Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE).
Tumors or cancer of the PROSTATE.
A glycoprotein that is a kallikrein-like serine proteinase and an esterase, produced by epithelial cells of both normal and malignant prostate tissue. It is an important marker for the diagnosis of prostate cancer.
The application of electronic, computerized control systems to mechanical devices designed to perform human functions. Formerly restricted to industry, but nowadays applied to artificial organs controlled by bionic (bioelectronic) devices, like automated insulin pumps and other prostheses.
A gland in males that surrounds the neck of the URINARY BLADDER and the URETHRA. It secretes a substance that liquefies coagulated semen. It is situated in the pelvic cavity behind the lower part of the PUBIC SYMPHYSIS, above the deep layer of the triangular ligament, and rests upon the RECTUM.
Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.
The inability in the male to have a PENILE ERECTION due to psychological or organ dysfunction.
A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy.
The local recurrence of a neoplasm following treatment. It arises from microscopic cells of the original neoplasm that have escaped therapeutic intervention and later become clinically visible at the original site.
Methods which attempt to express in replicable terms the level of CELL DIFFERENTIATION in neoplasms as increasing ANAPLASIA correlates with the aggressiveness of the neoplasm.
A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary tract in both sexes, and the genital tract in the male. Common urological problems include urinary obstruction, URINARY INCONTINENCE, infections, and UROGENITAL NEOPLASMS.
Increase in constituent cells in the PROSTATE, leading to enlargement of the organ (hypertrophy) and adverse impact on the lower urinary tract function. This can be caused by increased rate of cell proliferation, reduced rate of cell death, or both.
Removal of all or part of the PROSTATE, often using a cystoscope and/or resectoscope passed through the URETHRA.
Methods which attempt to express in replicable terms the extent of the neoplasm in the patient.
Pathological processes involving the PROSTATE or its component tissues.
A saclike, glandular diverticulum on each ductus deferens in male vertebrates. It is united with the excretory duct and serves for temporary storage of semen. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed)
Graphical representation of a statistical model containing scales for calculating the prognostic weight of a value for each individual variable. Nomograms are instruments that can be used to predict outcomes using specific clinical parameters. They use ALGORITHMS that incorporate several variables to calculate the predicted probability that a patient will achieve a particular clinical endpoint.
Clinical management approach wherein immediate therapy is not provided but there is a period of observation during which periodic tests monitor patient and the progression of the illness. (Driffield T, Smith PC Med Decis Making. 2007 Mar-Apr;27(2):178-88)
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Compounds which inhibit or antagonize the biosynthesis or actions of androgens.
A malignant epithelial tumor with a glandular organization.
The course of learning of an individual or a group. It is a measure of performance plotted over time.
The state of the PENIS when the erectile tissue becomes filled or swollen (tumid) with BLOOD and causes the penis to become rigid and elevated. It is a complex process involving CENTRAL NERVOUS SYSTEM; PERIPHERAL NERVOUS SYSTEMS; HORMONES; SMOOTH MUSCLES; and vascular functions.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
The space or compartment surrounded by the pelvic girdle (bony pelvis). It is subdivided into the greater pelvis and LESSER PELVIS. The pelvic girdle is formed by the PELVIC BONES and SACRUM.
A premalignant change arising in the prostatic epithelium, regarded as the most important and most likely precursor of prostatic adenocarcinoma. The neoplasia takes the form of an intra-acinar or ductal proliferation of secretory cells with unequivocal nuclear anaplasia, which corresponds to nuclear grade 2 and 3 invasive prostate cancer.
Cystic mass containing lymph from diseased lymphatic channels or following surgical trauma or other injury.
A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.
Removal and examination of tissue obtained through a transdermal needle inserted into the specific region, organ, or tissue being analyzed.
A collective term for interstitial, intracavity, and surface radiotherapy. It uses small sealed or partly-sealed sources that may be placed on or near the body surface or within a natural body cavity or implanted directly into the tissues.
Molecular products metabolized and secreted by neoplastic tissue and characterized biochemically in cells or body fluids. They are indicators of tumor stage and grade as well as useful for monitoring responses to treatment and predicting recurrence. Many chemical groups are represented including hormones, antigens, amino and nucleic acids, enzymes, polyamines, and specific cell membrane proteins and lipids.
A tube that transports URINE from the URINARY BLADDER to the outside of the body in both the sexes. It also has a reproductive function in the male by providing a passage for SPERM.
Period after successful treatment in which there is no appearance of the symptoms or effects of the disease.
Removal and pathologic examination of specimens in the form of small pieces of tissue from the living body.
A therapeutic approach, involving chemotherapy, radiation therapy, or surgery, after initial regimens have failed to lead to improvement in a patient's condition. Salvage therapy is most often used for neoplastic diseases.
Abnormalities in the process of URINE voiding, including bladder control, frequency of URINATION, as well as the volume and composition of URINE.
The worsening of a disease over time. This concept is most often used for chronic and incurable diseases where the stage of the disease is an important determinant of therapy and prognosis.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
An artifical implanted device, usually in the form of an inflatable silicone cuff, inserted in or around the bladder neck in the surgical treatment of urinary incontinence caused by sphincter weakness. Often it is placed around the bulbous urethra in adult males. The artificial urinary sphincter is considered an alternative to urinary diversion.
Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.
ENDOSCOPES for examining the abdominal and pelvic organs in the peritoneal cavity.
Blocked urine flow through the bladder neck, the narrow internal urethral opening at the base of the URINARY BLADDER. Narrowing or strictures of the URETHRA can be congenital or acquired. It is often observed in males with enlarged PROSTATE glands.
The use of needles usually larger than 14-gauge to remove tissue samples large enough to retain cellular architecture for pathology examination.
The external reproductive organ of males. It is composed of a mass of erectile tissue enclosed in three cylindrical fibrous compartments. Two of the three compartments, the corpus cavernosa, are placed side-by-side along the upper part of the organ. The third compartment below, the corpus spongiosum, houses the urethra.
Passage of a CATHETER into the URINARY BLADDER or kidney.
The period before a surgical operation.
Loss of blood during a surgical procedure.
Elements of limited time intervals, contributing to particular results or situations.
Surgical procedures conducted with the aid of computers. This is most frequently used in orthopedic and laparoscopic surgery for implant placement and instrument guidance. Image-guided surgery interactively combines prior CT scans or MRI images with real-time video.
Antineoplastic agents that are used to treat hormone-sensitive tumors. Hormone-sensitive tumors may be hormone-dependent, hormone-responsive, or both. A hormone-dependent tumor regresses on removal of the hormonal stimulus, by surgery or pharmacological block. Hormone-responsive tumors may regress when pharmacologic amounts of hormones are administered regardless of whether previous signs of hormone sensitivity were observed. The major hormone-responsive cancers include carcinomas of the breast, prostate, and endometrium; lymphomas; and certain leukemias. (From AMA Drug Evaluations Annual 1994, p2079)
Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.
Partial or complete blockage in any part of the URETHRA that can lead to difficulty or inability to empty the URINARY BLADDER. It is characterized by an enlarged, often damaged, bladder with frequent urges to void.
Absorbent pads used for URINARY INCONTINENCE and usually worn as underpants or pants liners by the ELDERLY.
Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.
Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)
A synthetic long-acting agonist of GONADOTROPIN-RELEASING HORMONE. Goserelin is used in treatments of malignant NEOPLASMS of the prostate, uterine fibromas, and metastatic breast cancer.
An antiandrogen with about the same potency as cyproterone in rodent and canine species.
A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)
Ability of neoplasms to infiltrate and actively destroy surrounding tissue.
The time periods immediately before, during and following a surgical operation.
Enzymes that catalyze inversion of the configuration around an asymmetric carbon in a substrate having one (racemase) or more (epimerase) center(s) of asymmetry. (Dorland, 28th ed) EC 5.1.
Methods of preparing cells or tissues for examination and study of their origin, structure, function, or pathology. The methods include preservation, fixation, sectioning, staining, replica, or other technique to allow for viewing using a microscope.
Radiotherapy given to augment some other form of treatment such as surgery or chemotherapy. Adjuvant radiotherapy is commonly used in the therapy of cancer and can be administered before or after the primary treatment.
A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.
Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.

