The Robotic Surgeon Blog
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Sexual function after prostate removal
I am frequently asked about the changes to fluid that comes out of the penis during sexual activity and about the ability to have children. Many years ago I described the changes for men to expect after prostatectomy for cancer. Normally the testicles make sperm that travels through the vas deferens to reach the prostate…
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Surgery Offers Prostate Cancer Patients Better Survival Odds
Prostate cancer patients with clinically localized tumors are more likely to die if they undergo radiotherapy rather than radical prostatectomy. Radiotherapy for clinically-localized prostate cancer (PCa) is associated with an increased risk of overall and PCa-specific mortality compared with radical prostatectomy, according to a new systematic review and meta-analysis. Dr. Nam’s group stated that, to…
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Exercise Training May Delay PCa Progression – Renal and Urology News
PSA doubling time, a marker of cancer progression, increased from 28 to 76 months in prostate cancer patients performing exercise training. “The exercise intervention resulted in marked physiological adaptations that aided weight regulation and increased fitness levels,” Dr. Hojman told Renal & Urology News. “PSA doubling time correlated with improved fitness, but not with weight loss.…
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Sexual Intercourse May Clear Distal Ureteral Stones
Having sex 3-4 times a week was associated with a significantly greater stone passage rate than tamsulosin or standard medical therapy. Source: Sexual Intercourse May Clear Distal Ureteral Stones This was an interesting study that compared men that had stones that they were trying to pass. Some of the men were treated with flomax, which…
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Latest Dietary Advice for Prostate Cancer – Renal and Urology News
A range of foods, nutrients, and dietary patterns are being studied for prostate cancer prevention or treatment, according to a 2015 research review. Source: Latest Dietary Advice for Prostate Cancer – Renal and Urology News While the ideal diet prescription has yet to be determined, the investigators suggest counseling men with these tips, in line…
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Renal cell carcinoma growing into the renal pelvis and mimicking transitional cell carcinoma: A case report and literature review – Abstract
Renal cell carcinoma growing into the renal pelvis and mimicking transitional cell carcinoma: A case report and literature review – Abstract. My partner and I had a similar patient that presented with a large kidney tumor that was growing into the renal pelvis and ureter. We performed a ureteroscopy and the tumor appeared as a…
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Study: MRI Missed 1 in 6 High-Grade Prostate Cancers
Study: MRI Missed 1 in 6 High-Grade Prostate Cancers. The much ballyhooed multiparametric (mp) MRI does not appear to be suited as stand-alone test for diagnosing prostate cancer after an elevated PSA, according to new research. The expensive and powerful technology failed to identify 16% of men with high-grade cancer (Gleason score ≥7) in a…
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3D vs 2D laparoscopic radical prostatectomy in organ-confined prostate cancer: Comparison of operative data and pentafecta rates: A single cohort study – Abstract
3D vs 2D laparoscopic radical prostatectomy in organ-confined prostate cancer: Comparison of operative data and pentafecta rates: A single cohort study – Abstract. This study shows one surgeons experience performing laparoscopic prostatectomy with 3d vision. There are headsets that doctors can wear to overcome the 2d limitation of conventional surgery. The 3d vision improved outcomes.…