Patient life expectancy and application of radical prostatectomy in Ontario, Canada

An interesting epidemiological study just published on line in the Journal of Urology suggests that urologic surgeons in Ontario, Canada, are rather good at at estimating which patients diagnosed with prostate cancer have a life expectancy of 10+ years, making them reasonable candidates for radical prostatectomy. … READ MORE …

Radical prostatectomy: how much do YOU have to lose?

In a newly published paper in the Journal of Urology, researchers at the University of California, San Francisco have used data from CaPSURE to examine the relationship between age at surgery and quality of life pre- and post-surgery (for up to 2 years post-surgery). … READ MORE …

Whole-gland cryotherapy vs. radical prostatectomy as first-line treatment for localized disease

Over the years there have been very few studies that have attempted to make any type of direct comparison between outcomes of patients treated with whole-gland cryotherapy and outcomes of patients treated with other standard forms of whole gland therapy for localized prostate cancer. … 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 …

Long-term outcomes after RP as first-line therapy for men with cT3 disease at time of diagnosis

We have no data from randomized trials on the relative effectiveness of surgery compared to radiation therapy in the treatment of men initially diagnosed with clinical stage T3NxM0 prostate cancer. However, we do now have data from > 800 men treated with radical prostatectomy (RP) and followed for up to 23 years at the Mayo Clinic. … READ MORE …