Author: Dr. Savatta
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Active Surveillance for Prostate Cancer Patients
From Medscape May 12, 2008 — The urine test for the PCA3 gene, already marketed for use in diagnosing prostate cancer, could also be useful in prognostication. It might have clinical application in selecting men with low-grade and low-volume tumors who would be suitable candidates for active surveillance, say researchers writing in the May issue…
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Newer Prostate Cancer Treatment Similar to Traditional Surgery
From Washington Post.com “This reaffirms what many other manuscripts have shown, if you go to an individual who has experience, who does this on a consistent basis, your outcomes will be better,” said Dr. Ihor S. Sawczuk, chief of urologic oncology for the Cancer Center at Hackensack University Medical Center, in New Jersey. “If you…
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Clinical Outcomes after Sexuality Preserving Cystectomy and Neobladder (Prostate Sparing Cystectomy) in 44 Patients
nerve sparing cystectomy
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Waiting Time From Initial Urological Consultation to Nephrectomy for Renal Cell Carcinoma-Does it Affect Survival?
From UroToday Surgical waiting time from initial urological consultation to operative intervention does not adversely affect the outcome of renal cell carcinoma within the time frames analyzed in this study, in which 94% of cases occurred within 3 months. Individual urologist judgment remains a critical factor in the appropriate and timely care of the patient…
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Biomarker predicts malignancy potential of prostate lesions –
From Urology Times Spanish researchers have found a means of distinguishing between high-grade prostatic intraepithelial neoplasia (HGPIN) lesions destined to become cancerous and those that will remain benign, which may spare patients the discomfort and inconvenience of unnecessary needle biopsies, according to a study in Clinical Cancer Research (2008; 14:2617-22). This is the first studay…
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Robotic Renal Symposium
First Annual Worldwide Robotic Renal Symposium I had the honor of being selected on the faculty for the 1st robotic conference dedicated to kidney surgery. This should be an excellent conference for urologists who are performing robotic surgery for prostate cancer and would like to learn about current techniques for kidney surgery including partial nephrectomy.…
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A Step Backward: The ACPM Recommendations on Prostate Cancer Screening
Medscape article summarizing PSA recommendations: The most aggressive screening protocol is from the NCCN. NCCN guidelines start from the premise that the patient has made a decision to seek early prostate cancer detection. They recommend beginning screening at age 40. The baseline PSA level, race, and family history are then used to determine the subsequent…
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The price of defensive medicine
New Study Compares Tort Systems — Reform Improves Health Care for Patients A new study by the Pacific Research Institute, US Tort Liability Index: 2008 Report, measures the best and worst tort systems in America. In the report, the authors examine evidence provided by top economists and legal scholars on the benefits of tort reform…
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Long-Term Functional and Oncological Outcomes of Patients Undergoing Sural Nerve Interposition Grafting during dvP
From UroToday: Despite optimism regarding SNG, long-term functional outcomes have been disappointing, particularly for BL nerve interposition. UL-SNG functional outcomes do not appear to improve outcomes when compared with men with UL nerve preservation. With the greater risk of PSM and BCR in patients who are considered candidates for SNG, newer treatment modalities are needed…