Tag: prostate

  • Surgical experience affects prostate cancer control ‘regardless of risk’

    From MedWire News – Oncology – Prostate cancer control after radical prostatectomy improves with increasing surgeon experience, regardless of patients’ risk, say US scientists who suggest that the primary reason for recurrence in low-risk patients is inadequate surgical technique. The team, led by Eric Klein from the Cleveland Clinic in Ohio, previously discovered that open…

  • – Oncology – High saturated fat diet linked to postop biochemical failure

    From MedWire News Among prostatectomy patients, those with diets high in high saturated fat (HSF) are almost twice as likely to experience biochemical failure as those who consume a low saturated fat (LSF) diet, say US scientists. Several studies have indicated that obesity is associated with an increased risk of biochemical failure after treatment with…

  • Newer Prostate Cancer Treatment Similar to Traditional Surgery

    From Washington Post.com “This reaffirms what many other manuscripts have shown, if you go to an individual who has experience, who does this on a consistent basis, your outcomes will be better,” said Dr. Ihor S. Sawczuk, chief of urologic oncology for the Cancer Center at Hackensack University Medical Center, in New Jersey. “If you…

  • Biomarker predicts malignancy potential of prostate lesions –

    From Urology Times Spanish researchers have found a means of distinguishing between high-grade prostatic intraepithelial neoplasia (HGPIN) lesions destined to become cancerous and those that will remain benign, which may spare patients the discomfort and inconvenience of unnecessary needle biopsies, according to a study in Clinical Cancer Research (2008; 14:2617-22). This is the first studay…

  • A Step Backward: The ACPM Recommendations on Prostate Cancer Screening

    Medscape article summarizing PSA recommendations: The most aggressive screening protocol is from the NCCN. NCCN guidelines start from the premise that the patient has made a decision to seek early prostate cancer detection. They recommend beginning screening at age 40. The baseline PSA level, race, and family history are then used to determine the subsequent…

  • Upgrading after radical prostatectomy

    UroToday – Prostate Cancer Volume at Biopsy Predicts Clinically Significant Upgrading – Abstract Preoperative prostate specific antigen greater than 5.0 ng/ml (p = 0.036), prostate weight 60 gm or less (p = 0.004) and more cancer volume at biopsy, defined by cancer involving greater than 5% of the biopsy tissue (p = 0.002), greater than…

  • IMRT external beam radiation review

    UroToday – Current Status of Intensity-Modulated Radiation Therapy (IMRT) In the International Journal of Clinical Oncology, Dr. Hatano and colleagues from Chiba, Japan provide an excellent overview of intensity-modulated radiation therapy (IMRT). Problems with conventional, four field radiotherapy have been ineffective dose distribution and overdoses to organs at risk (OARs), such as the bladder and…

  • 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…

  • Excellent review of HIFU in contemporary urology

    HIFU for prostate cancer – For more than a decade, HIFU has been investigated as a less invasive alternative to surgical treatment in men with localized prostate cancer. A growing and maturing body of research suggests that HIFU is a safe and efficacious option for several subgroups of patients. – Contemporary Urology HIFU for prostate…