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 …

The role of radical prostatectomy in older males with high-risk prostate cancer

Data reported earlier this year from the PIVOT study and separately from the long-term Scandinavian study have shown that the surgical treatment of prostate cancer in the patients enrolled in these trials showed no median prostate-cancer specific or overall survival benefit compared to watchful waiting in patients of > 65 years of age. … READ MORE …

The fine art of the circular argument applied to management of prostate cancer

It will likely be evident to most well-informed prostate cancer patients, support group leaders, and advocates that a man with low-risk, early stage prostate cancer (“favorable histology”) is potentially a good candidate for prostate cancer surgery. … READ MORE …

Are clinical benefits of RALP being over-hyped to unsuspecting prostate cancer patients?

Back in March, a group of authors from three major medical centers published a report in the Journal for Healthcare Quality strongly suggesting that U.S. hospitals were inappropriately over-promoting the  use of robot-assisted surgery for treatment of prostate cancer. … READ MORE …

Expert opinions on active surveillance and surgery for localized prostate cancer

At least some readers of this news-blog may be interested in two items posted earlier today on the Medscape Oncology web site. … 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 …

One urologist’s opinion … on the value of “high tech” medicine

Craig Turner, MD, practices urology in Portland, Oregon, and for the past 6 years or so he has been carrying out laparoscopic radical prostatectomies with the help of a da Vinci robot … but he doesn’t seem to think this has made him a better prostate cancer surgeon. … READ MORE …

Experience certainly improves technical skill at RALP

There has been a lot of media noise about a poster presented at the Genitourinary Cancer Symposium. The poster supposedly suggests that it takes 1,600 robot-assisted procedures (RALP) to be really good at this form of surgery. … READ MORE …

Penile length after RALP and rehab: a small, single-center case series

Over the years a number of studies have documented a reduction in penile size after open radical retropubic prostatectomy. A newly published study reports on the impact of robot-assisted laparoscopic radical prostatectomy (RALP) and penile rehabilitation on penile size. … READ MORE …

Comparative evaluation of open vs. robot-assisted surgery for localized prostate cancer

A new paper in the Scandinavian Journal of Urology and Nephrology has provided detailed information about the design and conduct of an ongoing, prospective, non-randomized trial comparing open radical retropubic prostatectomy (RRP) to robot-assisted laparoscopic radical prostatectomy (RALP) in treatment of localized prostate cancer. … READ MORE …

Comparative data on open and robot-assisted prostatectomy in “low caseload” facilities

A newly reported Swiss study provides us with what appear to be some sound comparative data on the relative merits of open radical prostatectomy (RP) and robot-assisted radical prostatectomy (RALP) at a center with a relatively low-volume caseload. … READ MORE …

RALP as a treatment for prostate cancer in HIV-positive patients

A report from the University of California San Diego says that robot-assisted laparoscopic prostatectomy (RALP) appears to be a safe and effective treatment for localized prostate cancer in men who are HIV-positive but are taking highly active antiretroviral therapy (HAART) and have undetectable viral loads (< 50). … READ MORE …

5-year outcomes of patients treated with RALP at a high-volume, specialty center

There has been much discussion of whether surgical outcomes following robot-assisted laparoscopic prostatectomy (RALP) are comparable to those observed after open surgery. The 5-year outcome data from the Vattikuti Urology Institute at Henry Ford Hospital in Detroit may help us to make such a determination. … READ MORE …

Intra-operative “fire” during RALP — a surgical complication to be avoided!

A recent paper in European Urology reports the first (known) case of an “intra-abdominal combustion” during a robot-assisted laparoscopic radical prostatectomy (RALP). … READ MORE …