Rapid increase in number of radical prostatectomies in the USA

Another article in this week’s New England Journal of Medicine addresses the rapid increase in the number of robot-assisted surgical procedures carried out in the US between 2005 and 2008. … READ MORE …

Laser dissection of the NVBs during RALP

A newly published report provides initial information from a pilot study on the feasibility of laser dissection of the neurovascular bundles (NVBs) during robot-assisted laparoscopic prostatectomy (RALP) as a treatment for localized prostate cancer. … READ MORE …

Does a pre-op MRI change surgical decision-making?

Data presented last week at the annual meeting of the American Roentgen Ray Society suggest that preoperative, endorectal magnetic resonance imaging (eMRI) of the prostate may help urologic surgeons to make decisions about whether to carry out nerve-sparing or non-nerve-sparing surgery in patients with prostate cancer. … READ MORE …

Prostate cancer news reports: Saturday, May 1, 2010

Today’s news reports include comments on studies dealing with:

  • A compound panel of markers for predicting risk for prostate cancer
  • Open vs. robot-assisted radical prostatectomy: urologists’ perceptions
  • Clinically relevant quality of life assessment after first-line therapy
  • A compound panel of markers for predicting overall survival of patients with CRPC … READ MORE …

Quality of life after first-line treatment: a prospective, comparative study

Data to be published in the May 2010 issue of the Journal of Urology are going to make a lot of urologists rather less than happy about the implications for the use of radical prostatectomy as first-line treatment for prostate cancer. … READ MORE …

Does type of surgery make a difference to prostate cancer outcomes?

A new analysis of the outcomes of different types of radical prostatectomy appears to show no difference between the patients’ clinical outcomes following laparoscopic (including non-robot-assisted and robot-assisted) categories of surgery (LRP/RALP) and traditional “open” radical retropubic prostatectomy (RRP) when used to treat Medicare patients of 66 years or older. … READ MORE …

Prostate cancer news reports: Thursday, February 18, 2010

Today’s news reports include commentary on studies dealing with:

  • Whether RALP outcomes are really comparable to those from RRP
  • Surgical expertise, surgical caseload, and pelvic lymphadenectomy in treatment of intermediate- and high-risk prostate cancer
  • Sexual function after first-line treatment with SBRT (CyberKnife)
  • Distinguishing true biochemical recurrence from a PSA “bounce” after 125I-based prostate brachytherapy … READ MORE …

The marketing of RALP: 2002 to 2010

Many readers may be interested in an article by Gina Kolata in Saturday’s New York Times on the rapid uptake of robot-assisted laparoscopic prostatectomy (RALP) for the first-line treatment prostate cancer. … READ MORE …

Prostate cancer news reports: Wednesday, February 3, 2010

In today’s (slightly belated) news reports, we comment on studies dealing with:

  • A possible association between hypertension and later diagnosis of prostate cancer
  • Appropriate selection of high-risk patients for RALP
  • Optimization of the appropriate use of docetaxel + prednisone in  treatment of CRPC … READ MORE …

Prostate cancer news reports: Tuesday, February 2, 2010

Today’s news reports address:

  • Daily fat intake and risk for prostate cancer
  • Salvage RALP as a treatment for patients in biochemical relapse after first-line EBRT
  • Phase II data on fenretinide as a possible treatment for HRPC … READ MORE …

Prostate cancer news reports: Wednesday, January 27, 2010

In today’s new reports we summarize information from recent papers dealing with:

  • Apical biopsy cores in initial diagnosis of prostate cancer
  • Imaging studies in the initial work-up of newly diagnosed patients
  • Intrafascial dissection of peri-prostatic tissue during laparoscopic surgery
  • Similarity of short-term rates of biochemical recurrence after open surgery or RALP
  • Does how we define post-surgical biochemical recurrence matter — and if so, when? … READ MORE …

Is RALP potentially associated with fewer complications than open surgery?

A study from the prestigious Karolinska Institute in Sweden has provided some concrete evidence that — with an appropriately high caseload and experience — robot-assisted laparoscopic prostatectomy (RALP) may, in fact, be associated with a significant reduction in surgical complications by comparison with open, radical retropubic prostatecomy (RRP). … READ MORE …

Prostate cancer news update: Tuesday, December 22, 2009

There are three fairly significant news reports today dealing with the following issues:

  • The relationship between a family history of prostate cancer and age at diagnosis
  • The impact of RALP on selection of surgery as a first-line treatment option
  • The management of ADT-related hot flashes … READ MORE …

Prostate cancer news reports: December 8, 2009

In today’s news reports we comment on articles dealing with:

  • The declining rate of prostate cancer mortality in the USA
  • Managing prostate cancer in the elderly
  • Re-validation of the Partin tables
  • RALP as salvage surgery for radiation-resistant patients … READ MORE …

Strict leak- and pad-free continence after RALP: is this the real truth?

The issue of complete continence after radical prostatectomy is a subject that few in the urologic surgery community have addressed in thorough detail. However, a new article based on data from a single-institution series of patients at the University of Chicago may have finally opened the doors to some honesty about this topic. … READ MORE …