Category: Prostate Cancer
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PACRIM Robotics Conference – dVP times
I attended the PACRIM conference Sponsored by the Univ. of California, Irvine in early January. There were several interesting presentations and I plan to post a summary of different ones from time to time. The first in the series is regarding a presentation made by Dr. Randy Fagin from Austin, TX, on “Achieving a Time…
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Telling someone they have prostate cancer
One of the most difficult things that a urologist has to do is to tell his patient that he has cancer. I recently had a somewhat heated debate with my partner in robotic surgery. Prostate cancer is the leading solid organ cancer in men and is diagnosed by a biopsy in the office. The reasons…
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Should we do PSA Screening?
This is a frequently asked question and the answer will vary on who you ask. PSA screening is recommended by the American Urologic Association . An excellent review of the original guidelines can be found at the American Family Physician website. I came across a post on medlogs.com from a blog (retired doc\’s thoughts) by…
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What is your youngest robotic prostatectomy patient?
The younger the patient, the more years he has to live. Cure rates are extremely important and long term side effects are equally important.
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Is Prostate Cancer Transmissible?
Every now and then I get a really good question from a patient that I have never heard before. I am making a new category on my blog for these type of questions. A patient of mine who was recently diagnosed with prostate cancer asked me today if his wife could catch prostate cancer. His…
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Robotic Prostatectomy after Radiation or Cryosurgery
Many patients are undergoing non-surgical therapies of their prostate cancer with curative intent. These include seeds, external beam radiation, and cryosurgery. What are their alternatives if they fail therapy?
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Inguinal hernias and robotic prostatectomy
Inguinal hernias often coexist in prostate cancer patients. They can sometimes be found on physical exam or during staging CT scans. At the time of transperitoneal robotic prostatectomy the inguinal areas are examined with the robotic scope. If hernias exist, they can be fixed at the time of prostatectomy..
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Smokers have increased risk of bladder cancer after radiation therapy for prostate cancer
A presentation at the AUA Western section meeting was reviewed in the Urology Times November 2005 issue: UT article: Smokers face higher risk of TCC after radiation Patients that have a history of smoking are 13 more likely to get bladder cancer (transitional cell cancer) after radiation as compared to patients who get radiation and…