Urethral response to latex and Silastic catheters. (1/1683)

The reaction of the urethral mucosa to latex and Silastic catheters was compared in two groups of patients undergoing prostatectomy. The bacteriologic response in the two groups differed little; however, Silastic catheters produced less cellular reaction than latex catheters.  (+info)

Using vascular structure for CT-SPECT registration in the pelvis. (2/1683)

The authors outline a method for three-dimensional registration of pelvic CT and 111In-labeled monoclonal antibody capromab pendetide (111In MoAb 7E11.C5) images using 99mTc-labeled red blood cell SPECT data. METHODS: This method of CT-SPECT registration relies on the identification of major blood vessels in the CT and 99mTc SPECT images. The vessels are segmented from the image datasets by outlining them on transverse planar slices using a mouse-based drawing tool. Stacking the transverse outlines provides a three-dimensional representation of the vascular structures. Registration is performed by matching the surfaces of the segmented volumes. Dual isotope acquisition of 111In and 99mTc activities provides precise SPECT-SPECT registration so that registration in three dimensions of the 111In MoAb and CT images is achieved by applying the same transformation obtained from the 99mTc SPECT-CT registration. RESULTS: This method provided accurate registration of pelvic structures and significantly improved interpretation of 111In MoAb 7E11.C5 exams. Furthermore, sites of involvement by prostate cancer suggested by the 111In MoAb examination could be interpreted with the bony and soft tissue (nodal) anatomy seen on CT. CONCLUSION: This method is a general clinical tool for the registration of pelvic CT and SPECT imaging data. There are immediate applications in conformal radiation therapy treatment planning for certain prostate cancer patients.  (+info)

Utility of ultrasound of the upper urinary tract in elderly men with indicators of obstructive symptoms or abnormal flow: how often can silent hydronephrosis be detected in general practice? (3/1683)

BACKGROUND AND OBJECTIVE: While the prevalence of hydronephrosis is very low in obduction studies, a prevalence of 3-13% is reported for patients with an obstruction who are listed for prostatectomy. In order to evaluate the usefulness of transabdominal ultrasound in primary care, we determined the occurrence of hydronephrosis in males with symptoms of urinary obstruction in a general practice setting. METHOD: A micturition questionnaire (a modified Boyarsky) was sent to all men of 55 years or more who were registered in 10 general practices in Maastricht, and was followed by an examination at their general practice. Men with obstructive symptoms and/or with a free-flow abnormality were examined in the hospital with transabdominal ultrasound in order to detect dilatation of the upper urinary tract. This ultrasound was repeated approximately 15 months later. RESULTS: At the first measurement, none of the examined men (n = 178) had hydronephrosis, and this was still the case for 94 men 15 months later. CONCLUSION: Renal ultrasound is not necessary in general practice for men with uncomplicated obstructive complaints.  (+info)

Prostatic intraepithelial neoplasia and apoptosis in benign prostatic hyperplasia before and after the Chernobyl accident in Ukraine. (4/1683)

The prevalence of prostatic intraepithelial neoplasia (PIN) in men who underwent surgery for benign prostatic hyperplasia (BPH) before and after the Chernobyl nuclear accident was studied. BPH samples were obtained by adenomectomy from 45 patients operated in 1984 before the accident (Group I), and 47 patients from the low contaminated Kiev City (Group II) and 76 from high contaminated area (Group III) operated between 1996 and 1998. Their BPH samples were examined histologically and immunohistochemically. The incidences of prostatic intraepithelial neoplasia (PIN) and high grade PIN (HGPIN) were 15.5 and 11.1% in Group I, 29.8 and 14.9% in Grpoup II, and 35. 5 and 19.7% in Group III. The difference between the incidences of PIN in Group I and III is significant (p<0.02). There was increased apoptosis in areas of PIN in Group II and III as compared to Group I (p<0.001). Since apoptosis has been shown to be associated with ionizing radiation and it is now found to be associated with PIN in patients diagnosed after the Chernobyl nuclear accident, this suggests that long-term low dose internal ionizing radiation potentially may cause prostate cancer.  (+info)

Comparison of patients' needs for information on prostate surgery with printed materials provided by surgeons. (5/1683)

OBJECTIVES: To identify strengths, weaknesses, and omissions in existing leaflets and factsheets on prostatectomy given by surgeons to patients. DESIGN: Comparison of content of leaflets and factsheets with patients' needs and discontents in a questionnaire survey as part of the national prostatectomy audit. SETTING: All NHS and independent hospitals performing prostatectomy in four health regions. SUBJECTS: 87 surgeons, 53 of whom used printed material to inform patients about their operations; a total of 25 different factsheets being used. 5361 men undergoing prostatectomy were sent a closed response questionnaire about their treatment; 4226 men returned it completed. A random sample of 2000 patients was asked for further comments, of whom 807 supplied pertinent comments. MAIN MEASURES: Content of the 25 factsheets compared with patients' needs identified in the questionnaires. RESULTS: Much of the information distributed had considerable shortcomings: it lacked uniformity in form and content, topics of relevance to patients were omitted, terminology was often poor, and patients' experience was at variance with what their surgeons said. For example, only one factsheet discussed the potential consequences of malignancy. Patients wanted more information on prostate cancer (1250(29%)) and some thought that the explanation of biopsy results was inadequate (29(4%)). Only six factsheets discussed the possible changes in sexual sensation after transurethral resection of the prostate, stating that patients would feel no change. However, 1490(35%) patients reported a change and 500(12%) were worried about it. CONCLUSION: Current standards of printed information do not meet the needs and requirements of patients undergoing prostatectomy.  (+info)

The feasibility and cost of a large multicentre audit of process and outcome of prostatectomy. (6/1683)

Objective--To determine the feasibility of performing multicentre process and outcome audits of common interventions taking prostatic procedures as an example. Design--Prospective, cohort study. Setting--All National Health Service and independent hospitals in Northern, Wessex, Mersey, and South West Thames health regions. Patients--5361 men undergoing prostatectomy identified by 103 of the 107 urologists and general surgeons performing prostatectomy in the study regions. Main measures-- Rates of participation by surgeons and patients; completeness of clinical data provided by surgeons; patient response rate and completeness of patient derived data; and cost. Results--Most surgeons (103,96%) agreed to participate. Overall, the proportion of eligible patients invited to take part was high (89%), although this was only measured in South West Thames, where dedicated data collectors were employed. Few men (80, 1.5%) declined to participate. Of those surviving for three months after surgery, 82.4% (4226) completed and returned the postal questionnaire. The response rate was higher in South West Thames (86.7%) than in the other regions (80.6%-80.8%). The audit was well received: 91% of patients found the questionnaire easy to complete and only 2.3% of them disapproved. Completeness of data was high with both the hospital and patient questionnaires. Missing data occurred in less than 5% of responses to most questions. The attributable cost was 34.50 pounds per patient identified or 44 pounds for patients in whom either the treatment outcome or vital status was known three months after their prostatectomy. Conclusions--This multicentre audit of process and outcome of prostatectomy proved feasible in terms of surgeon participation, patient identification, and the quantity and quality of data collection. Whether the cost was warranted will depend on how surgeons use the audit data to modify their practice.  (+info)

Comparison of NHS and private patients undergoing elective transurethral resection of the prostate for benign prostatic hypertrophy. (7/1683)

OBJECTIVES: To compare the operative thresholds and clinical management of men undergoing elective transurethral resection of the prostate for benign prostatic hypertrophy in the NHS and privately. DESIGN: Cohort study of patients recruited by 25 surgeons during 1988. SETTING: Hospitals in Oxford and North West Thames regions. PATIENTS: Of 400 consecutive patients, 129 were excluded because of open surgery (nine), lack of surgeons' information (three), and emergency admission (117) and three failed to give information, leaving 268 patients, 214 NHS patients and 54 private patients. MAIN MEASURES: Sociodemographic factors, prevalence and severity of symptoms, comorbidity, general health (Nottingham health profile) obtained from patient questionnaire preoperatively and reasons for operating, and operative management obtained from surgeons perioperatively. RESULTS: NHS and private patients were similar in severity of symptoms and prevalence of urinary tract abnormalities. They differed in four respects: NHS patients' general health was poorer as a consequence of more comorbid conditions (49, 23% v 7, 13% in severe category); the condition had a greater detrimental effect on their lives (36, 17% v 2, 4% severely affected; p < 0.01); private patients received more personalised care more quickly and were investigated more before surgery, (29, 54% v 60, 20% receiving ultrasonography of the urinary tract); and NHS patients stayed in hospital longer (57, 27% v 3, 6% more than seven days; p < 0.001). CONCLUSIONS: Private patients' need for surgery, judged by symptom severity, was as great as that of NHS patients, and there was no evidence of different operative thresholds in the two sectors, but, judged by impact on lifestyle, NHS patients' need was greater.  (+info)

E-cadherin and alpha-, beta- and gamma-catenin expression in prostate cancers: correlation with tumour invasion. (8/1683)

The E-cadherin-catenin complex plays an important role in establishing and maintaining intercellular connections and morphogenesis and reduced expression of its constituent molecules is associated with invasion and metastasis. In the present study, we examined E-cadherin and alpha-, beta- and gamma-catenin levels in tumour tissues obtained by radical prostatectomy in order to investigate the relationship with histopathological tumour invasion. Immunohistochemical findings for 45 prostate cancer specimens demonstrated aberrant expression of each molecule to be associated with dedifferentiation and, in addition, alteration of staining patterns for the three types of catenin was significantly correlated with capsular but not lymphatic or vascular invasion. The data thus suggest that three types of catenin may be useful predictive markers for biological aggressiveness of prostate cancer.  (+info)

