Non Surgical Treatment of Local Recurrence

Although surgery plays the major role in therapy for recurrent local disease, other modalities of therapy should be considered. Maintenance of chemotherapy as a component of an aggressive treatment approach is recommended, because a local relapse is a prelude of distant metastases in about 50% of cases [54].

Radiotherapy in all of its modalities deserves an important place. Reduction of pain and bleeding was achieved in the majority of patients, whereas a response to other pelvic symptoms was not apparent. Unfortunately, the duration of effective palliation is achieved for only about one third of the remaining life span of the patient [55]. Also, complications of this mode of therapy are not to be disregarded [56].

In conclusion, EBRT and IORT, when combined only with R0 resection, improve results of therapy [56].

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Dealing With Erectile Dysfunction

Dealing With Erectile Dysfunction

Whether you call it erectile dysfunction, ED, impotence, or any number of slang terms, erection problems are something many men have to face during the course of their lifetimes.

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