Surgery vs. radiation therapy in first-line treatment of prostate cancer: a travesty

Almost exactly a year ago, we commented unfavorably on a media release issued by the European Association for Urology (EAU). The media release referred to a presentation made by Sooriakumaran et al. at the annual meeting of the EAU in 2013. … READ MORE …

The SPCG-4 trial: follow-up data after > 23 years

This week’s New England Journal of Medicine contains data from a fifth update to the Scandinavian Prostate Cancer Group Study Number 4 (SPCG-4) trial of radical prostatectomy vs. watchful waiting in “early” prostate cancer. … READ MORE …

The surgical learning curve and post-RALP outcomes over time

Two new and quite separate papers offer rather different perspectives on the value of robot-assisted laparoscopic prostatectomy (RALP) as a first-line treatment for the management of localized prostate cancer. … READ MORE …

5-year cumulative incidence of complications after surgery or radiation therapy

A new report just published in Lancet Oncology provides data on complications other than incontinence and erectile dysfunction (ED) after surgical or radiotherapeutic treatment of prostate cancer within 5 years of the initial treatment. … READ MORE …

Managing common side effects of radical prostatectomy

We have already mentioned the article on genomics and biomarkers in this month’s issue of AUA News, but there are two other articles in this issue of the publication that are likely to be of interest to at least some of our regular readers. … READ MORE …

Peripheral pain after treatment for prostate cancer

Every so often (but not frequently) we come across patients who complain of various types of peripheral pain after treatment for their prostate cancer, and we have never previously had a good or specific possible explanation of why such pain might occur. … READ MORE …

Xiaflex approved by FDA for treatment of Peyronie’s disease

Last week many media outlets covered the approval of a drug called Xiaflex (collagenase Clostridium histolyticum) for the non-surgical treatment of Peyronie’s disease. … READ MORE …

Better training needed for surgeons using da Vinci robots?

There is an interesting article on the Bloomberg web site today addressing the appropriate training of surgeons prior to unsupervised use of Intuitive Surgical’s da Vinci robot. … READ MORE …

Increasing transparency about quality of sexual function after surgery

A recent study in the Journal of Endourology reports prospective data on the recovery of potency following radical prostatectomy and concludes that the “overwhelming majority of men experience a deterioration in the overall quality of erection” after robot-assisted prostatectomy. … READ MORE …

Further recommendations from the “Choosing Wisely” initiative

The American College of Surgeons, as part of the American Board of Internal Medicine (ABIM) Foundation’s “Choosing Wisely” campaign, directed to physicians and their patients, has issued seven new recommendations to the surgical community, four of which are (at least to some degree) directly relevant to the surgical treatment of prostate cancer. … READ MORE …

Alan Partin interviewed on robot-assisted vs. “open” surgery for prostate cancer

Many readers may be interested in reading an interview given by Dr. Alan Partin of Johns Hopkins on the relative merits of robot-assisted and traditional (“open”) methods of radical prostatectomy. Dr. Partin is highly experienced in the use of both techniques.

Active surveillance and African Americans with very low-risk disease

A new study in the Journal of Clinical Oncology has suggested that African American men with very low-risk disease (according to the National Comprehensive Cancer Network or NCCN definition) are at higher risk for disease progression than comparable Caucasian patients if they follow active surveillance protocols. … READ MORE …

Measuring outcomes after treatment for men after active surveillance

A new paper just published in the Journal of Urology has again shown (in a relatively small group of men) that radical prostatectomy appears to be curative for men who have  treatment after an initial on active surveillance, and then some indication of increased risk, but … READ MORE …

Pelvic lymph node dissection and robot-assisted laparoscopic radical prostatectomy

With the introduction of robot-assisted laparoscopic radical prostatectomy (RALP) there came suggestions from some surgeons that this technique made pelvic lymph node dissection (PLND) more difficult. However, a new review by a respected international group of authors clearly disagrees with this suggestion. … READ MORE …

“Raising the bar” for outcomes after radical prostatectomy

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 …

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