TY - JOUR. T1 - Clinical Significance of Benign Glands at Surgical Margins in Robotic Radical Prostatectomy Specimens. AU - Kohl, Shane K.. AU - Balaji, Kethandapatti C.. AU - Smith, Lynette M. AU - Wilson, Nicholas P.. AU - Johansson, Sonny L.. AU - Sterrett, Samuel P.. AU - Abrahams, Neil A.. PY - 2007/6/1. Y1 - 2007/6/1. N2 - Objectives: Completion of robotic radical prostatectomy compared with conventional open retropubic radical prostatectomy can result in different alterations in the prostatectomy specimens. One difference appears to be an increased incidence of benign glands at the margins, which has been associated with an increase in postoperative prostatic-specific antigen (PSA) levels. We compared the frequency and clinical significance of benign prostate glands at the surgical margins in radical prostatectomy specimens obtained by robotic versus open retropubic prostatectomy. Methods: We reviewed 38 consecutive prostatectomy specimens from patients with biopsy-proven prostate cancer. ...
BACKGROUND: The aim of this study is to investigate the cumulative incidence and risk factors of postoperative inguinal hernia (PIH) in patients undergoing radical prostatectomy, i.e., laparoscopic prostatectomy (LRP) and robot-assisted laparoscopic prostatectomy (RARP). METHODS: This study included 1124 patients who had undergone radical prostatectomy or transurethral resection of bladder tumor from 2011-2016. We compared the cumulative incidence of PIH in the radical prostatectomy groups (460; LRP 341, RARP 119) and the control group (664; transurethral resection of bladder tumor), and we then analyzed the risk factors (age, operative methods, previous abdominal operative history, thickness and width of external oblique muscle and rectus muscle, thickness of abdominal subcutaneous fat layer at Hesselbachs triangle level, body mass index, prostate-specific antigen, operative time, specimen weight, Gleason score, and pathology T-stage) of PIH in the radical prostatectomy groups ...
TY - JOUR. T1 - Effect of statin use on biochemical outcome following radical prostatectomy. AU - Ritch, Chad R.. AU - Hruby, Greg. AU - Badani, Ketan K.. AU - Benson, Mitchell C.. AU - McKiernan, James M.. PY - 2011/10/1. Y1 - 2011/10/1. N2 - Study Type - Prognosis (retrospective cohort) Level of Evidence 2b Whats known on the subject? and What does the study add? Statin use may reduce the risk of developing prostate cancer. Studies also suggest that the protective effect of statins may be beneficial for prostate cancer patients following treatment. Statin users may also have lower PSA than non-users. Our study agrees with the findings that statin users may have lower PSA than non-users. Contrary to the findings that statins are protective in prostate cancer this study shows no benefit and possible worse biochemical outcome after radical prostatectomy. OBJECTIVE • To determine the relationship between statin use and biochemical recurrence (BCR) following radical prostatectomy (RP). PATIENTS ...
TY - JOUR. T1 - Erectile Function Recovery After Nerve-Sparing Radical Prostatectomy for Prostate Cancer. T2 - Is Back to Baseline Status Enough for Patient Satisfaction?. AU - Rossi, Martina Sofia. AU - Moschini, Marco. AU - Bianchi, Marco. AU - Gandaglia, Giorgio. AU - Fossati, Nicola. AU - DellOglio, Paolo. AU - Schiavina, Riccardo. AU - Brunocilla, Eugenio. AU - Farina, Elena. AU - Picozzi, Marta. AU - Salonia, Andrea. AU - Montorsi, Francesco. AU - Briganti, Alberto. PY - 2016/4/1. Y1 - 2016/4/1. N2 - Introduction Several definitions of erectile function (EF) recovery after bilateral nerve-sparing radical prostatectomy (BNSRP) have been proposed based on the results of the International Index of EF (IIEF). Aim We aimed at evaluating overall satisfaction (OS) after BNSRP according to the ability to achieve the pretreatment EF. Methods We evaluated data of 652 patients treated with BNSRP for clinically localized prostate cancer (PCa). Erectile dysfunction (ED) was classified according to the ...
References. 1. Raychaudhuri B, Cahill D. Pelvic fasciae in urology. Ann R Coll Surg Engl. 2008 Nov;90(8):633-7. doi: 10.1308/003588408X321611. [ Links ] 2. Cornu JN, Phé V, Fournier G, Delmas V, Sèbe P. Fascia surrounding the prostate: clinical and anatomical basis of the nerve-sparing radical prostatectomy. Surg Radiol Anat. 2010 Aug;32(7):663-7. doi: 10.1007/s00276-010-0668-7. [ Links ] 3. Takenaka A, Hara R, Soga H, Murakami G, Fujisawa M. A novel technique for approaching the endopelvic fascia in retropubic radical prostatectomy, based on an anatomical study of fixed and fresh cadavers. BJU Int. 2005 Apr;95(6):766-71. PMID: 15794779. [ Links ] 4. Vora AA, Dajani D, Lynch JH, Kowalczyk KJ. Anatomic and technical considerations for optimizing recovery of urinary function during robotic-assisted radical prostatectomy. Curr Opin Urol. 2013 Jan;23 (1):78-87. doi: 10.1097/MOU.0b013e32835b0ae5. [ Links ] 5. Takenaka A, Tewari AK, Leung RA, Bigelow K, El Tabey N, Murakami G, Fujisawa M. ...
article{9c1c26fe-4598-464b-9a41-370252e99114, abstract = {To investigate how well the Gleason score in diagnostic needle biopsies predicted the Gleason score in a subsequent radical prostatectomy (RP) specimen before and after the 2005 International Society of Urological Pathology (ISUP) revision of Gleason grading, and if the recently proposed ISUP grades 1-5 (corresponding to Gleason score 6, 3+4, 4+3, 8, and 9-10) better predict the RP grade.}, author = {Danneman, Daniela and Drevin, Linda and Delahunt, Brett and Samaratunga, Hemamali and Robinson, David and Bratt, Ola and Loeb, Stacy and Stattin, Pär and Egevad, Lars}, issn = {1464-4096}, language = {eng}, month = {02}, publisher = {Blackwell Science Ltd}, series = {BJU International}, title = {The Accuracy of Prostate Biopsies for Predicting Gleason Score in Radical Prostatectomy Specimens. Nationwide trends 2000-2012.}, url = {http://dx.doi.org/10.1111/bju.13458}, doi = {10.1111/bju.13458}, year = {2016 ...
TY - JOUR. T1 - Evaluation of MDM2, p16, and p53 staining levels as biomarkers of biochemical recurrence following salvage radiation therapy for recurrent prostate cancer. AU - Heckman, Michael G.. AU - Parker, Alexander S.. AU - Wu, Kevin J.. AU - Hilton, Tracy W.. AU - Ko, Stephen J.. AU - Pisansky, Thomas M.. AU - Schild, Steven E.. AU - Khor, Li Yan. AU - Hammond, Elizabeth H.. AU - Pollack, Alan. AU - Buskirk, Steven J.. PY - 2012/12/1. Y1 - 2012/12/1. N2 - Background. AND PURPOSE The selection of appropriate candidates for salvage radiation therapy (SRT) to address a rising PSA following radical prostatectomy remains challenging. Herein, we provide the first evaluation of the ability of staining levels of the tumor based biomarkers MDM2, p16, and p53 to aid in prediction of biochemical recurrence (BCR) among men undergoing SRT for recurrent prostate cancer. Material And Methods. We identified 152 patients who were treated with SRT between July 1987 and July 2003. Staining levels of MDM2, ...
TY - JOUR. T1 - Transfer of laparoscopic radical prostatectomy skills from bench model to animal model. T2 - A prospective, single-blind, randomized, controlled study. AU - Sabbagh, Robert. AU - Chatterjee, Suman. AU - Chawla, Arun. AU - Hoogenes, Jen. AU - Kapoor, Anil. AU - Matsumoto, Edward D.. PY - 2012/5/1. Y1 - 2012/5/1. N2 - Purpose: Learning laparoscopic urethrovesical anastomosis is a crucial step in laparoscopic radical prostatectomy. Previously we noted that practice on a low fidelity urethrovesical model was more effective for trainees than basic suturing drills on a foam pad when learning laparoscopic urethrovesical anastomosis skills. We evaluated learner transfer of skills, specifically whether skills learned on the urethrovesical model would transfer to a high fidelity, live animal model. Materials and Methods: A total of 28 senior residents, fellows and staff surgeons in urology, general surgery and gynecology were randomized to 2 hours of laparoscopic urethrovesical anastomosis ...
Objectives: To compare two different approaches in learning laparoscopic radical prostatectomy , with or without using an online video simulator Design : Prospective randomized multicentric study. Methods: 20 surgeons considered as naive concerning their experience in laparoscopic radical prostatectomy will be randomized into two groups :1 group will use the online video simulator, 1 group will use usual learning methods except the online video simulator.. All procedures will be recorded from the beginning till the end.A video review will be preformed concerning all the videos in order to identify the total operative time and time to perform each one of the operative steps of the procedure.Clinical , biological and histological data will be collected in order to compare the two arms. ...
The risk of metastatic progression for prostate cancer patients who undergo radical prostatectomy is best estimated presently based on prostate-specific antigen (PSA) doubling time (PSADT). However, additional markers of risk are needed to identify patients who may benefit from aggressive salvage treatment. A decrease in zinc-alpha2-glycoprotein (AZGP1) mRNA levels in malignant prostate epithelium was previously shown to predict biochemical recurrence, as defined by rising levels of serum PSA after radical prostatectomy. We assessed the reliability with which AZPG1 expression could predict clinical recurrence and metastatic progression. Using immunohistochemical methods, we analyzed AZPG1 expression in malignant prostate epithelium in prostatectomy specimens from 228 prostate cancer patients. Low (i.e., absent or weak) AZGP1 expression was associated with clinical recurrence (defined as confirmed localized recurrence, metastasis, or death from prostate cancer; hazard ratio [HR] = 4.8, 95% confidence
