Category: Prostate Cancer
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Results of a large cryosurgery trial
UroToday – Outcomes of Cryotherapy for Prostate Cancer The mean follow-up was 20 months. A total of 4% of patients who were continent pre-procedure were incontinent after therapy. A total of 39% of patients reported being potent pre-treatment and all men were impotent immediately after cryotherapy. The probability for a man potent prior to treatment…
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Prostate cancer surgery: Small prostates
UroToday – EAU 2007 – Session on Open and Laparoscopic Radical Prostatectomy Tumors Interestingly, in prostate volumes less than 30gm, lap RP was associated with a PSM in 44%, while no such association existed for open RP. I have never thought of this before, but a quick look at my robotic data shows that 4…
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Positive Margins in Laparoscopic prostatectomy
UroToday – European Urology – Preoperative and Intraoperative Risk Factors for Side-Specific Positive Surgical Margins in Laparoscopic Radical Prostatectomy for Prostate Cancer Suspected ECE on endorectal coil MRI had neither protective effect nor increased risk for PSMs, which means that, whereas this variable may help with surgical planning, its capacity to decrease PSM rates remains…
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Prostate Cancer: Prostate cancer can metastasize after surgery with even low PSAs rarely
UroToday – Prostate Cancer Progression in the Presence of Undetectable or Low Serum Prostate-Specific Antigen Level Overall, 10 (22%) had undetectable serum PSA levels and 30 patients (65%) had PSA of less than 1ng/ml at the time of disease progression. Of the 25 men who had undergone radical prostatectomy, 7 were hormone na�ve at the…
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Prostate Cancer Surgery: Open vs. Laparoscopic Prostatecomy Results
UroToday – EAU 2007 ABST[750] – Radical Prostatectomy: A non-randomized Comparative Analysis of Outcomes between the Open and Laparoscopic Approach Conclusions: In our institution and during the study period, laparoscopic and retropubic radical prostatectomy provided comparable oncological efficacy, functional and morbidity outcomes. The laparoscopic approach was associated with lesser blood loss and transfusion rate and…
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Dr. Menon at EAU meeting
UroToday – EAU 2007 – AUA Lecture at the EAU 2007 – “The Role of Robotics in Urology” The market is primarily coming from patient “advertising” to other patients by word of mouth and use of the internet. The perceived benefit is likely based upon decreased blood loss and quicker recovery. He hypothesized that this…
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Robotic Prostatectomy Results from Vattikuti Institute
UroToday – European Urology – Vattikuti Institute Prostatectomy: Contemporary Technique and Analysis of Results Results Complete follow-up information was obtained in 1142 patients with a minimum follow-up of 12 mo (range: 12–66 mo; median: 36 mo). The actuarial 5-yr biochemical recurrence rate was 8.4% and the actual biochemical recurrence rate was 2.3%. Median duration of…
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Robotic Prostatectomy Review
Robotic Assisted Laparoscopic Radical Prostatectomy Conclusion Our review of the data for RALP shows a promising procedure in evolution. The limitations of robotic technology such as lack of haptic feedback seem to be outweighed by the advantages of improved visualisation and miniature instrumentation. While economic considerations are paramount the procedure is continuing to grow because…
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Prostate cancer surgery: hospital stays for open vs robotic surgery
Length of Hospital Stay Similar for Robotic Assisted and Conventional Prostatectomy The current study prospectively compared length of hospital stay in 374 patients who underwent conventional RP and 629 who underwent LRP between 2002 and 2005. These authors reported that 94.3% of patients undergoing RP and 97.5% undergoing LRP were discharged on or before postoperative…