Prostatectomy

Treatment-Related Hospitalizations Similar for PCa Surgery, Radiation

Treatment-Related Hospitalizations Similar for PCa Surgery, Radiation

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The odds were 16% lower for men who underwent external beam radiotherapy/intensity modulated radiation therapy, however.

Treatment Regret Infrequent After Radical Prostatectomy, IMRT

Treatment Regret Infrequent After Radical Prostatectomy, IMRT

Overall decision regret for 16.9% of patients; more regret for RP than radiotherapy component.

Radical Local Therapy Offers Mortality Benefit in Very High-Risk PCa

Radical Local Therapy Offers Mortality Benefit in Very High-Risk PCa

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Prostatectomy and radiotherapy with or without ADT reduced prostate cancer-specific and all-cause mortality rates.

Robotic, Open Prostate Cancer Surgery Offer Similar Early Results

Robotic, Open Prostate Cancer Surgery Offer Similar Early Results

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No significant differences observed in standard oncologic outcomes and quality of life at 12 weeks.

Robot-Assisted Prostate Surgery Safe, Effective Long Term

Robot-Assisted Prostate Surgery Safe, Effective Long Term

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Largest Asian series to date shows a 5-year biochemical recurrence-free survival rate of 76.4%.

Australian Docs Less Favorable to Post-RP Adjuvant Radiation Therapy

Australian Docs Less Favorable to Post-RP Adjuvant Radiation Therapy

Urologists in Australia less favorable toward adjuvant radiotherapy in 2015 vs 2012.

Robotic vs Open Prostatectomy Provides Early Benefits for pT2

Robotic vs Open Prostatectomy Provides Early Benefits for pT2

Reduced risk of positive surgical margins versus open prostatectomy for patients with pT2 disease only.

Visceral Fat Predicts Prostate Cancer Treatment Outcomes

Visceral Fat Predicts Prostate Cancer Treatment Outcomes

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Greater visceral adipose tissue volume and density are associated with a lower the risk of biochemical recurrence.

Post-RP Radiation Therapy May Raise OAB Risk

Post-RP Radiation Therapy May Raise OAB Risk

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De novo OAB — defined as urgency with or without frequency and nocturia — developed in some patients.

PPIs Linked With Higher Rate of Post-RP Complications

PPIs Linked With Higher Rate of Post-RP Complications

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Prostate cancer patients taking proton pump inhibitors also had pathologically higher stage disease.

Salvage Radical Prostatectomy Offers Good Long-Term Outcomes

Salvage Radical Prostatectomy Offers Good Long-Term Outcomes

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Minimally invasive surgery is associated with a lower incidence of bladder neck contracture.

Erectile Function Recovery Better With Delayed Radiotherapy After RP

Erectile Function Recovery Better With Delayed Radiotherapy After RP

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The chances of erectile function recovery improved when patients received radiation treatment more than 16 months after surgery.

Psychotherapy-PDE5 Inhibitor Combo Helps Post-RP Erectile Function

Psychotherapy-PDE5 Inhibitor Combo Helps Post-RP Erectile Function

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An early, integrated approach led to less deterioration of erectile function after surgery.

RP Linked With Favorable Outcomes in PCa Patients Considered Low Risk

RP Linked With Favorable Outcomes in PCa Patients Considered Low Risk

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Men with low-risk prostate cancer who undergo open or robot-assisted radical prostatectomy may have favorable oncological outcomes.

Radical Prostatectomies Mostly Performed Robotically

Radical Prostatectomies Mostly Performed Robotically

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Study finds that 85% of all radical prostatectomies performed by urologists in 2013 were robot-assisted procedures, compared with just 22% in 2003.

Preop Pelvic Floor Exercises May Improve Post-RP Incontinence

Preop Pelvic Floor Exercises May Improve Post-RP Incontinence

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Patients who performed preoperative pelvic floor muscle exercises had 36% lower risk of post-prostatectomy incontinence 3 months into their recovery.

PET/CT Plus MRI May Aid Salvage Radiotherapy for Nodal Recurrent PCa

PET/CT Plus MRI May Aid Salvage Radiotherapy for Nodal Recurrent PCa

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This approach is feasible and is associated with low acute and late toxicity.

Vitamin D Deficiency Linked to Adverse Pathology in Prostatectomy

Vitamin D Deficiency Linked to Adverse Pathology in Prostatectomy

Insufficiency/deficiency of serum 25-OH D linked to increased odds of adverse pathology.

Suprapubic Tubes May Be Better for RALP Patients

Suprapubic Tubes May Be Better for RALP Patients

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Advantages in terms of bother and pain surface in a prospective randomized trial comparing suprapubic tubes and urethral catheters.

Gene Signature May Predict PCa Hormone Treatment Failure

Gene Signature May Predict PCa Hormone Treatment Failure

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A 12-gene androgen deprivation therapy resistance signature may help guide therapeutic decision making after radical prostatectomy.

Active Surveillance of Prostate Cancer Increasing in the U.S.

Active Surveillance of Prostate Cancer Increasing in the U.S.

Many men with low-risk disease being spared prostatectomy, radiation, and androgen deprivation treatment.

Complications More Likely After Radiotherapy vs. Surgery for PCa

Complications More Likely After Radiotherapy vs. Surgery for PCa

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Radiation treatment is associated with an increased risk of requiring minimally invasive urologic procedures.

Study Identifies Human Factors in Surgical Errors

Study Identifies Human Factors in Surgical Errors

Individual cognitive factors accounted for half of all contributing human factor nano-codes.

Prostate Health Index Predicts Post-RARP Prostate Cancer Recurrence

Prostate Health Index Predicts Post-RARP Prostate Cancer Recurrence

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A PHI of 82 discriminated between patients with and without biochemical recurrence.

Early ADT for Recurrent Prostate Cancer May Hike Death Risk

Early ADT for Recurrent Prostate Cancer May Hike Death Risk

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This effect appears to occur mainly in men who experience recurrence when they are younger than 65 and in those with low-risk cancer.

Post-RP Outcomes Differ for Gleason 8, 9-10 Prostate Cancer

Post-RP Outcomes Differ for Gleason 8, 9-10 Prostate Cancer

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Gleason 9-10 tumors are associated with a greater risk of biochemical and clinical recurrence, but not overall survival.

Radical Prostatectomy Offers Excellent Long-Term Outcomes

Radical Prostatectomy Offers Excellent Long-Term Outcomes

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Researchers report on a study in which survivors were followed up for a median of 14 years.

Surgical Margin Status Has No Effect on PCa Patient Survival

Surgical Margin Status Has No Effect on PCa Patient Survival

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Researchers concluded that margin status is a surrogate for established risk criteria.

SICU Readmission More Likely Among Urologic Surgery Patients

SICU Readmission More Likely Among Urologic Surgery Patients

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The most common cause is respiratory compromise.

RALP Offers Favorable Long-Term Prostate Cancer Control

RALP Offers Favorable Long-Term Prostate Cancer Control

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The 10-year rates of biochemical and clinical recurrence are comparable to those of open surgery.

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