Tag: prostatectomy
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UroToday – Prospective evaluation of prostate cancer risk in candidates for inguinal hernia repair – Abstract
Prior laparoscopic hernia repair is not a contraindication to robotic prostatectomy.
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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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Long-Term Functional and Oncological Outcomes of Patients Undergoing Sural Nerve Interposition Grafting during dvP
From UroToday: Despite optimism regarding SNG, long-term functional outcomes have been disappointing, particularly for BL nerve interposition. UL-SNG functional outcomes do not appear to improve outcomes when compared with men with UL nerve preservation. With the greater risk of PSM and BCR in patients who are considered candidates for SNG, newer treatment modalities are needed…
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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…
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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…
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Us Too Newsletter for June
Us Too! Prostate Cancer Education and Support – HotSheets #Doc Moyad’s What Works and What is Worthless Column—Provenge� # Cell Genesis Reports Phase II Results with GVAX Immunotherapy # A Survivor Reviews the 2007 ASCO Prostate Cancer Symposium The robotic-assisted laparoscopic prostatectomy is rapidly becoming the “standard of care” for those who choose surgery. IMRT…
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Robotic Surgery Review in Contemporary Urology
The robotic revolution: Advancing laparoscopy and urology further into the future – The introduction of robotic technology and its increasing acceptance in urology have helped surgeons overcome many technical barriers to complex laparoscopic procedures. While preliminary safety and efficacy results for a number of procedures are promising, long-term data are needed to establish its role…
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Surgical volume related to cancer cure rates after prostate cancer surgery
UroToday – AUA 2007 – The Effect of Surgical Volume on the Rate of Seconday Treatment After Radical Prostatectomy They conclude that surgical volume is a determinant of treatment-failure when evidenced by the use of secondary therapies. Surgeons performing 24 RPs per year had the lowest rate of secondary treatment use.
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Rhode Island joins robotic community
Robotic surgery on prostate cancer arrives in R.I. | Rhode Island news | Rhode Island news | projo.com | The Providence Journal This is robot-assisted surgery — and some say it’s the future of surgery. Miriam Hospital is the first hospital in the state to acquire the robot, called the da Vinci Surgical System, which…
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Robotic Prostatectomy Review
Robotic Assisted Laparoscopic Radical Prostatectomy Conclusion Our review of the data for RALP shows a promising procedure in evolution. The limitations of robotic technology such as lack of haptic feedback seem to be outweighed by the advantages of improved visualisation and miniature instrumentation. While economic considerations are paramount the procedure is continuing to grow because…