Posted on March 19, 2013 by Sitemaster
According to another media release issued on Sunday by the European Association of Urology, only 17 percent of a large cohort of Swedish men with prostate cancer who were potent prior to surgery were still potent 18 months post-surgery (whether they had nerve-sparing or non-nerve-sparing surgery). … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: continence, erectile, function, outcome, prostatectomy, surgery, Sweden | 3 Comments »
Posted on December 10, 2012 by Sitemaster
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 »
Posted on August 9, 2012 by Sitemaster
A paper just published in European Urology claims that prostate cancer patients treated with robot-assisted laparoscopic prostatectomy (RALP) recover continence and sexual function faster than those treated with non-robot-assisted laparoscopic surgery (LRP). … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Treatment, Uncategorized | Tagged: continence, erectile function, laparoscopic, LRP, outcome, prostatectomy, RALP, robot-assisted | 2 Comments »
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. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, laparoscopic, open, outcome, prostatectomy, RALP, robot-assisted, sexual function, surgery | 14 Comments »
Posted on November 22, 2011 by Sitemaster
A new paper published by researchers from Sweden’s prestigious Karolinska Institute and related institutions makes it increasingly clear that — to date — we haven’t been able to work out (let alone consistently use) a really good way to measure real urinary continence after radical prostatectomy. … READ MORE …
Filed under: Living with Prostate Cancer, Management | Tagged: accuracy, continence, incontinence, measurement | Leave a comment »
Posted on August 22, 2011 by Sitemaster
It will likely be evident to most well-informed prostate cancer patients, support group leaders, and advocates that a man with low-risk, early stage prostate cancer (“favorable histology”) is potentially a good candidate for prostate cancer surgery. … READ MORE …
Filed under: Diagnosis, Management, Treatment | Tagged: active surveillance, continence, outcome, quality of life, RALP, robot-assisted laparoscopic prostatectomy, sexual function | Leave a comment »
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. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, outcome, potency, prostatectomy, radical, trifecta | 2 Comments »
Posted on July 22, 2011 by Sitemaster
A new study just published in The Lancet has reported that — among men who have urinary incontinence 6 weeks after a radical prostatectomy (RP) — formal one-on-one training of patients by expert therapists does not in fact reduce the rate of continence at 12 months compared to patients in a control group. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, exercises, incontinence, Kegel, outcome, radical prostatectomy, randomized, training, trial | 4 Comments »
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. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, incontinence, laparoscopic, prostatectomy, RALP, robot-assisted, surgery | Leave a comment »
Posted on April 25, 2011 by Sitemaster
The clinical research team at the Martini Clinical in Hamburg, Germany have just published an interesting report on the importance of the “functional length” of the urethral sphincter and stabilization of its anatomic position within the pelvic floor in relation to post-surgical continence after a radical prostatectomy (RP). … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, functional length, outcome, preservation, radical prostatectomy, urethral sphincter | Leave a comment »
Posted on January 13, 2011 by Sitemaster
An article published this week in the Journal of the American Medical Association has documented the value of Kegel exercises (with or without biofeedback and pelvic floor electrical stimulation) on recovery of continence after a radical prostatectomy (RP) — in men with persistent incontinence post-surgery. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, exercise, Kegel, outcome, radical prostatectomy | Leave a comment »
Posted on January 17, 2010 by Sitemaster
In today’s news reports we address recent publications on:
- The GEMCaP biomarkers and prediction of prostate cancer recurrence post-surgery
- Biopsy Gleason score under-staging and active surveillance
- The value of exercise during radiotherapy
- Impact of type of surgery on post-surgical continence at 1 year … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: active surveillance, biomarkers, continence, exercise, GEMCaP, radical prostatectomy, radiotherapy, RP, under-staging | 3 Comments »
Posted on November 16, 2009 by Sitemaster
The issue of complete continence after radical prostatectomy is a subject that few in the urologic surgery community have addressed in thorough detail. However, a new article based on data from a single-institution series of patients at the University of Chicago may have finally opened the doors to some honesty about this topic. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, RALP, surgery | 13 Comments »
Posted on May 24, 2009 by Sitemaster
A group of German researchers has developed a method to predict the duration of urinary incontinence after radical prostatectomy based on potential risk factors. … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: continence, incontinence, post-surgery, time | 5 Comments »
Posted on March 28, 2009 by Sitemaster
Today’s reports include information on:
- Percentage of positive biopsy cores as a predictor for extraprostatic disease
- The RALP learning curve
- A surgical modification that improves recovery of continence
- Radiation toxicity associated with HDR brachytherapy + EBRT
In a separate report we have dealt with a paper on the use of salvage brachytherapy for men with biochemical recurrence following first-line external beam radiation therapy. … READ MORE …
Filed under: Management, Treatment | Tagged: biopsy cores, continence, learning curve, radiation toxicity, RALP | Leave a comment »