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Of ORPs and RALPs: data from the Victorian Prostate Cancer Registry
Data from just over 2,000 prostate cancer patients in the Victorian Prostate Cancer Registry (VPCR, from the State of Victoria, Australia) suggest some difference in outcomes between men receiving open...
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Understanding the range of risks associated with prostate cancer surgery today
It would certainly be difficult (and arguably impossible) for us to provide a newly diagnosed prostate cancer patient with a comprehensive list of all the possible side effects and complications that...
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Long-term survival of high-risk patients < 60 years of age treated by radical...
A multi-institutional, international study has provided us with data on the 10-, 15-, and 20-year survival of a cohort of 600 relatively young, high-risk prostate cancer patients, all of whom were...
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Expectation management and sexual/erectile outcomes after radical prostatectomy
A newly published paper in BJU International has helped to make clear that many surgical patients have unrealistic expectations about their recovery of erectile and sexual function after radical...
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Neoadjuvant chemotherapy prior to surgery in higher-risk patients
A combined Russian and German research team has provided some interesting preliminary information on the use of neoadjuvant, low-dose docetaxel-based chemotherapy in treatment of intermediate- and...
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Exactly who is doing your radical prostatectomy for you?
According to a newly published article in Urologic Oncology, at least 85 percent of all radical prostatectomies in America are now performed using robot-assisted laparoscopic prostatectomy (RALP)....
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Is salvage radical prostatectomy really being under-used?
A new paper in the journal Clinical Genitourinary Cancer states that, “Salvage radical prostatectomy (SRP) is a treatment modality for patients with radio-recurrent prostate cancer but is currently...
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Early, adjuvant chemotherapy in high-risk patients after surgery
A paper presented yesterday at the now-completed annual meeting of the American Urological Association has given us new data on the role of adjuvant chemotherapy alone in the treatment of men with...
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The end to WHAT controversy?
In an extraordinary editorial in the July issue of the Journal of Urology, Dr. Michael Koch of the University of Indiana School of Medicine makes the following statement: From my standpoint, as someone...
View ArticlePre-surgical weight loss in the surgical treatment of prostate cancer
Overweight and obese prostate cancer patients are often advised to lose weight prior to surgery for the treatment of localized forms of prostate cancer. But is this really, always, a good idea? A new...
View ArticleIs Retzius-sparing radical prostatectomy the surgical wave of the future?
Back in the early 1980s, Dr. Patrick Walsh at the Johns Hopkins Medical Center in Baltimore changed the nature of surgical treatment for prostate cancer when he first started to conduct so-called...
View ArticleORP vs. RALP re-visited
A newly published report in The Lancet Oncology has pretty much finally confirmed what many of us have been assuming for a long time now: that open and robot-assisted laparoscopic forms of radical...
View ArticleNo survival benefit to debulking the prostate with radiation in first...
The term “debulking” denotes the radical treatment (via prostatectomy or radiation therapy) of the cancerous prostate — lmost always in newly diagnosed patients — after distant metastases have been...
View ArticleNeoadjuvant CHT + surgery for men with high-risk, localized prostate cancer
Eastham et al. have recently reported — in the Journal of Clinical Oncology — results from a randomized Phase III trial of the surgical treatment of men with high-risk forms of localized prostate...
View ArticleImprovements in surgical technique: past and more recent
Nearly 3 years ago now, we first mentioned a surgical technique known as “Retzius-sparing” radical prostatectomy on this web site. The degree to which this has been adopted into standard urologic...
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