Age-related risks of radical prostatectomy

It will hardly come as a surprise to most prostate cancer support group leaders and other prostate cancer advocates that there is a strong association between patient age and risk for side effects of radical prostatectomy. … READ MORE …

Body mass index, surgery, and risk for prostate cancer-specific death

It is well understood that there is an association between obesity and future risk for prostate cancer-specific mortality among cancer-free men. What has not been so clear is the relationship between obesity and long-term outcomes, post-treatment, among men diagnosed early with localized disease … READ MORE …

Are low serum levels of vitamin D a risk factor for aggressive forms of prostate cancer?

It has long between understood that there is an association between a man’s serum levels of vitamin D and his risk for prostate cancer in general and clinically significant prostate cancer in particular. … READ MORE …

Some refreshing truths about erectile function post-surgery

A refreshingly honest article published this year in Translational Andrology and Urology, and reprinted in full on the Medscape web site, offers a somewhat depressing assessment of the state of the art of prevention of erectile dysfunction and/or rehabilitation of erectile function in men undergoing radical prostatectomy. … READ MORE …

Does radical prostatectomy really extend life … at least in Denmark?

A newly published paper in the Scandinavian Journal of Urology comes to the potentially controversial conclusion that “the gain in life expectancy” after surgical treatment by radical prostatectomy “is minimal” for Danish men with prostate cancer compared to the life expectancy of Danish men in general. … READ MORE …

“Normal” sexual functionality after a radical prostatectomy — it’s not very likely

According to a report on the Science Daily web site today, a presentation at the ongoing European Association of Urology (EAU) meeting in Madrid, Spain, suggests that the ability to regain normal erectile and sexual function after a radical prostatectomy is actually rather worse than one might have thought. … READ MORE …

How much do you think you should pay for a radical prostatectomy?

We wish we’d seen this earlier, but apparently in March 2014 an article in Urology gave us an outstanding overview of the wildly different prices that you (but perhaps not your insurance company) might be asked to pay for a radical prostatectomy at 100 hospitals across the USA. … 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 …

Does “changing urologists” improve outcomes after surgery?

In what appears to be a fascinating study from a group of researchers at the Bloomberg School of Public Health at Johns Hopkins University in Baltimore come data suggesting that patients who “changed urologists” had better short-term surgical outcomes after radical prostatectomy. So the question has to be, what did the research team mean by “changed urologists”? … READ MORE …

Supplemental testosterone therapy in men treated for prostate cancer

The role of supplemental testosterone therapy in men previously treated for prostate cancer has long been a controversial issue, and the number of patients actually studied for the effects of such therapy (good and bad) is really quite small — at about 600 worldwide. … 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 …

AUA, ASTRO issue new guidance on radiation after radical prostatectomy

So the American Urology Association (AUA) is clearly “on a roll” when it comes to guidance on the detection and management of prostate cancer. This is the third new guidance document issued in a matter of days. … READ MORE …

Patient satisfaction during and after the decision to undergo radical prostatectomy for localized prostate cancer

A paper to be presented at the upcoming AUA annual meeting from what appears to be an ex-US group of clinicians continues to demonstrate the fact that many men get surgical treatment for prostate cancer without anything like a full appreciation of the clinical problem, their treatment options, or the potential consequences. … READ MORE …

Statins in prevention of prostate cancer progression after radical prostatectomy

A detailed review of treatment data from 1,200 patients treated by radical prostatectomy fails to offer any support for the development of a large, prospective trial of the clinical use of statins as adjunct therapy to prevent biochemical progression in men treated surgically for localized prostate cancer. … READ MORE …

TRT after radical prostatectomy for localized prostate cancer in hypogonadal males

A new paper just published in the Journal of Urology addresses (again) the controversial issue of whether the use of testosterone replacement therapy (TRT) is appropriate as a management strategy after first-line treatment for hypogonadal patients. … READ MORE …