date
Oct 01, 2014
Volume
15
Issue
10
Pages
445–445
Identifiers
DOI: 10.1007/s11934-014-0445-y
PMID: 25129450
Source
Medline
License
Unknown

Abstract

The development of a lymphocele after pelvic surgery is a well-documented complication, especially where pelvic lymph node dissection (PLND) is part of the operation. However, not all lymphoceles are symptomatic and require treatment. Most lymphoceles spontaneously resolve, and even lymphoceles that become symptomatic may resolve without any intervention. Robotic assisted radical prostatectomy (RARP) is a common operation in urology where PLND is likely to be performed in intermediate and high-risk prostate cancer patients. The rationale for performing a PLND in prostate cancer is for accurate staging and potential therapeutic benefits. However, due to potential intraoperative and postoperative complications there is still a debate regarding the value of PLND in prostate cancer. In this review, we will discuss the potential risk factors to be aware of in pelvic surgery in order to minimize the formation of a lymphocele, along with the management for clinically significant lymphoceles.

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