Surgical responsibility and robot-assisted laparoscopic surgery

There is an interesting editorial just published on line in the Journal of Urology and written by Prof. Joseph Smith of Vanderbilt University. Unfortunately, because it is an editorial, there is no abstract, and the text is only accessible if you are a subscriber to the journal. … READ MORE …

Radiation therapy for localized prostate cancer in men with diabetes mellitus

A new paper recently published on line in Urology (“the Gold Journal”) suggests that men with diabetes who are treated with curative intent for localized prostate cancer using external beam radiation therapy may experience higher than normal risk for late genitourinary complications and adverse effects. … READ MORE …

Oncotype DX and risk for clinically significant prostate cancer

Last September we asked whether the Oncotype DX test for risk of prostate cancer developed by Genomic Health was “ready for prime time”. In a media release issued earlier this week, the company said that it was. However, there are a number of unresolved issues that are likely to impact the uptake of this new test. … READ MORE …

Further comment from the AUA on new PSA screening guidance

The American Urological Association (AUA) sent the following additional message to its members with the past 90 minutes: … READ MORE …

Follow-up on the new AUA guidelines on screening for risk of prostate cancer

One of the things that is most interesting about the new guidelines issued by the AUA last week (see here for original announcement) is that they seem to be gaining reasonably widespread approval — probably because they are actually (and finally) based on actual evidence as opposed to raw opinion. … READ MORE …

Statin use before diagnosis associated with less risk of prostate cancer-specific mortality

According to an article just published on line in Prostate, taking statins before a diagnosis of prostate cancer lowers risk for prostate cancer-specific mortality (but does not lower risk for progression/recurrence of prostate cancer after first-line treatment). … READ MORE …

AUA issues new guidance on screening for prostate cancer

As of 7 am this morning, the American Urological Association (AUA) has issued a new set of guidelines on screening for prostate cancer. The full text of this set of guidelines is already available on the AUA web site. … READ MORE …

“HG-PIN alone should not be an indication for further biopsies” in the PSA era

A podium presentation by Kingman et al. at the upcoming annual meeting of the American Urological Association (AUA) may be among the most significant to be presented at the meeting. It seriously challenges the long-held belief about the need to routinely re-biopsy men initially diagnosed with high-grade prostatic intraepithelial neoplasia (HG-PIN). … READ MORE …

Patient satisfaction during and after the decision to undergo radical prostatectomy for localized prostate cancer

A paper to be presented at the upcoming AUA annual meeting from what appears to be an ex-US group of clinicians continues to demonstrate the fact that many men get surgical treatment for prostate cancer without anything like a full appreciation of the clinical problem, their treatment options, or the potential consequences. … READ MORE …

Ablatherm HIFU data on 5,000+ patients with T1 to T3 localized prostate cancer

Another paper to be presented at the upcoming annual meeting of the American Urological Association (AUA) offers us some additional data on the effectiveness and safety of high-intensity focused ultrasound (HIFU) carried out using the Ablatherm technology and recorded in the @-Registry database. … READ MORE …

mpMRI in diagnosis and management of prostate cancer tomorrow

A new review article in Oncology discusses the potential of multiparametric magnetic resonance imaging (mpMRI) in the diagnosis and management of prostate cancer, and will be useful reading for many advocates and support group leaders. … READ MORE …

TMRPSS2-ERG and PCA3 as markers of risk for men entering active surveillance protocols

A new study just published on line in Clinical Cancer Research shows a degree of correlation between the results of tests for PCA3 and the TMRPSS2-ERG biomarker and risk for progressive disease in men on active surveillance. However, this correlation appears to be less than compelling. … READ MORE …

Ablatherm HIFU data on low-risk patients from the @-Registry

A new study to be presented at the upcoming annual meeting of the American Urological Association in San Diego will provide data on the first-line treatment of some 358 men with low-risk prostate cancer collected in the @-Registry, all of whom received treatment with high-intensity focused ultrasound (HIFU) using the Ablatherm® form of this technology. … READ MORE …

Supplements don’t work to treat prostate cancer (according to new review)

In an entirely unsurprising finding, “Despite dietary supplements being popular among prostate cancer patients, a new review of past research says they are not effective treatments for the disease” states a Reuters report published on Friday last week. … READ MORE …

Infection rates starting to drive changes to processes, frequency of prostate biopsies?

A story posted yesterday on the Bloomberg News web site suggests that risk associated with severe infections caused by prostate biopsies may be starting to change how urologists carry out prostate biopsies, and even whether to do them in many cases. … READ MORE …

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