Abstract

PASCUAL MATEO, Carlos; LUJAN GALAN, Marcos; SANTOS ARRONTES, Daniel  and  BERENGUER SANCHEZ, Antonio. Subcapsular orchiectomy in the treatment of prostate cancer: Results. Arch. Esp. Urol. [online]. 2005, vol.58, n.4, pp.305-308. ISSN 0004-0614.

OBJECTIVES: To analyze the role of orchiectomy in the management of metastasic prostate cancer in our environment. METHODS: We studied 76 patients with the diagnosis of prostate cancer who underwent subcapsular orchiectomy. RESULTS: Mean age was 72 years, median Gleason score was 7, and only 17% had organ confined tumors. Mean follow-up was 2.3 yr. and hospital stay median three days. Ten of the 76 patients in the study died from cancer, being overall five-year survival 75%. Regarding cost analysis, surgical castration was cheaper in the long-term but has the disadvantage of its greater psychological impact. CONCLUSIONS: Orchiectomy is a valid hormonal blockade option when estimated patient survival is longer than one year.

Keywords : Prostate cancer; Hormonal therapy; Orchiectomy.

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