Author: Dr. Savatta
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HIFU and cryosurgery for prostate cancer
UroToday – EAU 2007 – Minimally Invasive and Other Treatment Strategies in Localized Prostate Cancer The authors conclude that this treatment modality is appropriate for patients with localized CaP who are not candidates for surgery. The oncological outcomes appear inferior to rates reported for radiotherapy and surgery. 2 abstracts were summarized from the EAU’s meeting:…
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Testosterone replacement after seeds for prostate cancer
Testosterone Replacement May Be Safe After Prostate Cancer NEW YORK (Reuters Health) Mar 23 – Testosterone replacement therapy (TRT) appears safe for men who experience hypogonadal symptoms after brachytherapy for prostate cancer. “Men who have undergone potentially curative treatment for prostate cancer but also suffer from severe effects of hypogonadism may benefit from a trial…
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Prostate Cancer: Surgery for locally advanced prostate cancer
Prostatectomy Effective for SV-Negative Locally Advanced Prostate Cancer At a mean follow-up of 37.2 months (median, 21.2 months), the pT3 (pT3a plus pT3b) patients’ overall and disease-specific 10-year survival rates were 77% and 92%, respectively, and at 15 years, 52% and 75%. These results are similar to those of previous studies for overall survival of…
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Prostate Cancer: Is PSA Screening effective
There were 2 articles summarized from the EAU 2007 conference on Urotoday. They seemed to be conflicting, with one saying that delaying therapy did not seem to hurt many people and the other concluding that screening helped. UroToday – EAU 2007 – Session on Prostate Cancer Screening: Dr. Pelzer, Innsbruck presented data that the pathologic…
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Prostate Cancer: Obese men are more likely to have worse pathology reports than expected
Dr. Koop – Biopsy Underestimates Prostate Cancer in Overweight Men: Researchers compared the biopsy grade to the cancer grade following radical prostatectomy, which is the removal of the prostate. In 1,113 men who underwent radical prostatectomy between 1996 and 2005 within the Shared Equal Access Regional Cancer Hospital database, 299 men, or 27 percent, had…
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daVinci Surgery: PK dissecting forceps
One of my favorite instruments for robotic surgery is the PK dissector. As all daVinci instruments, It is made by intuitive surgical. It was developed in combination with gyrus medical. It is a bipolar instrument that can be used instead of the maryland bipolar or precise bipolar. The main advantages include: Less charring and sticking…
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Prostate Cancer: Researchers find genetic links
Scientists have identified several genetic risk factors for prostate cancer, shedding new light on the cause of a leading worldwide cancer killer among men that hits U.S. blacks especially hard. ‘The importance of it is that this is the first real evidence of the genetic basis of prostate cancer,’ said Dr. Brian Henderson, dean of…
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Delivery of the Median Lobe: A novel way to perform one of the most difficult parts of the dvP
This is my first technique that I will be adding to a new section of the blog. After watching many videos and trying different ways to approach an intravesical median lobe, I found a new way to take care of it. The following video was uploaded to google video and shows the dissection of a…
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Do you need to remove the whole prostate if I have prostate cancer surgery
This is one of the most common questions that patients ask me, especially if the cancer is confined to one area on biopsy. With robotic surgery I am able to remove part of a prostate if I want to, and I often do that for BPH operations. For prostate cancer it is not the correct…