Columnist calls on urologists to disclose prostatectomy rates and related data

In one of his regular video columns on the Medscape web site, Dr. Gerald Chodak has called on his colleagues in the urology community to voluntarily disclose data about their prostatectomy experience to patients interested in surgical treatment for localized prostate cancer. … READ MORE …

Exactly who is doing your radical prostatectomy for you?

According to a newly published article in Urologic Oncology, at least 85 percent of all radical prostatectomies in America are now performed using robot-assisted laparoscopic prostatectomy (RALP). Actually, this is hardly a surprise. However, … READ MORE …

Well — this is a sort of progress, one hopes!

According to the abstract of a newly published paper by Krouwel et al. in Urology (“the Gold Journal”), we now have formal evidence that most urology residents in at least The Netherlands feel that they receive insufficient training in the management of men with erectile dysfunction. … READ MORE …

Coping skills, emotional trauma, and living with prostate cancer

The authors of a newly published paper on stress management and coping skills among men on active surveillance as a first-line management strategy for prostate cancer begin the abstract of their paper with the following sentence: … READ MORE …

It’s not the robot, it’s (almost certainly) the humans that are the problem

Prostate Cancer International, on this site and even more so on its associated social network, has long emphasized the importance of physician focus, skill, and experience as being key factors in the diagnosis and management of prostate cancer — regardless of the specific types of technology that may be being applied. … 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 …

Does surgical experience trump tumor biology (at least for patients at very high risk)?

We know from prior studies that recurrence of prostate cancer after a radical prostatectomy is related to tumor biology and to surgical surgical skill and experience, but is one more important than the other? … READ MORE …