PATTERN OF PRESENTATIONS AND MANAGEMENT OF COMPLICATIONS OF METASTATIC CARCINOMA PROSTATE IN UNDERDEVELOPED COUNTRY

Abstract

To share our experience of presentations and management of  metastatic carcinoma prostate and its complications in tertiary care hospital in underdeveloped country.Methods:This is retrospective study conducted  in institute of kidney diseases Peshawar from January 2017 to December 2020 .Patients were sampled through non probability randomized method mode of presentation ,diagnosis and management of metastatic  carcinoma prostate complications  were evaluated and analyzed .Results:There were 80 patients in the study ,63 patients opted for medical castration while in  17 patients   bilateral orchidectomies done for androgen blockade . Docetoxil  added long with ADT for androgen blockade in 12 patients who were labeled castrate resistant  .12 patients present with urinary retention and channel TURP performed on them and 2 patients have hematuria due to mets in urinary bladder and 4 patients have skeletal metastasis and were managed in respective department. Conclusion:This study concludes that in under developed countries like Pakistan mostly patients of carcinoma prostate  present in metastatic stage with multiple complications and most of  complications can be managed in urology department in close collaboration with other specialized units.