Recovery of erectile/sexual function after surgical treatment for prostate cancer

A new review article in the journal Sexual Medicine Reviews has addressed current knowledge on the topic of penile rehabilitation after surgery for localized prostate cancer. … READ MORE …

High-risk patients get conflicting messages from radiation oncologists and urologists after first-line surgical treatment

In spite of data suggesting that brachy boost has better outcomes for high-risk patients, it is being utilized less often and surgery is being utilized more often. … READ MORE …

Can a dHACM allograft really improve sexual function post-surgery?

Our attention has been brought to a recent article suggesting that use of a “dehydrated human amnion/chorion membrane” (dHACM) allograft nerve wrap around the neurovascular bundle may help with recovery of erectile function post-surgery. … READ MORE …

Combining ADT and salvage radiation therapy improves outcomes

For the first time, a randomized clinical trial (GETUG-AFU 16) has proved that adding a short course of androgen deprivation therapy (ADT) to salvage radiation therapy (sRT) improves the progression-free survival over sRT alone. … READ MORE …

Declining trend in the utilization of adjuvant radiation after surgery

A recent report in European Urology found that, in spite of three randomized clinical trials (RCTs) that proved the efficacy of immediate or adjuvant radiation following surgery with adverse pathology results compared to a wait-and-see approach, a lower percentage of such patients are actually getting adjuvant treatment. Why should this be? … READ MORE …

Side effects of salvage radiation — difficult to draw conclusions based on database analyses

Two analyses of Italian and US databases have investigated whether delaying initiation of radiation therapy could diminish the side effects of radiation after prostatectomy. The conventional wisdom is that waiting longer allows the newly cut tissues more time to heal completely before the onslaught of radiation. … READ MORE …

Penile pain/urethral discomfort after radical prostatectomy

It comes as no surprise that there is some urethral “discomfort” experienced by patients with an indwelling urethral catheter after a radical prostatectomy (regardless of the type of surgery), and that for some patients there can be a degree of significant penile pain until the catheter is removed (usually within about 8 to 10 days). … READ MORE