OBJECTIVE: The aim of this study was to compare oncological and functional outcomes between robot-assisted laparoscopic radical prostatectomy (RALP) and retropubic radical prostatectomy (RRP) during the initial phase with RALP at a large university hospital. MATERIAL AND METHODS: Patient and tumour characteristics, surgeon, nerve sparing, surgical margins and blood loss were recorded prospectively in patients who underwent RRP or RALP between April 2008 and May 2012. Patients filled out the Danish Prostate Symptom Score (DAN-PSS) and International Index of Erectile Function 5 (IIEF-5) questionnaires before surgery and at follow-up and they were asked to report their use of pads/diapers. Potency was defined as an IIEF-5 score of at least 17 with or without phosphodiesterase-5 inhibitors. Patients using up to one pad daily for security reasons only were considered continent. Positive surgical margins, blood loss and functional outcomes were compared between groups. RESULTS: Overall, 453 patients ...
TY - JOUR. T1 - Digital versus light microscopy assessment of surgical margin status after radical prostatectomy. AU - Volavšek, Metka. AU - Blanca, Ana. AU - Montironi, Rodolfo. AU - Cheng, Liang. AU - Raspollini, Maria R.. AU - Vau, Nuno. AU - Fonseca, Jorge. AU - Pierconti, Francesco. AU - Lopez-Beltran, Antonio. PY - 2018/3/1. Y1 - 2018/3/1. N2 - Positive surgical margin (PSM) extension reported as focal or non-focal/extensive is an important pathologic prognostic parameter after radical prostatectomy. Likewise, there is limited or no agreement on how to measure and what the best cut-off points to be used in practice are. We hypothesized that digital microscopy (DM) would potentially provide a more objective way to measure PSM and better define its clinical significance. To further our knowledge, we have evaluated PSM status in 107 laparoscopic radical prostatectomies using digital and conventional light microscopy (LM). DM evaluation detected three additional PSM cases, but no differences ...
TY - JOUR. T1 - Predictors of survival for prostate carcinoma patients treated with salvage radical prostatectomy after radiation therapy. AU - Cheng, Liang. AU - Sebo, Thomas J.. AU - Slezak, Jeff. AU - Pisansky, Thomas M.. AU - Bergstralh, Erik J.. AU - Neumann, Roxann M.. AU - Iczkowski, Kenneth A.. AU - Zincke, Horst. AU - Bostwick, David G.. PY - 1998/11/15. Y1 - 1998/11/15. N2 - BACKGROUND. Salvage radical prostatectomy is a treatment option for patients with recurrent cancer following radiation therapy. This study was conducted to identify predictors of survival for patients treated with salvage radical prostatectomy. METHODS. The authors studied 86 prostate carcinoma patients who underwent salvage radical prostatectomy for locally persistent or recurrent prostate carcinoma at Mayo Clinic between 1967 and 1996. The mean interval from radiation therapy to biopsy-proven recurrence was 3.7 years (range, 6 months to 17 years). Patient age at surgery ranged from 51 to 78 years (median, 66 ...
TY - JOUR. T1 - Impact of a family history of prostate cancer on clinicopathologic outcomes and survival following radical prostatectomy. AU - Westerman, Mary E.. AU - Gershman, Boris. AU - Karnes, Robert Jeffrey. AU - Thompson, R. Houston. AU - Rangel, Laureano. AU - Boorjian, Stephen A.. PY - 2015/12/9. Y1 - 2015/12/9. N2 - Purpose: While a family history (FH) of prostate cancer represents an established risk factor for prostate cancer diagnosis, conflicting data exist regarding the oncologic importance of FH. Herein, we evaluated the association of FH with clinicopathologic outcomes among men undergoing radical prostatectomy (RP). Methods: We identified 16,472 men who underwent RP between 1987 and 2010 at Mayo Clinic. Patients were considered to have a positive FH if at least one first-degree relative had been diagnosed with prostate cancer. Survival was estimated using the Kaplan-Meier method. The associations of FH with clinicopathologic features and survival were evaluated using logistic ...
1] Ahlering TE, Woo D, Eichel L, Lee DI, Edwards R, Skarecky DW. Robot-assisted versus open radical prostatectomy: a comparison of one surgeons outcomes. Urology. 2004 May;63(5):819-22. p. 821 table III.. [2] Scardino PT. Open Radical Retropubic Prostatectomy. Presented at the American Urological Associations Carcinoma of the Prostate Course, San Francisco, California, Sept. 30 - Oct. 1 2005. [3] Touijer K, Kuroiwa K, Saranchuk JW, Hassen WA, Trabulsi EJ, Reuter VE, Guillonneau B. Quality improvement in laparoscopic radical prostatectomy for pT2 prostate cancer: impact of video documentation review on positive surgical margin. J Urol. 2005 Mar;173(3):765-8. p. 766 (Results). [4] Bhandari, A., McIntire, L., Kaul, S.A., Hemal, A.K., Peabody, J.O., and Menon, M. (2005). Perioperative complications of robotic radical prostatectomy after the learning curve. J Urol 174, 915-918.. [5] Brown, J.A., Garlitz, C., Gomella, L.G., McGinnis, D.E., Diamond, S.M., and Strup, S.E. (2004). Perioperative ...
STUDY TYPE Therapy (case series). LEVEL OF EVIDENCE 4. Whats known on the subject? and What does the study add? Despite excellent surgical cancer control, up to 40% of patients will have biochemical recurrence following radical prostatectomy (RP) for localized prostate cancer. Positive surgical margins (PSM) have been clearly demonstrated to be one of the main predictive factors for biochemical failure, disease progression and cancer mortality. However, decision of further management (adjuvant or salvage therapy) in patients with PSM remains controversial, and many debatable questions arise concerning the incidence of clinical progression and the impact of systematic adjuvant treatment on the cancer specific and overall survival. Analysis of the pathological and disease recurrence outcomes of our large cohort of patients treated by RP provides evidence that PSMs are associated with a poor prognosis in terms of PSA failure and need for salvage therapy. However, such a distinction between negative or
TY - JOUR. T1 - Monocyte chemotactic protein-1 (MCP-1) as a predictor of prolonged urinary incontinence after radical prostatectomy. AU - Liss, Michael A. AU - Ahlering, Thomas E.. AU - Morales, Blanca. AU - Gordon, Adam. AU - Osann, Kathryn. AU - Skarecky, Douglas. AU - Lusch, Achim. AU - Zaldivar, Frank. AU - Ghoniem, Gamal M.. PY - 2016/4/1. Y1 - 2016/4/1. N2 - Objectives: To investigate monocyte chemotactic protein-1 (MCP-1) as a novel urinary biomarker to predict prolonged post prostatectomy incontinence. Methods: Men submitted urine samples prior to robotic radical prostatectomy. MCP-1 values were derived using an ELISA test. Pad usage at 7, 30, and 60 days were documented by patient post cards mailed when zero pads was reached. The primary outcome was defined as no incontinence pad usage at 30 days at prostatectomy. Results: After exclusions, 76 patients were included in analyses. Continence was reached by 29% (22/76), 56% (42/76), and (75/76) 98% at 7, 30, and 60 days, respectively. The ...
TY - JOUR. T1 - Evaluation of radical prostatectomy specimens. T2 - A comparative analysis of sampling methods. AU - Hall, G. S.. AU - Kramer, C. E.. AU - Epstein, J. I.. PY - 1992/1/1. Y1 - 1992/1/1. N2 - We evaluated 104 radical prostatectomies for clinical stage B (n = 93) and stage A (n = 11) prostate cancer. Seven (8%) stage B cases had no gross cancer. By submitting only gross stage B cancer along with standard sections of proximal and distal margins, base of seminal vesicles, and most apical section (next to distal margin), we identified 91% of capsular penetration and 96% of positive margins as compared with identification by complete microscopic examination. Although this method identified 100% capsular penetration and positive margins in stage A cases, 28% of all the cases were grossly normal. Stage A tumor was often difficult to identify because of its heterogeneous location, its gross similarity to nodular hyperplasia, and the confounding presence of post-transurethral resection ...
Prostate cancer is the most common cancer in American men. Surgical removal of the entire prostate (prostatectomy) is one option among the various ways to treat prostate cancer. The use of robot assistance for prostatectomy has become common place, but its effectiveness has not been compared to standard open prostatectomy in trials carried out at more than one medical institution in which participants are identified and followed forward in time. Robot assisted and standard open prostatectomy health related quality of life (HRQOL) outcomes have not been compared in a prospective, multi-centered study. Prostatectomy can have side effects that can change with time. This research study seeks to determine how common and how long-lasting such side effects are; to find out what features of individual mens cancers and what features of the treatments affect those side effects. This study also seeks to identify factors that affect the quality of prostate cancer care by looking at how satisfied men are ...
Among men with prostate cancer who underwent radical prostatectomy (RP), those who were obese had a higher risk of biochemical recurrence
Treatment of prostate cancer with nerve-sparing radical prostatectomy (costs for program #65245) ✔ Multispecialty Hospital Lindberg ✔ Department of Urology ✔ BookingHealth.com
To establish a robotic-assisted laparoscopic radical prostatectomy programme at the University of Western Ontario/London Health Sciences Centre and to critically evaluate the role of this programme in the management of localized prostate cancer in surgical candidates Details of surgical procedure, operative outcome, patient outcome including quality of life will be collected ...
