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There is another rather entertaining, 10-minute video today on the Medscape Oncology web site showing a conversation between Dr. Matt Cooperberg of the University of California, San Francisco and Dr. Andrew Vickers of the Memorial Sloan-Kettering Cancer Center in New York. … READ MORE …
Filed under: Management, Living with Prostate Cancer, Treatment | Tagged: surgery, radical prostatectomy, outcome, quality | Leave a Comment »
So the American Urology Association (AUA) is clearly “on a roll” when it comes to guidance on the detection and management of prostate cancer. This is the third new guidance document issued in a matter of days. … READ MORE …
Filed under: Uncategorized, Management, Living with Prostate Cancer, Treatment | Tagged: radical prostatectomy, salvage, adjuvant, radiation therapy, guideline | 4 Comments »
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 …
Filed under: Diagnosis, Management, Living with Prostate Cancer, Treatment, Risk | Tagged: surgery, radical prostatectomy, outcome, decision-making, satisfaction, experience | 5 Comments »
A detailed review of treatment data from 1,200 patients treated by radical prostatectomy fails to offer any support for the development of a large, prospective trial of the clinical use of statins as adjunct therapy to prevent biochemical progression in men treated surgically for localized prostate cancer. … READ MORE …
Filed under: Diagnosis, Management, Living with Prostate Cancer, Treatment, Risk | Tagged: Prevention, radical prostatectomy, recurrence, statin | Leave a Comment »
A new paper just published in the Journal of Urology addresses (again) the controversial issue of whether the use of testosterone replacement therapy (TRT) is appropriate as a management strategy after first-line treatment for hypogonadal patients. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: hypogonadism, radical prostatectomy, replacement, risk, surgery, testosterone, TRT | 2 Comments »
A new article from the clinical research group at The Cleveland Clinic has suggested that men > 70 years of age are at significantly higher risk for recurrence of their prostate cancer if treated by radical prostatectomy than younger men with comparable diagnostic criteria. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment, Uncategorized | Tagged: age, localized, outcome, radical prostatectomy, risk | 2 Comments »
For many years, physicians at the Mayo Clinic in Rochester, MN, have been offering immediate, adjuvant androgen deprivation therapy (ADT) to some of their surgical patients with more advanced and high-risk forms of prostate cancer. The assumption had been that early use of ADT among such patients might have a significant survival benefit. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: "high risk", adjuvant, ADT, androgen, deprivation, radical prostatectomy | 4 Comments »
A new paper from clinical research teams at two French hospitals suggests that there has been a significant relative increase (from 2005 to 2010, at their institutions) in the percentage of men found to have pathological T3 as opposed to pathological T2 disease after radical prostatectomy (RP). … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: grade, pathology, radical prostatectomy, risk, stage, surgery | 1 Comment »
We commented on Friday last week on a paper by Wallerstedt et al. addressing factors affecting risk for urinary continence after radical prostatectomy. One reader had asked us whether we could provide more details about the age breakdown and the rates of urinary incontinence in the patients studied by the Swedish research team. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, pads, radical prostatectomy, rate, risk, surgery | 11 Comments »
A paper just published in European Urology addresses pathologic outcomes among men initially managed with active surveillance and subsequently treated by deferred radical prostatectomy (RP). The paper stimulated an important set of editorial comments by Albertsen, which we strongly recommend to readers (along with the response from the authors of the original paper). … READ MORE …
Filed under: Diagnosis, Management, Living with Prostate Cancer, Treatment, Risk | Tagged: radical prostatectomy, screening, outcome, active surveillance, pathology, deferred, RP | 1 Comment »
A paper published in June this year in the Journal of Sexual Medicine suggests that delaying radical prostatectomy (RP) as a first-line treatment for localized prostate cancer has no significant effects on post-surgical pathology or mortality but may lead to higher risk for incontinence and erectile dysfunction. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: delay, outcome, quality, radical prostatectomy, RP, side effects, surgery | Leave a Comment »
According to a media release issued by the University of Cinncinati Health Center last Thursday, a urologist at that center is now offering patients robot-assisted laparoscopic prostatectomies (RALPs) without transurethral catheterization post-surgery. They describe this as a “no catheterization” technique. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: "no catheter", accuracy, claims, radical prostatectomy, viability | 2 Comments »
The complete results of the Prostate Cancer Intervention versus Observation Trial (PIVOT) study have (finally) just been published in the New England Journal of Medicine. Unfortunately, only the abstract is available on line so it may take us a little while to get hold of a copy of the complete report. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: observation, outcome, PIVOT, radical prostatectomy | 8 Comments »
A paper presented earlier this week at the annual meeting of the American Urological Association in Atlanta suggests that a drug called cabergoline may have the ability to induce the return of orgasm in men with anorgasmia (the persistent or frequent absence of orgasm after normal sexual arousal). The available data suggests that the patients included men with anorgasmia as a consequence of radical prostatectomy. … READ MORE …
Filed under: Living with Prostate Cancer, Management | Tagged: anorgasmia, cabergoline, orgasm, radical prostatectomy | 4 Comments »
An article acessible for free on the Medscape web site offers an interesting summary of the state of research into the quality of outcomes during and after radical prostatectomy for the treatment of localized prostate cancer. … READ MORE …
Filed under: Management, Treatment | Tagged: outcomes, radical prostatectomy, research, surgery | 8 Comments »
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