Open AccessCarcinoma della prostata: prostatectomia radicale nei pazienti over 70
Author(s) -
Massimo Madonia,
Paolo Soggia,
Gianmarco Garau,
Silvia Cimino,
Giuseppe Morgia,
C. Corbu
Publication year - 2013
Publication title -
reviews in health care
Language(s) - English
Resource type - Journals
eISSN - 2038-6702
pISSN - 2038-6699
DOI - 10.7175/rhc.v4i2.652
Subject(s) - medicine , prostatectomy , prostate cancer , life expectancy , incidence (geometry) , cohort , urology , cancer , population , gynecology , physics , environmental health , optics
Prostate cancer is one of the most common male cancers in industrialized countries and it occurs mainly in men older than 50 years. In light of a rapidly ageing population it seems certain tha increasingly many septuagenarians with significant life-expectancy will present with prostate cancer to urologist. However currently there is a lack of consensus on prostate cancer and its treatment in the cohort of men ≥ 70 years of age. Although elderly men are often recommended a watchfull waiting option based on lower life expentancy and potentially slow disease progression, recent evidences indicate suggest a potential benefit of radical prostatectomy in selected older patients. The aim of this review is to illustrate the evidences demonstrating the efficacy and safety and of radical prostatectomy in patients over 70. Also, are presented the results of a small Italian study on patients aged ≥ 70 years with clinically localized prostate cancer undergoing radical prostatectomy. The results show that radical prostatectomy is a safe and effective option in elderly patients, with low incidence of complications and recovery of continence in about two-thirds of patients.