Over the years, we have been asked several times whether there is a role for any type of immediate treatment in men with a high level of concern for their risk of prostate cancer — despite a negative finding on prostate biopsy. … READ MORE …
Filed under: Diagnosis, Management, Risk, Treatment | Tagged: outcome, prophylactic, RALP, risk, surgery | 11 Comments »
Back in July we reported the initial publication on line of the results of a randomized Phase III trial by Yaxley et al. that compared the initial outcomes of open radical retropubic prostatectomy to robot-assisted laparoscopic prostatectomy (RALP). This paper has now been published by The Lancet along with two sets of editorial commentary. … READ MORE …
Filed under: Diagnosis, Management, Risk, Treatment | Tagged: open, outcome, RALP, randomized, surgery, trial | Leave a comment »
A newly published paper in The Lancet has provided us with data from a randomized, Phase III, clinical trial of open radical retropubic prostatecomy (ORP) vs. robot-assisted laparoscopic prostatectomy (RALP) in the surgical treatment of localized prostate cancer. … READ MORE …
Filed under: Diagnosis, Management, Treatment | Tagged: open, ORP, outcome, RALP, robot-assisted, surgery, trial | 4 Comments »
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 …
Filed under: Management, Treatment | Tagged: laparoscopic, open, ORP, outcome, prostatectomy, RALP, robot-assisted, surgery | Leave a comment »
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 …
Filed under: Diagnosis, Management, Risk, Treatment | Tagged: "high risk", laparoscopic, localized, outcome, prostatectomy, RALP, review, robot-assisted | 2 Comments »
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 …
Filed under: Management, Treatment | Tagged: dissection, laparoscopic, lymph node, pelvic, PLND, prostatectomy, RALP, robot-assisted, surgery | 5 Comments »
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 …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: eye, injury, laparoscopic, prostatectomy, radical, RALP, robot-assisted | Leave a comment »
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 »
A new study available on line as a full-text article in European Urology has provided a retrospective analysis of the perioperative outcomes of men undergoing radical prostatectomy for localized prostate cancer in a 15-month period between October 2008 and December 2009 at 20 percent of the community hospitals in the USA (including public hospitals and academic medical centers). … READ MORE …
Filed under: Diagnosis, Management, Risk, Treatment | Tagged: comparison, open, outcome, radical prostatectomy, RALP, robot-assisted | Leave a comment »
In order to initially gain or maintain board certification, American urologists must (among other things) submit case logs to the American Board of Urology. A new study, published recently in the Journal of Urology, has used data from these case logs to assess current trends regarding the use of robot-assisted laparoscopic and open radical prostatectomy. … READ MORE …
Filed under: Management, Treatment | Tagged: open, radical prostatectomy, RALP, robot-assisted, volume | 5 Comments »
A misleadingly titled op-ed in Forbes magazine this week by two very committed prostate cancer surgeons reflects the sad lack of reality exhibited by some representatives of the clinical treatment community. … READ MORE …
Filed under: Diagnosis, Management, Risk, Treatment | Tagged: CyberKnife, fact, localized, opinion, RALP | 7 Comments »
A couple of recent articles on the Medscape web site deal with aspects of the effectiveness and safety of robot-assisted laparoscopic prostatectomy (RALP) and various types of radiation therapy in the first-line treatment of prostate cancer. … READ MORE …
Filed under: Diagnosis, Living with Prostate Cancer, Management, Risk, Treatment | Tagged: comparative, effectiveness, erectile function, radiation, RALP, robot-assisted, surgery, trauma | Leave a comment »
We are having a hard time with a media release issued yesterday by BJU International in relation to a study just published in that journal by Tewari et al. (Actually, we are having a hard time with the results of the study itself too.) … READ MORE …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: age, follow-up, orgasm, potency, RALP, sexual function | 4 Comments »
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 »
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 …
Filed under: Living with Prostate Cancer, Management, Treatment | Tagged: laparoscopic, open, outcome, prostatectomy, radical, RALP, robot | 1 Comment »
THE "NEW" PROSTATE CANCER INFOLINK 