The Robotic Surgeon Blog

  • Screening for prostate cancer

    The controversy over screening for prostate cancer will continue. clipped from www.medscape.com Information is not adequate to recommend screening men for prostate cancer with digital rectal examination or measurement of prostate-specific antigen (PSA), according to a position statement by the American College of Preventive Medicine (ACPM) published in the February issue of the American Journal…

  • Effect on prostate size on prostatectomy recovery

    clipped from www.medwire-news.md “Prostate size has no effect on continence or biochemical recurrence at 1 year after laparoscopic radical prostatectomy, but affects intra-operative blood loss, potency and surgical margins,” Aron et al write in the BJU International. The study points out what most people are concluding in regards to positive margins. Smaller prostate tend to…

  • New genetic tests to be developed for prostate cancer

    Genetic test in three years to detect prostate cancer | Science | The Guardian: “A genetic test that identifies men most at risk of prostate cancer could be available within three years, scientists said yesterday. British doctors will use the test in screening programmes to spot the disease in its earliest stages, before it has…

  • Laparoscopic nephroureterectomy for TCC of the ureter or renal pelvis

    This review of an article by one of the founders of laparoscopic urology shows that with one of the common laparoscopic method to remove a kidney, ureter, and bladder cuff for transitional cell caner of the upper urinary tract lining there seems to be a higer recurrence rate and positive margins. Our current technique is…

  • Testosterone and prostate size

    Testosterone makes prostates grow larger and makes prostate cancer grow more quickly. I came across a study that looks at prostate size and testosterone levels: clipped from www.urotoday.com Relationship between Serum Testosterone and Measures of Benign Prostatic Hyperplasia in Aging Men – Abstract In our study, the serum testosterone levels in aging men did not…

  • Robotic surgery summary- October/November 2007

    In October and November I performed 46 robotic surgeries, including 35 dvPs, 4 partial nephrectomies, 2 nephrectomies, 2 radical cystectomies including a bladder replacement in a woman, 1 simple prostatectomy, a stone procedure to remove a large left kidney stone, and a removal of a piece of ureter and re-implant for ureteral cancer. The most…

  • Excellent book for prostate cancer patients

    clipped from www.prostatecancerfoundation.org Report to the Nation on Prostate Cancer: A Guide for Men and Their Families Being diagnosed with prostate cancer can be a life-altering experience. It requires making some very difficult decisions about treatments that can affect not only the life of the man diagnosed, but also the lives of his family members…

  • Catheter withdrawal and suturing times of connection during robotic prostatectomy

    UroToday – WCE 2007 – Single Knot Anastomosis (SKA) For Laparoscopic Radical Prostatectomy: An International Multicenter Outcome Survey of 5235 Cases They have shown that the time to complete the anastomosis for the expert, second generation, and trainee surgeons were 16, 23, and 30 minutes respectively. Additional stitches were necessary only in 1.1%. The anastomosis…

  • Sex After Robotic Prostatectomy: Penile Rehabilitation

    I have previously written about sexual function and how it changes after prostate cancer surgery. As men are being diagnosed with prostate cancer at a younger age and at an earlier stage, the preservation of erectile function and the ability to maintain satisfactory erections has become more important. My partners and I offer a variety…