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Analysis of complications in metastatic prostate cancer patients submitted to bilateral orchiectomy

OBJECTIVE: To analyze the possible complications that the surgical hormonal ablation can cause to the submitted patients. METHODS: That's an analytical transversal study with a sample of 25 patients, between 58 to 82 years, carriers of metastatic prostate câncer, submitted to the bilateral orchiectomy in the Professor Alberto Antunes University Hospital 's (HUPAA - UFAL), in the period of January of 2003 to December of 2008. It was maked an evaluation by an objective questionnaire for those who were still alive. RESULTS: Of the 25 evaluated patients, 56% were still alive, with average of current age of 71 years, having presented as more frequent complications: reduction of the libido and sexual impotence (100%), bone fragility (64%), problems of memory and variations of mood (57%), hot waves and gain of weight (50%). 86% of the interviewed ones had related to be satisfied with the results of the procedure and had affirmed that they can have a normal daily life, with significant improvement of the clinical stage. About the adjuvant treatments, only 36% had carried through, being most common, chemotherapy (36%) and x-ray (29%). CONCLUSION: The bilateral orchiectomy constitutes in a good alternative for metastatic prostate cancer patients, in a way that it is observed satisfaction of the majority of the patients in relation to the improvement of the symptoms and the presented complications had not great impact in the daily life of the same ones.

Prostate neoplasy; Orchiectomy; Postoperative complications


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