Tag: robotic prostatectomy
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‘End of Controversy’: Robotic Prostatectomy Is Winner
A new national database study shows that the high-tech approach improves oncologic outcomes; this prompted a grand declaration from an expert. Source: ‘End of Controversy’: Robotic Prostatectomy Is Winner “Robotic prostatectomy has superior or at least equal oncologic efficacy and complication rates compared to open prostatectomy,” writes Michael O. Koch, MD, from the Indiana University School…
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Penile Shortening After Prostate Surgery Temporary – Renal and Urology News
At six months, men who took a daily PDE5i had no SFPL loss, whereas those who did not take a PDE5i consistently had a significant mean 4.4 mm SFPL loss compared with baseline.“The present study is among the first to show preservation of SFPL in patients using daily PDE5i as compared with those patients not…
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After prostate surgery, some men leak during sex | Reuters
Incontinence during sex is a long-lasting problem for roughly one in eight men who have had their prostate removed due to cancer, a study of more than 1,400 patients has found. via After prostate surgery, some men leak during sex | Reuters. This article describes that some men will have loss of urine during sexual…
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Better patient counseling needed on post-RP erectile function – – UrologyTimes
Acting on anecdotal evidence, Dr. Nelson and his co-authors, Peter Scardino, MD, and John P. Mulhall, MD, assessed the erectile function of 250 men average age, 59±8 years pre- and post-radical prostatectomy. Of the men with baseline erectile function scores ≥24 mild to no dysfunction, about one-third 32% regained function; however, well over half 60%…
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UroToday – Laparoscopic mesh herniorrhaphy: Impact on outcomes associated with radical retropubic prostatectomy
Source: Urotoday Eighteen patients with a prior LMH underwent RRP. Five of the 18 had bilateral LMH, with unilateral LMH in the remainder. Outcomes in this group were compared with 38 patients without prior LMH. There was no difference between the groups in terms of age, preoperative PSA, prostate size, preoperative Gleason score, or body…
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UroToday – Nephroureteral Stent on Suction for Urethrovesical Anastomotic Leak After Robot-Assisted Laparoscopic Radical Prostatectomy
Source Urotoday.com I found an abstract about a way to manage urinary ascites that can rarely happen after dvP. Conventional measures, including catheter traction, passive drainage, and needle vented Foley catheter suction, failed. On postoperative day 6 a unilateral nephroureteral stent was placed on intermittent suction. Placement of one nephroureteral stent on suction device immediately…
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Delivery of the Median Lobe: A novel way to perform one of the most difficult parts of the dvP
This is my first technique that I will be adding to a new section of the blog. After watching many videos and trying different ways to approach an intravesical median lobe, I found a new way to take care of it. The following video was uploaded to google video and shows the dissection of a…
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Robotic Prosatectomy at the NCCN
Genengnews.com: Robot Spurs Men’s Recovery After Surgery, Urologist Says at NCCN Annual Conference Even surgeons who once favored traditional ‘open’ methods of cutting and suturing during prostate or bladder-cancer operations have learned to love the joystick-operated robot, said Timothy G. Wilson, M.D., director of the Prostate Cancer Program at City of Hope Cancer Center, at…
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Is a JP drain needed after robotic prostatectomy?
Surgeons are always trying to re-invent the wheel. This is a good, even great thing. We try to make surgical techniques easier, quicker and less invasive. This is a study out of Miami claiming that pelvic drains are not required after open prostate surgery. There is a current debate in robotic surgery whether a drain…