Prostatectomy

Radical Prostatectomy Has Lasting Benefit for Localized Cancer

Radical Prostatectomy Has Lasting Benefit for Localized Cancer

Mean 2.9 years gained after 23 years of follow-up among men with localized prostate cancer

Salvage RARP Feasible, Effective

Salvage RARP Feasible, Effective

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According to researchers, 57.3% of men who underwent salvage robot-assisted radical prostatectomy were pad-free at 12 months.

PIVOT Study Results Challenged

PIVOT Study Results Challenged

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Researchers question the generalizability of a major study showing no significant difference in cancer-specific and overall survival between surgery and observation for localized prostate cancer.

Gleason Score at Surgical Margin Affects BCR Risk

Gleason Score at Surgical Margin Affects BCR Risk

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Gleason score at the margin can better stratify biochemical recurrence-free rates, according to study findings.

More Extensive Lymph Node Dissection in PCa Improves Outcomes

More Extensive Lymph Node Dissection in PCa Improves Outcomes

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Study shows that the risk of recurrence after salvage radiotherapy is inversely related to the number of nodes resected at radical prostatectomy.

Perioperative Aspirin Use Need Not Prevent RP

Perioperative Aspirin Use Need Not Prevent RP

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Perioperative aspirin use should not be considered an absolute contraindication to radical prostatectomy (RP).

Telementoring Useful for Teaching Robotic Surgery

Telementoring Useful for Teaching Robotic Surgery

The technology facilitates teaching of advanced surgical skills, delivery of care to underserved

Lymphoceles: A Contemporary Review and an Approach for Prevention

Lymphoceles: A Contemporary Review and an Approach for Prevention

Investigators have explored various strategies to prevent lymphoceles from forming.

Prostate Cancer Surgery Complications More Likely Among Older Men

Prostate Cancer Surgery Complications More Likely Among Older Men

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Patient age 70 years and above is an independent risk factor for perioperative morbidity, according to data from a national cohort.

Novel 3D Printed Prostates Could Improve Preoperative Planning

Novel 3D Printed Prostates Could Improve Preoperative Planning

New technique uses silicone-based polymer inks to create prostate models with the tactile sensation, pliability, and texture of a real prostate.

Repeat Prostate Biopsies Do Not Raise Risk of Post-RP Complications

Repeat Prostate Biopsies Do Not Raise Risk of Post-RP Complications

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Rates of erectile dysfunction and urinary incontinence at 1, 2, and 3 years after radical surgery are not higher among men who have multiple prostate biopsies while on active surveillance for prostate cancer.

Optimal Salvage Treatment for Radiorecurrent PCa Still Unclear

Optimal Salvage Treatment for Radiorecurrent PCa Still Unclear

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Definitive comparative effectiveness data are lacking for salvage prostatectomy or salvage cryotherapy.

Surgery vs Radiation for High-Risk Prostate Cancer

Surgery vs Radiation for High-Risk Prostate Cancer

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Physicians who treat patients with high-risk prostate cancer remain uncertain as to the optimal treatment approach, in part due to difficulty in interpreting study data.

Robotic Prostatectomy Centers Rising in the UK

Robotic Prostatectomy Centers Rising in the UK

Radical prostatectomy centers that closed from '10 to '14 more likely in areas with strong competition.

Active Surveillance for Intermediate-risk Prostate Cancer Challenged

Active Surveillance for Intermediate-risk Prostate Cancer Challenged

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Study reveals that a quarter of men with low-volume intermediate-risk prostate cancer had adverse pathologic features found at radical prostatectomy.

RP for Prostate Cancer May Not Offer Survival Advantage

RP for Prostate Cancer May Not Offer Survival Advantage

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Randomized trial found no significant difference in all-cause and cancer-specific survival between radical prostatectomy and observation for localized prostate cancer.

Radical Prostatectomy Use for High-Risk Prostate Cancer Rises Sharply

Radical Prostatectomy Use for High-Risk Prostate Cancer Rises Sharply

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Over a 10-year period, radical prostatectomy use increased steadily while radiotherapy use declined

Surgery May Offer Better Survival for Younger Men With High-risk PCa

Surgery May Offer Better Survival for Younger Men With High-risk PCa

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Younger patients who chose surgery vs radiation for initial treatment had a 48% survival advantage.

Diminished QOL Reported More Than 10 Years After PCa Treatment

Diminished QOL Reported More Than 10 Years After PCa Treatment

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Urinary incontinence and diminished sexual function were common after a median follow-up of nearly 15 years, study finds.

Salvage RARP Feasible After PCa Focal Therapy Failure

Salvage RARP Feasible After PCa Focal Therapy Failure

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Overall complication rates were similar between primary and salvage RARP groups, but there were some notable differences in prognosis.

Earlier vs Later Prostate Cancer Recurrence Characterized

Earlier vs Later Prostate Cancer Recurrence Characterized

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Pathologic Gleason scores, positive surgical margin rates, and PSA doubling times differentiate earlier from later biochemical recurrence after radical surgery.

Predictors of Post-RARP Readmission Identified

Predictors of Post-RARP Readmission Identified

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Patients with longer hospital stays and pre-discharge complications were at increased risk of readmission within 30 days of discharge.

Nerve-sparing RP May Not Raise Positive Margin Risk

Nerve-sparing RP May Not Raise Positive Margin Risk

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Researchers found no evidence of worse cancer outcomes with nerve-sparing surgery.

Prostate Cancer Treatment Prolongs Survival

Prostate Cancer Treatment Prolongs Survival

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Study compared PCa patients who underwent surgery or radiation treatment with a matched group of non-cancer controls.

Autologous Urethral Sling Does Not Improve Continence After Prostatectomy

Autologous Urethral Sling Does Not Improve Continence After Prostatectomy

No benefit of autologous urethral sling placement at robotic assisted radical prostatectomy on early return of continence at 6 months.

Nearly 1 in 5 General Surgery Students Leave the Program

Nearly 1 in 5 General Surgery Students Leave the Program

The pooled estimate for the overall attrition prevalence was 18%, with significant variation between studies.

Complication Risk Due to Obesity Greater With Minimal Invasive RP

Complication Risk Due to Obesity Greater With Minimal Invasive RP

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Obesity predicts a wider range of complications in PCa patients who undergo laparoscopic or robot-assisted versus open radical prostatectomy.

Prostate Cancer BCR Risk Not Linked to Statin Use

Prostate Cancer BCR Risk Not Linked to Statin Use

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Over a median follow-up of 70 months, 15% of men studied experienced biochemical recurrence.

Racial Disparities Found in Prostate Cancer Treatment

Racial Disparities Found in Prostate Cancer Treatment

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Within each D'Amico risk category, African-American and Hispanic prostate cancer patients were less likely to receive definitive treatment than white patients.

10-Year Mortality for Localized PCa Does Not Differ by Treatment Choice

10-Year Mortality for Localized PCa Does Not Differ by Treatment Choice

Ten-year mortality rates of prostate cancer are low, regardless of whether patients are treated with radiotherapy, surgery, or undergo only active surveillance.

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