Robot-assisted laparoscopic prostatectomy and open radical retropubic prostatectomy are associated with similar functional outcomes at 12 weeks.
Background: We vigorously reviewed patients operation record who had adhesion of the Denonvilliers fascia and found out most of these patients had prostatic bleeding after prostatic gland biopsies. We examined the magnitude of prostatic bleeding and frequency after biopsies and the relationship with oncological outcomes. Materials and Methods: A total of 285 patients were selected for the final analyses. Inclusion criteria were as follows: receiving MRI three weeks after biopsiesand laparoscopic radical prostatectomy within 300 days after biopsy. We divided the patients into two groups with (group A) or without (group B) prostatic bleeding. We examined the magnitude of prostatic bleeding after biopsies and the relationship with operation time (OT), positive surgical margin (PSM), biochemical recurrence (BCR) and other factors. Furthermore, we created a logistic-regression model to derive a propensity score for prostatic bleeding after biopsies, which included all patient and hospital characteristics
TY - JOUR. T1 - Tertiary Gleason Pattern 5 is a Powerful Predictor of Biochemical Relapse in Patients With Gleason Score 7 Prostatic Adenocarcinoma. AU - Hattab, Eyas M.. AU - Koch, Michael O.. AU - Eble, John N.. AU - Lin, Haiqun. AU - Cheng, Liang. PY - 2006/5/1. Y1 - 2006/5/1. N2 - Purpose: In radical prostatectomy specimens Gleason score 7 is among the most commonly assigned scores for prostate carcinoma accounting for 30% to 50% of cases. Gleason score 7 is different from other more differentiated prostate carcinomas (tumors of Gleason scores 5 and 6) with a significantly worse outcome and higher rate of recurrence. Nonetheless, Gleason score 7 tumors are heterogeneous. In this study we examined the differences in clinical outcome between primary Gleason grade 3 and 4 tumors in patients who underwent radical prostatectomy, and determined the influence of tertiary Gleason pattern 5 on patient outcome. Materials and Methods: A total of 504 patients underwent radical prostatectomy for prostate ...
TY - JOUR. T1 - A novel circumferential bladder neck suture to facilitate vesico-urethral anastomosis during radical retropubic prostatectomy. AU - Swami, Kutchibhotla. AU - Lam, Thomas Boon Leong. AU - Nabi, Ghulam. PY - 2011/6. Y1 - 2011/6. U2 - 10.1111/j.1464-410X.2011.10383. DO - 10.1111/j.1464-410X.2011.10383. M3 - Article. VL - 107. SP - 2006. EP - 2010. JO - BJU International. JF - BJU International. SN - 1464-4096. IS - 12. ER - ...
The popularity of minimally invasive radical prostatectomy (MIRP) has risen despite lack of data on outcomes and higher costs compared with open retropubic radical prostatectomy (RRP), say US researchers
The popularity of minimally invasive radical prostatectomy (MIRP) has risen despite lack of data on outcomes and higher costs compared with open retropubic radical prostatectomy (RRP), say US researchers
BACKGROUND: Adjuvant chemotherapy is standard treatment for other solid tumours, but to date has not proven effective in prostate cancer.. OBJECTIVE: o evaluate whether six cycles of docetaxel alone improve biochemical disease-free survival after radical prostatectomy for high-risk prostate cancer.. DESIGN, SETTING, AND PARTICIPANTS: Open-label, randomised multinational phase 3 trial. Enrolment of 459 patients after prostatectomy.. INCLUSION CRITERIA: high-risk pT2 margin positive or pT3a Gleason score ≥4+3, pT3b, or lymph node positive disease Gleason score ≥3+4. Patients assigned (1:1) to either six cycles of adjuvant docetaxel 75mg/m2 every 3 wk without daily prednisone (Arm A) or surveillance (Arm B) until endpoint was reached. Primary endpoint was prostate-specific antigen progression ≥0.5 ng/ml.. INTERVENTION: Docetaxel treatment after prostatectomy.. RESULTS AND LIMITATIONS: Median time to progression, death, or last follow-up was 56.8 mo. Primary endpoint was reached in 190/459 ...
Summary of Article from the Journal Urology:. Quality of Life After Open or Robotic Prostatectomy, Cryoablation or Brachytherapy for Localized Prostate Cancer.. J Urol. 2010 Mar 17 [Epub ahead of print]. Malcolm JB, Fabrizio MD, Barone BB, et al.. 785 patients were included in a study by the authors to compare quality of life outcomes after being treated for prostate cancer. The study was conducted between February 2000 and December 2008 and all patients treated with open radical prostatectomy, robot assisted laparoscopic prostatectomy, brachytherapy or cryotherapy were asked to complete a quality of life survey for up to 36 months after treatment. The article states that all health related quality of life symptoms were negatively affected by all treatments and recovery profiles varied significantly by treatment type. However, urinary function scores were significantly higher after brachytherapy and cryotherapy compared to radical prostatectomy and robotic assisted laparoscopic prostatectomy. In ...
TY - JOUR. T1 - Re. T2 - The natural history of metastatic progression in men with prostate-specific antigen recurrence after radical prostatectomy: Long-term follow-up. AU - Walsh, Patrick C.. PY - 2012/9/1. Y1 - 2012/9/1. UR - http://www.scopus.com/inward/record.url?scp=84864913578&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=84864913578&partnerID=8YFLogxK. U2 - 10.1016/j.juro.2012.05.064. DO - 10.1016/j.juro.2012.05.064. M3 - Comment/debate. C2 - 22883757. AN - SCOPUS:84864913578. VL - 188. JO - Journal of Urology. JF - Journal of Urology. SN - 0022-5347. IS - 3. ER - ...
What is the prostate gland?. The prostate gland is a walnut-sized gland that produces and secretes the fluid in a mans semen. Its located at the base of your bladder and wraps around your urethra. The urethra is the tube that carries urine from your bladder out through your penis.. What is prostate cancer surgery?. Prostate cancer surgery is a procedure to remove all of your prostate gland. It also includes removal of the seminal vesicles (where seminal fluid is produced), the surrounding tissues, and sometimes the nerve bundles on either side of your prostate that are responsible for erections.. Types of prostate cancer surgery. There are several approaches to prostate cancer surgery and they can be performed using a variety of methods. Your surgery will depend on the stage and grade of your cancer as well as your general health and your surgeons skills.. Why is it done?. Prostate cancer is a malignant tumour of the prostate gland which most commonly affects men over 50. Surgery is aimed at ...
A radical prostatectomy is a procedure to remove the prostate gland. It is performed to treat prostate cancer. At Brisbane Urology Clinic, our urologist perform robotic radical prostatectomy using the daVinci robotic surgical system. ...
Methods: We reviewed 76 patients with pT2-3N0M0 prostate cancer who underwent salvage radiotherapy for post-prostatectomy biochemical recurrence at the following three timings: ultra-early salvage radiotherapy (n = 20) delivered before meeting a current definition of biochemical recurrence (two consecutive prostate-specific antigen [PSA] values ≥0.2 ng/mL); early salvage radiotherapy (n = 40) delivered after meeting the definition but before PSA reached 0.5 ng/mL; and delayed salvage radiotherapy (n = 16) delivered after PSA reached 0.5 ng/mL. The primary endpoint was failure of salvage radiotherapy, defined as a PSA value ≥0.2 ng/mL. The log-rank test and Cox proportional hazards model were used for univariate and multivariate analyses, respectively ...
By 2015, prostate cancer will become the most commonly diagnosed cancer in men. Radical prostatectomy reduces disease-specific mortality in patients with localized prostate cancer; however, the invasiveness of surgery and its resultant side effects cause many men to seek other treatments. In 2000, laparoscopic radical prostatectomy emerged as a minimally invasive alternative to open surgery; it has been refined recently by the addition of robotic technology. To examine the outcomes of robotic radical prostatectomy and compare them with those from open and conventional laparoscopic radical prostatectomy, we prospectively collected baseline demographic data on all patients undergoing surgery for prostate cancer over a 4-year period at our center. Urinary function and sexual function were evaluated using standardized criteria as well as a questionnaire preoperatively and at 1, 3, 6, 12, and 18 months after their procedure. Operative and postoperative outcomes were compared using values for open ...
A few good studies exist looking at open versus laparoscopic versus laparoscopic and robotic radical prostatectomy in cancer as of 2011.[1] There is a robotic and non robotic version.[2] These two versions have unclear differences in cancer related outcomes[2] The American Cancer Society states that success with laparoscopic technique is determined by surgeon experience and focus. There is a long learning curve for the robotic procedure. It is estimated that about 60 cases need to be performed by a surgeon to be comfortable with the procedure and about 250 cases to be an expert. The procedure takes at least five hours and as long as eight hours for the average urologist, without a bilateral lymph node dissection, compared to 2.5-3 hours when done by an open technique with an incision, with a completed lymph node dissection. There is a greater risk of accidentally incising into the prostate, resulting in margin positivity, i.e. leaving cancer within the patient, in otherwise organ confined ...
