The Robotic Surgeon Blog
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MedWire News – Oncology – MRI useful for detecting tumors in men with rising PSA, negative biopsies
MedWire News: Magnetic resonance imaging (MRI) may be useful for detecting potentially missed prostate tumors in men with rising prostate-specific antigen (PSA) levels but negative biopsies, suggest review findings. Nathan Lawrentschuk (University of Toronto, Ontario, Canada) and colleagues add that men wishing to initiate or remain on active surveillance (AS) may benefit from MRI by…
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UroToday – Laparoscopic mesh herniorrhaphy: Impact on outcomes associated with radical retropubic prostatectomy
Source: Urotoday Eighteen patients with a prior LMH underwent RRP. Five of the 18 had bilateral LMH, with unilateral LMH in the remainder. Outcomes in this group were compared with 38 patients without prior LMH. There was no difference between the groups in terms of age, preoperative PSA, prostate size, preoperative Gleason score, or body…
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UroToday – Prospective evaluation of prostate cancer risk in candidates for inguinal hernia repair – Abstract
Prior laparoscopic hernia repair is not a contraindication to robotic prostatectomy.
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UroToday – Nephroureteral Stent on Suction for Urethrovesical Anastomotic Leak After Robot-Assisted Laparoscopic Radical Prostatectomy
Source Urotoday.com I found an abstract about a way to manage urinary ascites that can rarely happen after dvP. Conventional measures, including catheter traction, passive drainage, and needle vented Foley catheter suction, failed. On postoperative day 6 a unilateral nephroureteral stent was placed on intermittent suction. Placement of one nephroureteral stent on suction device immediately…
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Is the Complication Rate of Radical Cystectomy Predictive of the Complication Rate of Other Urological Procedures?
Source: UroToday A higher hospital radical cystectomy volume appears to lead to a lower risk of complications only after other common urological oncological procedures, namely radical prostatectomy and nephrectomy, but not after nononcological urology procedures. This abstract found that hospitals that performed radical cystectomy (removal of the bladder and surrounding tissue for bladder cancer) had…
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The Prognostic Impact of Seminal Vesicle Involvement Found at Prostatectomy and the Effects of Adjuvant Radiation
Source: Urotoday Patients with seminal vesicle positive disease who received adjuvant radiation compared to observation realized an improvement in 10-year biochemical failure-free survival from 12% to 36% (p = 0.001), in 10-year overall survival from 51% to 71% (p = 0.08) and in metastasis-free survival from 47% to 66% (p = 0.09), respectively. Although seminal…
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Robotic prostatectomy findings in patients with a single microfocus (5% or Less) of Gleason 6 Prostate Cancer at Biopsy
A Single Microfocus (5% or Less) of Gleason 6 Prostate Cancer at Biopsy-Can We Predict Adverse Pathological Outcomes? Source: Urotoday While a microfocus of Gleason score 6 prostate cancer on biopsy is commonly considered low risk disease, there was a greater than 1/5 risk of pathological upgrading and/or up staging. Patients with Gleason score 6…
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MedWire News – Prostate Cancer – Endocrine and radiotherapy ‘standard care’ for locally advanced prostate cancer
Source Medwire News Adding local radiotherapy to endocrine treatment halves the 10-year prostate cancer-specific mortality in patients with locally advanced or high-risk local prostate cancer compared with endocrine treatment alone, researchers report. “In the light of these data, endocrine treatment plus radiotherapy should be the new standard,” Anders Widmark (Umeå University, Sweden) and team write…
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Dr Moyad on Vitamin E- Do not take over 400 IU daily
Source: Dr. Moyad on December 2008 Newsletter “It is now 100% official, high-doses (400 IU or more per day) of vitamin E supplements should not be taken by anyone, especially men trying to prevent, those diagnosed, or even treated for prostate cancer (in other words all men on planet earth)!!!” Dr. Moyad is in my opinion, the most…