ORP vs. RALP re-visited

A newly published report in The Lancet Oncology has pretty much finally confirmed what many of us have been assuming for a long time now: … READ MORE …

Functional outcomes for patients after differing types of radical prostatectomy

A newly published paper in the British Journal of Cancer has reported on  patient-reported functional outcomes following robot-assisted laparoscopic (RALP), non-robot-assisted laparoscopic (LRP), and open (ORP) forms of radical prostatectomy. … READ MORE …

Of ORPs and RALPs: data from the Victorian Prostate Cancer Registry

Data from just over 2,000 prostate cancer patients in the Victorian Prostate Cancer Registry (VPCR, from the State of Victoria, Australia) suggest some difference in outcomes between men receiving open and robot-assisted laparoscopic surgery for localized 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 …

RALP in treatment of high-risk prostate cancer: a systematic review

Researchers from City of Hope in Los Angeles have conducted an expert, systematic review of the published literature on the use of robot-assisted, laparoscopic radical prostatectomy (RALP) in the management of high-risk, localized prostate cancer. … 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 …

ORRP vs. RALP in a large cohort of high-risk patients with localized prostate cancer

A relatively large, retrospective, single-institution cohort study appears to show that oncologic outcomes after robot-assisted laparoscopic prostatectomy (RALP) are comparable to those achieved after open retropubic radical prostatectomy (ORRP) among high-risk patients when the operations are carried out by appropriately skilled and experienced surgeons. … READ MORE …

Different types of surgery for high-risk disease … outcomes at Johns Hopkins

In the context of the current question about “problems” with the da Vinci robot (previously addressed today), we have some new data from Johns Hopkins on the outcomes of men with high-risk, localized prostate cancer, treated using open, retropubic (ORP), non-robot-assisted laparoscopic (LRP), and robot-assisted laparoscopic (RALP) forms of radical prostatectomy. … READ MORE …

Risk for eye injuries associated with RALP for prostate cancer

One might reasonably be pardoned for not being able to imagine how having a radical prostatectomy with robot assistance (a robot-assisted laparoscopic prostatectomy or RALP) could possibly be associated with eye injuries, given the relative lack of proximity of the organs concerned. … READ MORE …

Continence and sexual function after RALP as opposed to LRP

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 …

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. … READ MORE …

Robot-assisted surgery is not necessarily better than open surgery

As we regularly point out, outcomes after surgery for prostate cancer are massively impacted by the skill, the experience, and the focus of the surgeon. The tools he or she uses to carry out the surgery may or may not be a factor. We simply do not really know. … READ MORE …

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. … READ MORE …

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. … READ MORE …

Post-op pelvic anatomy after RALP and open surgery

According to an article by Hirsch et al. in the inaugural issue of Practical Radiation Oncology (a new journal for radiation oncologists and their staff), there are some small but significant post-operative differences in pelvic anatomy between patients who undergo robot-assisted laparoscopic prostatectomy (RALP) as opposed to standard, open forms of radical prostatectomy. … READ MORE …