Editorial Comment

Abstract

Many analogies have been drawn between prostate cancer and breast cancer. 1 Coffee D. Similarities of prostate and breast cancer evolution, diet and estrogens. Urology. 2001; 50: 31-38 Abstract Full Text Full Text PDF Scopus (170) Google Scholar A surgical parallel that has not been considered previously, is the management of lymphorrhea after radical prostatectomy. These authors describe the use of octreotide, a potent analog of somatostatin, to reduce significant lymphorrhea after radical retropubic prostatectomy (RRP) and pelvic lymph node dissection (PLND), thereby reducing the morbidity of prolonged lymph drainage. Efficacy of Octreotide for Management of Lymphorrhea After Pelvic Lymph Node Dissection in Radical ProstatectomyUrologyVol. 76Issue 2PreviewTo examine the efficacy of octreotide for management of lymphorrhea after pelvic lymph node dissection (PLND) in radical prostatectomy. Lymphorrhea refers to the drainage of lymphatic fluid that occurs because of surgical dissection and inadequate closure of afferent lymphatic vessels. Full-Text PDF ReplyUrologyVol. 76Issue 2PreviewPelvic lymph node dissection (PLND) is performed simultaneously with radical prostatectomy (RP) in patients with prostate cancer to detect possible lymph node (LN) metastasis. However, PLND is typically not performed in patients with low-grade (Gleason score ≤ 6) and low-stage (≤ cT2) prostate cancer, as LN metastasis occurs in < 2% of these patients,1 and lymphocele develops as a postoperative complication in < 10% of patients after PLND.2-4 The symptoms of lymphocele include pelvic pain, leg pain, leg edema, and hydronephrosis. Full-Text PDF