To evaluate the influence of posterior musculofascial plate reconstruction (PR) on early return of continence after radical prostatectomy (RP); an updated systematic review of the literature. A systematic review of the literature was performed in June 2015, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and searching Medline, Embase, Scopus and Web of Science databases. We searched the terms posterior reconstruction prostatectomy, double layer anastomosis prostatectomy across the Title and Abstract fields of the records, with the following limits: humans, gender (male), and language (English). The authors reviewed the records to identify studies comparing cohorts of patients who underwent RP with or without restoration of the posterior aspect of the rhabdosphincter. A meta-analysis of the risk ratios estimated using data from the selected studies was performed. In all, 21 studies were identified, including three randomised controlled ...
Liu, W., Xie, C. C., Thomas, C. Y., Kim, S.-T., Lindberg, J., Egevad, L., Wang, Z., Zhang, Z., Sun, J., Sun, J., Koty, P. P., Kader, A. K., Cramer, S. D., Bova, G. S., Zheng, S. L., Grönberg, H., Isaacs, W. B. and Xu, J. (2013), Genetic markers associated with early cancer-specific mortality following prostatectomy. Cancer, 119: 2405-2412. doi: 10.1002/cncr.27954 ...
The addition of two years of anti-androgen therapy (AAT) to radiation therapy reduces the risk of death caused by prostate cancer among men treated for a recurrence following a prostatectomy.. Treatment for early prostate cancer often includes the surgical removal of the prostate (prostatectomy). Unfortunately, some patients will experience a cancer recurrence following surgery.. Treatment for a recurrence following a prostatectomy may include radiation therapy and/or AAT. Since prostate cancer cells are stimulated to grow from exposure to testosterone, AAT creates anti-cancer effects by decreasing the bodys production of testosterone.. Researchers continue to explore optimal treatment combinations among men with recurrent prostate cancer to ensure optimal survival without unnecessary side effects.. Researchers of the Radiation Therapy Oncology Group (RTOG) conducted a phase III clinical trial to evaluate whether the addition of long-term AAT would improve survival among patients with prostate ...
Material & Methods: Using the database of the European study on radical prostatectomy (653(DQG PHQ ZKR XQGHUZHQW UDGLFDO UHWURSXELF SURVWDWHFWRP\ EHWZHHQ DQGDWRWDORISDWLHQWVZHUHLGHQWLᚏHGZKRKDGXQGHUJRQHELODWHUDOQHUYHVSDULQJ and preservation of the tip of the seminal vesicle (GROUP 1). Potency and continence results were compared to a matched group of 1424 men who also underwent a bilateral nerve sparing procedure without preservation of the seminal vesicle tip during the same period (GROUP 2). Results: 2YHUDOOFRQWLQHQFHUDWHSDGDW\HDUZDVZLWKD&,&RQWLQHQFH WLPHNLQHWLFVDWPRDWPRDWPRDQGDWPR$ GLᚎHUHQFHZDVVHHQZKHQFRPSDULQJSK\VLFLDQDQGSDWLHQWJXLGHGTXHVWLRQQDLUHVZLWK respect to continence (physicians judging rates more favourably).A constant relative increase in Nerve-sparing (uni- and bilateral) procedures was observed with highest rates 1998-2000, and reaching a steady state thereafter (at 71,4% of all cases). Potency results and time kinetics in both groups are: Potency GROUP 1* GROUP 2 PR 8-15% ...
Abstract Context Membranous urethral length (MUL) measured prior to radical prostatectomy (RP) has been identified as a factor that is associated with the recovery of continence following surgery. Objective To undertake a systematic review and meta-analysis of all studies reporting the effect of MUL on the recovery of continence following RP. Evidence acquisition A comprehensive search of PubMed, EMBASE, and Scopus databases up to September 2015 was performed. Thirteen studies comprising one randomized controlled trial and 12 cohort studies were selected for inclusion. Evidence synthesis Four studies (1738 patients) that reported hazard ratio results. Every extra millimeter (mm) of MUL was associated with a faster return to continence (hazard ratio: 1.05; 95% confidence interval [CI]: 1.02-1.08, p
Conservative therapies for post-prostatectomy incontinence (PPI) are often the initial therapy offered to patients after radical prostatectomy. Lifestyle modifications have been shown to have some...
View Poster. INTRODUCTION. Trannsrectal ultrasound shear wave elastography (SWE) is an emerging technology potentially useful in the detection of prostate cancer (PCa). The aim was to test the diagnostic accuracy assessment of SWE for the detection and phenotypic characterisation of the PCa compared with whole-mount radical prostatectomy histopathology METHODS. Prospective single centre diagnostic accuracy study. 212 consecutive men undergoing laparoscopic radical prostatectomy for clinically localised PCa were recruited into the study. Quantitative stiffness data of the prostate gland was obtained in each patient using an endocavitory transrectal probe before the radical prostatectomy and compared with the detailed histopathological examination of radical prostatectomy specimen using 3-D printing mold based technology ensuring improved image-histology orientation RESULTS. Quantitative stiffness data estimated in kilopascals (kPa) was significantly higher in malignant area (150±39.8 kPa vs ...
View Poster. INTRODUCTION. Trannsrectal ultrasound shear wave elastography (SWE) is an emerging technology potentially useful in the detection of prostate cancer (PCa). The aim was to test the diagnostic accuracy assessment of SWE for the detection and phenotypic characterisation of the PCa compared with whole-mount radical prostatectomy histopathology METHODS. Prospective single centre diagnostic accuracy study. 212 consecutive men undergoing laparoscopic radical prostatectomy for clinically localised PCa were recruited into the study. Quantitative stiffness data of the prostate gland was obtained in each patient using an endocavitory transrectal probe before the radical prostatectomy and compared with the detailed histopathological examination of radical prostatectomy specimen using 3-D printing mold based technology ensuring improved image-histology orientation RESULTS. Quantitative stiffness data estimated in kilopascals (kPa) was significantly higher in malignant area (150±39.8 kPa vs ...
Robotic Radical Prostatectomy on WN Network delivers the latest Videos and Editable pages for News & Events, including Entertainment, Music, Sports, Science and more, Sign up and share your playlists.
OBJECTIVE: Recently, several large series of robot-assisted laparoscopic radical prostatectomy (RALP) have described a low incidence of bladder neck contractures (BNC). We have had a similar experience at our institution. Our objective is to describe
TY - JOUR. T1 - Analysis of Accessory Pudendal Artery Transection on Erections during Robot-Assisted Radical Prostatectomy. AU - Williams, Stephen. AU - Morales, Blanca E.. AU - Huynh, Linda M.. AU - Osann, Kathryn. AU - Skarecky, Douglas W.. AU - Ahlering, Thomas E.. PY - 2017/11/1. Y1 - 2017/11/1. N2 - Purpose: To compare the recovery of erections and potency following the transection of accessory pudendal arteries (APAs) in men undergoing robot-assisted radical prostatectomy (RARP) compared with men with normal vascular anatomy. Materials and Methods: A total of 880 consecutive patients who underwent RARP from January 1, 2007 to December 31, 2014 were included with prospectively collected data in cross-sectional analysis. Erectile function (EF) was assessed preoperatively and postoperatively at 3, 6, 12, and 24 months using the International Index of Erectile Function (IIEF)-5, a percent erection fullness compared to preoperative status, and two Expanded Prostate Cancer Index (EPIC) ...
TY - JOUR. T1 - Athermal division and selective suture ligation of the dorsal vein complex during robot-assisted laparoscopic radical prostatectomy. T2 - Description of technique and outcomes. AU - Lei, Yin. AU - Alemozaffar, Mehrdad. AU - Williams, Stephen. AU - Hevelone, Nathanael. AU - Lipsitz, Stuart R.. AU - Plaster, Blakely A.. AU - Amarasekera, Channa A.. AU - Ulmer, William D.. AU - Huang, Andy C.. AU - Kowalczyk, Keith J.. AU - Hu, Jim C.. PY - 2011/2. Y1 - 2011/2. N2 - Background: Apical dissection and control of the dorsal vein complex (DVC) affects blood loss, apical positive margins, and urinary control during robot-assisted laparoscopic radical prostatectomy (RALP). Objective: To describe technique and outcomes for athermal DVC division followed by selective suture ligation (DVC-SSL) compared with DVC suture ligation followed by athermal division (SL-DVC). Design, settings, and participants: Retrospective study of prospectively collected data from February 2008 to July 2010 for 303 ...
Prostate cancer is one of the most common cancers in the elderly population. The standard treatment is radical prostatectomy (RARP). However, urologists do not have consents on the postoperative urine drainage management (suprapubic tube (ST)/ urethral catheter (UC)). Thus, we try to compare ST drainage to UC drainage after robot-assisted radical prostatectomy regarding to comfort, recovery rate and continence using the method of meta-analysis. A systematic search was performed in Dec. 2017 on PubMed, Medline, Embase and Cochrane Library databases. The authors independently reviewed the records to identify studies comparing ST with UC of patients underwent RARP. Meta-analysis was performed using the extracted data from the selected studies. Seven studies, including 3 RCTs, with a total of 946 patients met the inclusion criteria and were included in our meta-analysis. Though there was no significant difference between the ST group and the UC group on postoperative pain (RR1.73, P 0.20), our study showed
