Some data from a randomized, prospective trial of surgery vs. radiation therapy

We should emphasize immediately that the available data from the trial discussed below are not exactly compelling. For whatever reasons, the trial didn’t enroll enough patients to allow any conclusions about the relative effectiveness to the two forms of treatment. … READ MORE …

Short-term outcomes after radical prostatectomy and surgeon training/practice site

Now here’s some data that may cause a bit of a furore … so before the US-based urologists get upset, we’d like to point out that this is a Canadian study based on data from members of the Canadian urology community in a single, unidentified Canadian province! … READ MORE …

Outcomes after intensive ADT and surgery in high-risk men with localized disease

The initial results of a small Phase II trial of androgen deprivation therapy (ADT) + abiraterone acetate prior to surgery in high-risk patients have now been published. … READ MORE …

Should we debulk the primary tumor in some men with metastatic prostate cancer?

Back in the 1980s, it would never (well, probably nearly never) have crossed anyone’s mind to carry out any type of primary tumor-debulking treatment on any patient who was newly diagnosed with evident, metastatic prostate cancer. … READ MORE …

Risk for conversion from minimally invasive to open surgery for prostate cancer patients

A new paper in the Journal of Urology provides us with a detailed assessment of the likelihood of and the risks associated with the need to convert from a minimally invasive (e.g., robot-assisted) to an open surgical procedure during the course of a radical prostatectomy. … READ MORE …

Which patients with a PSM post-surgery need early adjuvant therapy?

Could more intensive monitoring of PSA levels in the first few months after a radical prostatectomy help to determine which patients who have a positive surgical margin (PSM) need adjuvant radiation therapy and which don’t? … READ MORE …

Long-term impact on workplace status after radical prostatectomy

A recent Norwegian study has concluded that pre-surgical counseling of men electing treatment for prostate cancer by radical prostatectomy needs to include advice about risk for the possibility of post-surgical issues that may affect work status and their working life 3 years after their surgery. … READ MORE …

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