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 concern stemmed from the fact that his original presenting symptom was blood in the semen.

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The 80 Hour work week

Aggravated DocSurg posts his thoughts about the effect of an 80 hour work week on general surgery residents:
>>Tuesday, December 27, 2005
80 hour week Redux
This month’s American Journal of Surgery contains an interesting article from the Dept. of Surgery at Baylor in Houston entitled Impact of the 80-hour work week on resident emergency operative experience. As I have written previously, I am not convinced the 80 hour work restrictions will deal an even hand to surgeons in training, or their future patients.
Although the intention of the 80 hour work week for residents is probably good, it certainly has its downfalls.
I was fortunate to finish my residency at Indiana University in 2003. This was the same year that the 80 hour work week was instituted.

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Robotic Surgery Growth in Essex county, NJ- December 2005 Update

This is a monthly update on the growth of Robotic Surgery in my practice.
Original blog entry about robotic surgery growth was in November of this year and was updated in December.
For December, I performed 13 robotic operations including 9 prostate removals for cancer, 1 kidney removal for a kidney that was causing pain and was enlarged about 20 times normal and did not work, as well as removing 2 parts of kidneys for cancer.

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Eye strain and robotics

I have noticed after several recent cases that my eyes feel dry and itchy. I think it is due to a reduced blink reflex, a well reconized problem for those working with computer monitors and sometimes called Computer Vision Syndrome.
“Research has shown that the blink rate of VDT workers dropped very significantly during work at a VDT compared to before and after work. Possible explanations for the decreased blink rate include concentration on the task or a relatively limited range of eye movements.”

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Robotic Surgery Growth- Nov Update

This is an update from a previous blog entry on robotic surgery growth.
In Nov I performed 10 robotic operations and assisted Dr. Adam Kopelan with a robotic adrenalectomy. Dr. Kopelan is a general surgeon specializing in laparoscopy and one of the few robotic general surgeons. He usually assists me at the field for cases when a urologist and general surgeon are useful including robotic cystectomies, lysis of adhesions prior to prostatectomy, and laparoscopic/robotic hernia repairs in conjunction with prostatectomy.
The most significant days were:
Nov. 21- Dr Kopelan assisted me for the first robotic anterior exenteration performed in the tristate (lower NY, CT, NJ) area.
Nov 30- Dr. Galdieri assisted me in performing 3 dvps in 1 day and all were discharged within 20 hours of surgery.

Robotic Pyeloplasty and Endoscopic Stone retrieval

I was recently faced with a case of a right sided UPJ stenosis with good renal preservation and two 5 mm stones in the upper pole. Having done at least a half dozen robotic pyeloplasties I felt that that would be the appropriate treatment for the UPJ but was not sure how to address the stones. I did not want to leave them in place and have to address them later. A separate percutaneous nephrostolithotomy seemed like overkill for the size of the stones. A PNL could be combined with an antegrade endopyelotomy, but the stones were in upper pole calyces and the combined procedure might require two separate entry points for adequate access (lower pole entry point to reach the upper-pole and a mid- or upper-pole entry point to reach the UPJ).

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Haptics- A robotic limitation

The most cited drawback of robotic surgery is the loss of fine feeling of the instruments on tissue.
The other drawbacks are the expense of the surgical system and the need for precise positioning of the robotic arms to provide for a full range of motion without repositioning the arms.

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