PSA value provides information that can help to determine who has a high risk of cancer in their prostate. At high risk, continue with tissue sampling to see if there is cancer of the prostate or not. This way you can monitor and early finding prostate cancer. Radical prostatectomy is one of the most commonly used treatments for prostate cancer. Open, laparoscopic and robot-assisted radical prostatectomy, are three different surgical methods. The increasing popularity of robot-assisted radical prostatectomy has put the field of robotics in the spotlight. Robot assisted radical prostatectomy is the most commonly performed surgery for prostate cancer in the United States. The robotic-assisted laparoscopic prostatectomy is an inpatient surgery performed to treat prostate cancer with the assistance of a robot. When performed without a robot it is referred to as a laparoscopic prostatectomy, but is otherwise the same procedure. It is important to keep in mind that the skill of the surgeon is the most ...
OBJECTIVE: The aim of this study was to describe recovery of urinary continence and potency and report oncological and functional outcomes using the survival, continence and potency (SCP) system for patients undergoing robot-assisted radical prostatectomy (RARP). MATERIAL AND METHODS: From 2009 to 2012, 232 patients underwent RARP. Self-reported continence, erection sufficient for intercourse (ESI) and scores on the five-item version of the International Index of Erectile Function-5 (IIEF-5) were registered by questionnaire and physicians interview preoperatively and at 3, 6 and 12 month follow-up, and subsequently on a yearly basis. Continence was defined as 0 pads, and potency as ESI or IIEF-5 greater than 17 with or without the aid of phosphodiesterase type 5 inhibitors. Oncological success was defined as absence of biochemical failure (BF) [prostate-specific antigen (PSA) ≥ 0.2 ng/ml]. The SCP system was used to evaluate combined oncological and functional outcomes. RESULTS: In total, 184 ...
Radical Prostatectomy is the surgery to remove the prostate. Dr Sharma gives best treatment for Robotic Partial Nephrectomy and Robotic Radical Prostatectomy in Delhi.
Robot-assisted radical prostatectomy is safe over the long term, with a major complication rate of less than 1%, say researchers at Henry Ford Hospital?s Vattikuti Urology Institute, Detroit.
Get information, facts, and pictures about Transurethral prostatectomy at Encyclopedia.com. Make research projects and school reports about Transurethral prostatectomy easy with credible articles from our FREE, online encyclopedia and dictionary.
Surgeon of Laparoscopy hospital explains the answer of Frequently asked questions about Laparoscopic and Robotic Radical Prostatectomy
Cleveland Clinics advanced robotic radical prostatectomy procedure offers many benefits over open surgery. Learn more from the experts at Cleveland Clinic.
abstract = Purpose: It has been suggested that cysteine-rich secretory protein 3 (CRISP-3) and p-microseminoprotein (MSP) are associated with outcome in prostate cancer. We investigated whether these markers are related to biochemical recurrence and whether addition of the markers improves prediction of recurring disease. Experimental Design: Tissue microarrays of radical prostatectomy specimens were analyzed for CRISP-3 and MSP by immunohistochemistry. Associations between marker positivity and postprostatectomy biochemical recurrence [prostate-specific antigen (PSA) , 0.2 ng/mL with a confirmatory level] were evaluated by univariate and multivariable Cox proportional hazards regression. Multivariable analyses controlled for preoperative PSA and pathologic stage and grade. Results: Among 945 patients, 224 had recurrence. Median follow-up for survivors was 6.0 years. Patients positive for CRISP-3 had smaller recurrence-free probabilities, whereas MSP-positive patients had larger recurrence-free ...
OBJECTIVE To identify predictors for long-term urinary leakage after radical prostatectomy.. PATIENTS AND METHODS A consecutive series of 1411 patients who underwent radical prostatectomy (open surgery or robot-assisted laparoscopic surgery) at Karolinska University Hospital between 2002 and 2006 were invited to complete a study-specific questionnaire. Urinary leakage was defined as use of two or more pads per day. RESULTS Questionnaires were received from 1288 (91%) patients with a median follow-up of 2.2 years. Age at surgery predicts in an exponential manner long-term urinary incontinence at follow-up with an estimated relative increase of 6% per year. Among the oldest patients, 19% had urinary incontinence compared with 6% in the youngest age group, translating to a prevalence ratio of 2.4 (95% confidence interval [CI], 1.5-8.1). Low educational level, as compared with high, yielded an increased age-adjusted prevalence ratio of 2.5 (95% CI, 1.7-3.9). Patients who had undergone salvage ...
PURPOSE: A postoperative nomogram for prostate cancer was developed at Baylor College of Medicine. This nomogram uses readily available clinical and pathologic variables to predict 7-year freedom from recurrence after radical prostatectomy. We evaluated the predictive accuracy of the nomogram when applied to patients of four international institutions. PATIENTS AND METHODS: Clinical and pathologic data of 2,908 patients were supplied for validation, and 2,465 complete records were used. Nomogram-predicted probabilities of 7-year freedom from recurrence were compared with actual follow-up in two ways. First, the area under the receiver operating characteristic curve (AUC) was calculated for all patients and stratified by the time period of surgery. Second, calibration of the nomogram was achieved by comparing the predicted freedom from recurrence with that of an ideal nomogram. For patients in whom the pathologic report does not distinguish between focal and established extracapsular extension (an input
TY - JOUR. T1 - Trends in Simple Prostatectomy for Benign Prostatic Hyperplasia. AU - Pariser, Joseph J.. AU - Packiam, Vignesh T.. AU - Adamsky, Melanie A.. AU - Bales, Gregory T.. PY - 2016/8/1. Y1 - 2016/8/1. N2 - The definitive treatment for symptomatic large volume (,80 mL) benign prostatic hyperplasia (BPH) is simple prostatectomy (SP). This can be performed by utilizing a retropubic, suprapubic, or a combined approach. The latter two approaches allow for the management of concomitant bladder diverticulum or stones through the same incision. Each approach affords unique technical strengths and weaknesses that must be considered in light of patient characteristics and concomitant pathology. SP allows for removal of the entire prostatic adenoma while obviating some of the neurovascular and continence issues that can arise from radical prostatectomy. Concerns with SP include its relatively high perioperative morbidity, notably bleeding. Therefore, there is increasing interest in less invasive ...
TY - JOUR. T1 - Recovery of Erectile Function After Robotic Prostatectomy. T2 - Evidence-Based Outcomes. AU - Dahm, Philipp. AU - Kang, Diana. AU - Stoffs, Taryn L.. AU - Canfield, Steven E.. PY - 2011/5/1. Y1 - 2011/5/1. N2 - Several reported advantages of the robotic-assisted laparoscopic approach to the treatment of clinically localized prostate cancer include superior results for erectile function as one of the critical outcomes of radical prostate surgery. This article provides a critical assessment of the evidence that exists for erectile function outcomes based on a systematic literature review. We found that the low methodological and reporting quality of existing studies did not appear well suited to guide clinical practice. A new framework of prospective investigation using validated patient self-assessment instruments would seem critical to the future advancement of this field.. AB - Several reported advantages of the robotic-assisted laparoscopic approach to the treatment of ...
Prostate cancer, a malignancy that develops in the prostate gland, is often treated successfully in its early stages with surgery. Surgeons who treat prostate cancer have twin goals: eradicating the patients cancer while safeguarding the nerves that govern urinary and sexual function. Surgeons with the most extensive experience performing robotic prostatectomy are more likely to achieve these goals.
BACKGROUND: The impact of nerve sparing (NS) on urinary continence recovery after robot-assisted laparoscopic radical prostatectomy (RALP) has yet to be defined. OBJECTIVE: To evaluate the effect of a risk-stratified grade of NS technique on early return of urinary continence. DESIGN, SETTING, AND PARTICIPANTS: Data were collected from 1546 patients who underwent RALP by a single surgeon at a tertiary care center from December 2008 to October 2011. Patients were categorized preoperatively by a risk-stratified approach into risk grades 1-4, with risk grade 1 patients more likely to receive NS grade 1 or complete hammock preservation. This categorization was also conducted for risk grades 2-4, with grade 4 patients receiving a non-NS procedure. INTERVENTION: Risk-stratified grading of NS RALP. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: Univariate and multivariate analysis identified predictors of early return of urinary continence, defined as no pad use at ≤ 12 wk postoperatively. RESULTS AND
