Pediatric urological complications with intraoperative radiation therapy.

Ritchey, M L; Gunderson, L L; Smithson, W A; Kelalis, P P; Kaufman, B H; Telander, R L; Evans, R G; Kramer, S A · J Urol · 1990

case_report · Level V

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Abstract

Intraoperative radiotherapy with variable energy electrons has been used as a supplemental boost to treat 6 children with locally advanced retroperitoneal malignancies. Of the patients 4 had treatment-related injuries to portions of the urinary tract within the intraoperative and external radiation fields. Three patients had significant renal impairment requiring surgical correction. The pathogenesis and management of treatment-induced injury to the urinary tract are discussed.

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