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

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.

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

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 [...]

A new way to look at side effects of first-line prostate cancer treatment

Academic research into the side effects of different treatments for localized prostate cancer have long been hampered by the lack of consistently used criteria for the assessment of those side effects at baseline and at defined time-periods post-treatment.

The role of radical prostatectomy in older males with high-risk prostate cancer

Data reported earlier this year from the PIVOT study and separately from the long-term Scandinavian study have shown that the surgical treatment of prostate cancer in the patients enrolled in these trials showed no median prostate-cancer specific or overall survival benefit compared to watchful waiting in patients of > 65 years of age.

Expert opinions on active surveillance and surgery for localized prostate cancer

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

How surgeons and patients think about post-surgical incontinence

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.

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

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.

Comparative evaluation of open vs. robot-assisted surgery for localized prostate cancer

A new paper in the Scandinavian Journal of Urology and Nephrology has provided detailed information about the design and conduct of an ongoing, prospective, non-randomized trial comparing open radical retropubic prostatectomy (RRP) to robot-assisted laparoscopic radical prostatectomy (RALP) in treatment of localized prostate cancer.

Comparative data on open and robot-assisted prostatectomy in “low caseload” facilities

A newly reported Swiss study provides us with what appear to be some sound comparative data on the relative merits of open radical prostatectomy (RP) and robot-assisted radical prostatectomy (RALP) at a center with a relatively low-volume caseload.

Prostate cancer news reports: Saturday, May 1, 2010

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

Does type of surgery make a difference to prostate cancer outcomes?

A new analysis of the outcomes of different types of radical prostatectomy appears to show no difference between the patients’ clinical outcomes following laparoscopic (including non-robot-assisted and robot-assisted) categories of surgery (LRP/RALP) and traditional “open” radical retropubic prostatectomy (RRP) when used to treat Medicare patients of 66 years or older.

Prostate cancer news reports: Wednesday, January 27, 2010

In today’s new reports we summarize information from recent papers dealing with: Apical biopsy cores in initial diagnosis of prostate cancer Imaging studies in the initial work-up of newly diagnosed patients Intrafascial dissection of peri-prostatic tissue during laparoscopic surgery Similarity of short-term rates of biochemical recurrence after open surgery or RALP Does how we define [...]

It’s the surgeon not the type of surgery!

Bivalaqua and colleagues from Johns Hopkins Medical Center have reviewed progress in functional and oncologic outcomes after prostatectomy made during the past few decades.

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