ADVANCED CARCINOMA PROSTATE

MANAGEMENT OF BILATERAL URETERIC OBSTRUCTION AND RENAL FAILURE

Abstract

Bilateral ureteric obstruction and renal failure in advanced prostatic cancer is a rare event. In this study, eleven men with advanced carcinoma of prostate and having bilateral ureteric obstruction and renal failure were studied. Group A patients were newly diagnosed and had no previous hormonal manipulation while Group B patients had previous orchidectomy done. Group A patients underwent bilateral orchidectomy done as a definitive treatment in addition to some form of urinary diversion as required. Group B patients had dialysis, upper urinary diversion and ureteroneocystostomy. Patients of carcinoma prostate with bilateral ureteral obstruction and renal failure who had no previous hormonal manipulation had better survival as compared to those who had previous hormonal manipulation.