RALP not associated with better continence, sexual function after prostate cancer surgery

Posted on January 31, 2012 by Sitemaster

The “New” Prostate Cancer InfoLink has long been pointing out the lack of any evidence that men who are treated with robot-assisted laparoscopic prostatectomy (RALP) will have better outcomes with respect to continence and sexual function than men who elect to have the older, ”open” form of radical prostatectomy.

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Robot-assisted surgery is not necessarily better than open surgery

Posted on January 9, 2012 by Sitemaster

As we regularly point out, outcomes after surgery for prostate cancer are massively impacted by the skill, the experience, and the focus of the surgeon. The tools he or she uses to carry out the surgery may or may not be a factor. We simply do not really know.

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RALP as a first-line treatment for high-risk, localized and locally advanced prostate cancer

Posted on November 3, 2011 by Sitemaster

In light of the publication this week of data by Warde et al. on external beam radiation therapy + lifelong total androgen deprivation (ADT) as a first-line treatment for high-risk, localized and locally advanced prostate cancer (click here for commentary), it is interesting to note an article from another research group outlining experience with a [...]

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How good are good “trifecta” data after surgery?

Posted on August 2, 2011 by Sitemaster

One of the constant questions that arises in the management of prostate cancer is just how many patients actually achieve the full “trifecta” (freedom from biochemical progression, pad-free continence, and good erectile function) after surgical treatment for localized disease.

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Expert opinions on active surveillance and surgery for localized prostate cancer

Posted on June 8, 2011 by Sitemaster

At least some readers of this news-blog may be interested in two items posted earlier today on the Medscape Oncology web site.

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How surgeons and patients think about post-surgical incontinence

Posted on June 7, 2011 by Sitemaster

We are coming to the conclusion that there is a deep divide between how some surgeons think about post-surgical incontinence following radical prostatectomy for their prostate cancer and how patients may think about such incontinence when defined by exactly the same set of clinical symptoms and quality of life issues.

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Inguinal hernia after open radical retropubic prostatectomy

Posted on April 27, 2011 by Sitemaster

A review article published on-line in Nature Reviews Urology has suggested that over the past decade some 15 to 20 percent of men undergoing open radical retropublic prostatectomy (RRP) as first-line treatment for prostate cancer have an inguinal hernia as a complication of their treatment.

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The natural history of biochemical recurrence after surgery

Posted on March 31, 2011 by Sitemaster

It has been well understood for years that biochemical recurrence (BCR) after radical prostatectomy does not always translate into systemic progression or necessarily lead to prostate cancer metastasis and death. The “natural history” of BCR is actually very variable.

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Penile length after RALP and rehab: a small, single-center case series

Posted on January 10, 2011 by Sitemaster

Over the years a number of studies have documented a reduction in penile size after open radical retropubic prostatectomy. A newly published study reports on the impact of robot-assisted laparoscopic radical prostatectomy (RALP) and penile rehabilitation on penile size.

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Evaluating the need for immediate, adjuvant radiation therapy after surgery

Posted on October 31, 2010 by Sitemaster

Men with high-risk, localized prostate cancer who decide on surgery as their first-line treatment of choice are sometimes faced with the question of whether to undergo “immediate” adjuvant radiation therapy after their surgery or to do nothing and wait to see if salvage radiation therapy becomes necessary.

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Does a pre-op MRI change surgical decision-making?

Posted on May 11, 2010 by Sitemaster

Data presented last week at the annual meeting of the American Roentgen Ray Society suggest that preoperative, endorectal magnetic resonance imaging (eMRI) of the prostate may help urologic surgeons to make decisions about whether to carry out nerve-sparing or non-nerve-sparing surgery in patients with prostate cancer.

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Prostate cancer news reports: Saturday, May 1, 2010

Posted on May 1, 2010 by Sitemaster

Today’s news reports include comments on studies dealing with: A compound panel of markers for predicting risk for prostate cancer Open vs. robot-assisted radical prostatectomy: urologists’ perceptions Clinically relevant quality of life assessment after first-line therapy A compound panel of markers for predicting overall survival of patients with CRPC

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TURP as a treatment for prostate cancer

Posted on July 13, 2009 by Sitemaster

A recent German article has reported data on the value of a form of radical transurethral resection of the prostate (TURP) as an alternative form of surgical treatment for localized prostate cancer (instead of radical prostatectomy).

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The Monday news update: March 2, 2009

Posted on March 2, 2009 by Sitemaster

New reports today address: Positive surgical margins: RALP vs. RRP Circulating tumor cells levels and survival of castration-resistant prostate cancer patients Patient preference and management of post-surgical incontinence

Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: , , , , , , , | 4 Comments »

Long-term survival after RP and adjuvant radiotherapy

Posted on December 3, 2008 by Sitemaster

A highly respected group of authors has just published a paper that has us beat!

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