The Robotic Surgeon Blog
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Impact of Accessory Pudendal Arteries on Potency Following Robot-Assisted Prostatectomy
Source: UroToday from 2008 Wold Congress of Endourology After multivariate analysis there was no significance with sacrificing an APA and time of potency recovery. There was no correlation with sacrificing an APA and postoperative quality of erections (94% vs 90% p=0.30) or mean IIEF-5 (22.4 vs 20.7 p=0.11). As one of the few reports regarding…
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Robotic Inguinal Hernia Surgery at the time of Robotic Prostatectomy
Source: Journal of Robotic Surgery, Volume 1, Number 4 / February, 2008 Conclusion Urological surgeons should be encouraged to perform a thorough inguinal exam during preoperative evaluation and intraoperatively to detect subclinical hernias. Inguinal herniorrhaphy done concurrently at the time of RALP is safe, with no added morbidity and should be routinely performed. This is…
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Robotic Partial Nephrectomy Study
Source: Journal of Robotic Surgery, Volume 2, Number 3 / September, 2008 Conclusions We report a large, multi-institutional series of RPN for renal tumors, confirming safety and feasibility reported in previous small, single-institution studies. Although we report the initial experience in RPN at each center, immediate oncologic results and perioperative outcomes approached those of more…
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Risk of prostate cancer unaffected by antibiotic treatment
Source: MedWire News The average age of the patients was 62.9 years. Average total PSA before and after treatment was 6.05 ng/ml and 5.55 ng/ml, respectively. On biopsy, 23% of patients had histologically proven prostate cancer. There were no significant differences between men with and without prostate cancer in age, pretreatment PSA, free PSA, percent…
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Robotic Partial Nephrectomy Versus Laparoscopic Partial Nephrectomy for Renal Cell Carcinoma: Single-Surgeon Analysis of >100 Consecutive Procedures
Source: UroToday The mean total operative time (140 vs 156 minutes, P = .04), warm ischemia time (19 vs 25 minutes, P = .03), and length of stay (2.5 vs 2.9 days, P = .03) were significantly shorter for RPN than for LPN, respectively. RPN can produce results comparable to LPN but has disadvantages, such…
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SELECT: Selenium, vitamin E show no benefit in prostate cancer prevention – – UrologyTimes
Source: Urology Times Selenium and vitamin E supplements, taken either alone or together, do not appear to prevent prostate cancer, according to an initial, independent review of study data from the Selenium and Vitamin E Cancer Prevention Trial (SELECT). The data also showed two concerning trends: a small but not statistically significant increase in the…
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Medical News: ASTRO: Proton Radiation Fails to Impress in Prostate Cancer Study – in Meeting Coverage, ASTRO
Source: Med page today Proton radiation for early prostate cancer had an acceptable tolerability profile but produced little evidence of a “gee whiz” impact to support its cost, according to preliminary results from a phase I/II clinical trial. Two-thirds of patients had acute genitourinary or gastrointestinal toxicity, and a third had late GU/GI toxicity, Anthony…
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UroToday – Trial Evaluation of Erectile Function after Attempted Unilateral Cavernous Nerve-Sparing Retropubic Radical Prostatectomy With Versus Without Unilateral Sural Nerve Grafting for Clinically Localized Prostate Cancer – Abstract
Source Urotoday The trial planned to enroll 200 patients, but an interim analysis at 107 patients met criteria for futility and the trial was closed. For patients completing the protocol to 2 yr, potency was recovered in 32 of 45 (71%) of SNG and 14 of 21 (67%) of controls (p=0.777). By intent-to-treat analysis, potency…
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Regrets After Prostate Surgery
Source: Tara Parker-Pope – Health – New York Times Blog One in five men who undergoes prostate surgery to treat cancer later regrets the decision, a new study shows. And surprisingly, regret is highest among men who opt for robotic prostatectomy, a minimally invasive surgery that is growing in popularity as a treatment. The research,…