Category: Prostate Cancer
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Is a JP drain needed after robotic prostatectomy?
Surgeons are always trying to re-invent the wheel. This is a good, even great thing. We try to make surgical techniques easier, quicker and less invasive. This is a study out of Miami claiming that pelvic drains are not required after open prostate surgery. There is a current debate in robotic surgery whether a drain…
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Quality of life after a negative biopsy
UroToday – “False-Positive” Prostate Cancer Screenings Assessed “Men can discuss the pros and cons of getting a PSA test with their doctors. However, once a man decides to go ahead and get a PSA test, if its results are abnormal, he typically should have ongoing follow-up and surveillance for prostate cancer,” Katz said. Katz said…
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PSA screening lowers risk of finding advanced prostate cancer
UroToday – European Urology – Prostate Cancer Screening Decreases the Absolute Risk of Being Diagnosed with Advanced Prostate Cancer—Results from a Prospective, Population-Based Randomized Controlled Trial Conclusions: Even though the reduction in metastasis at the time of diagnosis seen in the present study is a prerequisite for a successful prostate cancer-screening program, the ultimate outcome…
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Choosing a prostate cancer therapy option for a patient who doesn’t have the capacity to understand the options
UroStream: Does not read When I first saw this patient, there was a note in the chart from the front desk saying “patient does not read”. I asked if this was a deliberate decision from the patient, or whether they had meant to say that the patient was illiterate and could not read. Unfortunately, the…
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What is a normal PSA?
Age Adjustment of PSA Measures Might Improve Prostate Cancer Screening: Source (Medscape) The team concludes that standard PSA and PSA velocity cutoff points could be decreased to 2.0 ng/ml and 0.40 ng/ml per year in order to improve cancer detection in these younger men. The author of an editorial comment, Dr. H. Ballentine Carter of…
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What is proper etiquette for the newly diagnosed cancer patient/doctor relationship?
I received a phone call yesterday from a young man that was newly diagnosed with prostate cancer from the southeast. He was interested in robotic surgery and had several questions. He told me he found a local urologist who performs robotic surgery and asked me what kind of questions he could ask. He was turned…
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Urinary function study comparing lap and open RRP
Medscape: Prostatectomy Approaches Have Similar Continence Impact Open radical retropubic prostatectomy and laparoscopic radical prostatectomy to do not lead to significantly different rates of urinary incontinence postoperatively, Canadian researchers report in the February issue of the Journal of Urology.
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Hair loss prevention does lower PSA
UroToday – Effect of 1 mg/day Finasteride on Concentrations of Serum Prostate-Specific Antigen in Men with Androgenic Alopecia: A Randomized Controlled Trial At completion of the study, 1mg/day finasteride resulted in a median serum PSA decrease of 40% (95% CI 34 to 46) in men ages 40-49 years (mean PSA 0.8 ng/ml) and 50% in…
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Weight, Weight Loss and the Risk of Prostate Cancer
Body Mass Index, Weight Change, and Risk of Prostate Cancer in the Cancer Prevention Study II Nutrition Cohort Written by Ricardo Sanchez-Ortiz, MD Thursday, 15 February 2007 BERKELEY, CA (UroToday.com) – In the last five years, a large body of evidence has been accumulated supporting the association between obesity and high-risk prostate cancer. Despite this…