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Implantation of a biodegradable rectum balloon implant: Tips, Tricks and Pitfalls
Vanneste, Ben G. L; Beek, Kees van De; Lutgens, Ludy; Lambin, Philippe.
  • Vanneste, Ben G. L; Maastricht University Medical Center+. GROW -School for Oncology and Developmental Biology. Department of Radiation Oncology (MAASTRO). Maastricht. NL
  • Beek, Kees van De; Maastricht University Medical Center+. GROW -School for Oncology and Developmental Biology. Department of Radiation Oncology (MAASTRO). Maastricht. NL
  • Lutgens, Ludy; Maastricht University Medical Center+. GROW -School for Oncology and Developmental Biology. Department of Radiation Oncology (MAASTRO). Maastricht. NL
  • Lambin, Philippe; Maastricht University Medical Center. GROW -School for Oncology and Developmental Biology. Department of Radiation Oncology (MAASTRO). Maastricht. NL
Int. braz. j. urol ; 43(6): 1033-1042, Nov.-Dec. 2017. tab, graf
Article in English | LILACS | ID: biblio-892923
ABSTRACT
ABSTRACT

Introduction:

A rectum balloon implant (RBI) is a new device to spare rectal structures during prostate cancer radiotherapy. The theoretical advantages of a RBI are to reduce the high radiation dose to the anterior rectum wall, the possibility of a post-implant correction, and their predetermined shape with consequent predictable position.

Objective:

To describe, step-by-step, our mini-invasive technique for hands-free transperineal implantation of a RBI before start of radiotherapy treatment. Materials and

Methods:

We provide step-by-step instructions for optimization of the transperineal implantation procedure performed by urologists and/or radiation oncologists experienced with prostate brachytherapy and the use of the real-time bi-plane transrectal ultrasonography (TRUS) probe. A RBI was performed in 15 patients with localised prostate cancer. Perioperative side-effects were reported.

Results:

We provide 'tips and tricks' for optimizing the procedure and proper positioning of the RBI. Please watch the animation, see video in https//vimeo.com/205852376/789df4fae4. The side-effects included mild discomfort to slight pain at the perineal region in 8 out of 15 patients. Seven patients (47%) had no complaints at all. Two patients developed redness of the skin, where prompt antibiotic regimen was started with no further sequelae. One patient revealed a temporary urine retention, which resolved in a few hours following conservative treatment. Further no perioperative complications occurred.

Conclusion:

This paper describes in detail the implantation procedure for an RBI. It is a feasible, safe and very well-tolerated procedure.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Prostatic Neoplasms / Radiation Injuries / Rectum / Absorbable Implants / Organ Sparing Treatments Limits: Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2017 Type: Article Affiliation country: Netherlands Institution/Affiliation country: Maastricht University Medical Center//NL / Maastricht University Medical Center/NL

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Full text: Available Index: LILACS (Americas) Main subject: Prostatic Neoplasms / Radiation Injuries / Rectum / Absorbable Implants / Organ Sparing Treatments Limits: Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2017 Type: Article Affiliation country: Netherlands Institution/Affiliation country: Maastricht University Medical Center//NL / Maastricht University Medical Center/NL