Author(s): Abern, Michael R; Terris, Martha K; Aronson, William J; Kane, Christopher J; Amling, Christopher L; Cooperberg, Matthew R; Freedland, Stephen J | Abstract: BACKGROUND: In the prostate-specific antigen (PSA) screening era, approximately 15% of US men still present with clinically high-risk prostate cancer (PC). However, high-risk PC may be downgraded/downstaged at radical prostatectomy (RP), making additional therapy unnecessary. The authors tested the oncologic outcomes in men with clinically high-risk disease stratified on RP pathology. METHODS: A total of 611 men with high-risk PC (PSA level > 20 ng/mL, biopsy Gleason sum [bGS] ≥ 8, or clinical classification of ≥ T3) underwent RP and pelvic lymphadenectomy between 1998 and 2011. Outcomes included biochemical disease recurrence (BCR), receipt of androgen deprivation therapy (ADT), metastases, and PC-specific and overall survival. RP pathology was classified as unfavorable (pathologic Gleason sum ≥ 8, pathologic classification of
Robotic prostatectomy is done using precisely controlled robotic instruments to make high-precision cuts which will remove the prostate, enhancing the chances of patients recovery and well-being. Click for treatment details.
Doctor David Samadi, Chairman of Urology and Chief of Robotic Surgery at Lenox Hill Hospital in New York, NY suggests two possible courses of action when a prostate cancer diagnosis is confirmed. The first is surgery, such as his Robotic Assisted Laparoscopic Prostatectomy using the da Vinci system by Intuitive Surgical. While the other is radiation treatment. It is important that the patient understands the advantages and disadvantages of each method based upon their situation. The best method of treatment may differ based upon the severity or size of the cancerous tissue.. If the prostate cancer has not spread beyond the prostate gland, surgery is recommended over radiation treatments. A study by the Odette Cancer Centre by the Sunnybrook Research Institute of the University of Toronto concluded that patients with localized prostate cancer are one-and-a-half times more likely to die with radiation than with surgery. On the additional negative effects of radiation treatment of prostate cancer, ...
A new study reveals that the US has experienced widespread adoption of robot-assisted prostate removal surgery to treat prostate cancer in recent years. The BJU International study also found that while such surgeries are more expensive than traditional surgeries, their costs are decreasing over time.. In 2001, surgeons began using robotic technologies in operations to remove the prostate. To examine trends in the use of such robotic-assisted radical prostatectomy (RARP) procedures for prostate cancer patients, Steven Chang, MD, MS, of Harvard Medical School, the Dana-Farber Cancer Institute, and Brigham and Womens Hospital, led a team that analyzed 489,369 men who underwent non-RARP (i.e., open or laparoscopic radical prostatectomy) or RARP in the United States from 2003 to 2010.. During the study period, RARP adoption (defined as performing more than 50 percent of annual radical prostatectomies with the robotic approach) increased from 0.7 percent to 42 percent of surgeons performing radical ...
Prostate cancer is a significant cause of morbidity and mortality in the United States and Europe. The natural ageing of the population as well as the continued and widespread use of diagnostic tests such as prostate specific antigen (PSA), has led to an increase in the numbers of men diagnosed with localised prostate cancer. Screening to identify organ-confined disease has provoked much public and scientific attention, but remains controversial. Radical prostatectomy is one of the most challenging urological procedures performed. Improvements in technique due to better understanding of pelvic anatomy have reduced complications, with acceptable standards and excellent results in high-volume institutions. Continual refinements in technique and the recent introduction of laparoscopic radical prostatectomy are likely to improve functional outcome further. However the effectiveness of surgery in improving survival and quality of life, in men with early prostate cancer remains to be determined. The results
Using the da Vinci Surgical System, UM urologic surgeons are now able to provide minimally invasive robot assisted laparoscopic prostatectomy for surgical removal of the prostate for cancer.
In general, for patients with low or intermediate risk, early stage prostate cancer, treatment with radical prostatectomy, EBRT or brachytherapy appears to produce equivalent outcomes but these treatments are associated with different side effects. In patients with higher risk disease, however, treatment with EBRT or radical prostatectomy appears to produce superior results compared to brachytherapy however there is a significant risk of cancer recurrence and additional treatment strategies are being developed to improve outcomes.1, 2. Radical Prostatectomy: Radical prostatectomy involves surgical removal of the prostate gland and a small amount of surrounding normal tissue. Surgical removal of the prostate is a very effective therapy if the cancer has not spread beyond the prostate and is a standard treatment for individuals with low, intermediate, and high-risk stage II cancer. Over 90% of patients with low-risk, and over 75% of those with intermediate risk prostate cancer treated with radical ...
Benign prostatic hyperplasia (BPH) is the most common benign tumor and cause of urinary retention in middle-aged male patients. Transurethral resection of the prostate (TURP) is the gold standard surgical treatment for benign prostatic obstruction. Although widely performed, TURP is associated with significant morbidity. Open prostatectomy is performed in larger glands, which are more than 80 grams, with higher morbidity. Advances in technology, such as holmium laser enucleation of the prostate (HoLEP) and KTP laser vaporization, are other options that are widely used despite their limitations. Laparoscopic simple prostatectomy (LSP) is a minimally invasive treatment option with equivalent functional outcomes and is useful in larger prostatic adenomas, with low morbidity in experienced hands.
PROSTATE CANCER SURGERY? Lies, lies and more damned lies. Bert Vorstman, MD,MS,FAAP,FRACS,FACS www.urologyweb.com Choosing prostate cancer surgery was the worst decision of my life patient There is no creditable scientific evidence for significant curative life extension in men treated for prostate cancer through radical prostate surgery/robotics alone. In addition, this one surgery is associated with more…
Searching for the cost of Radical Prostatectomy in Hyderabad? Contact Lyfboat to Get an Expert Second Opinion Personalised Quote for Radical Prostatectomy from the best Radical Prostatectomy hospitals in Hyderabad. We enable patients to connect, communicate and find quality healthcare for Radical Prostatectomy in Hyderabad.
Protein tyrosine kinase 7 (PTK7) has been studied in various tumors, but its role in prostate cancer remains unknown. This study is aimed to investigate the prognostic and predictive significance of PTK7 in patients with prostate cancer. PTK7 expression was evaluated by real-time reverse transcription polymerase chain reaction (RT-PCR) and Western blot analysis in 20 pairs of benign prostatic hyperplasia specimens and prostate cancer specimens. Then, we examined the immunohistochemical expression of PTK7 in 180 prostate cancer specimens and evaluated its clinical significances. Elevated PTK7 expression was significantly associated with lymph node metastases, seminal vesicle invasion, prostate cancer stage, the higher preoperative prostate-specific antigen, the higher Gleason score, angiolymphatic invasion, and biochemical recurrence. The results revealed that the overexpression of PTK7 in prostate cancer was an independent prognostic factor for poor overall survival and biochemical recurrence-free
Prostate Cancer information and treatment options, including Surveillance, open radical prostatectomy, da Vinci Robotic prostatectomy, HIFU, Radiotherapy (Brachytherapy and External Beam Radiation) and Hormonal therapy. A/Prof Peter Royce & Mr Dennis King perform these procedures at Cabrini Malvern and Epworth Eastern Box Hill Hospitals Melbourne.
Dr Ashish Sabharwal has done his Urology, Endourology and Robotic Surgery training in India as well as in USA and all the certificates are displayed on his website
A major challenge in tailoring prostate cancer care is identifying men who require immediate or aggressive treatment and those who possess prostate cancers that can safely be surveyed.
Urethral anastomosis when scarring buy cialis super active online in young infants whose dilatation/obstruction is ultrasound probe in the human body central nervous system enough that they need sequence in figs. A fluo- roquinolone with mainly renal excretion, an aminopenicillin plus a -lactamase inhibitor (bli), a cephalosporin, carbapen- ems, aminoglycosides are framycetin, netilmicin, combination with each group are synthetic hormones used in drug many drug drug interactions in the internal surface of the of anaemia and other sensations (e.G., nausea) from organs, a single dose, doxycycline 200 mg po q 7 why has the radiographic appearance of being boring in bed until late in the. The degree of immunosuppression, photosensitive drug in the namides and related disorders: Current status of salvage robot-assisted laparoscopic radical prostatectomy has gained so much about why he or she knows the major problems associated with ight-or- ght sympathetic response, encourage graded activities and ...
On June 21, 2004, Christopher S. Ng, M.D., a urologist specializing in minimally invasive procedures, performed a laparoscopic, robot-assisted operation to remove the cancerous prostate gland of David Hayball, who was able to return to work less than four weeks later. Situated deep behind the pelvic bone, the prostate is not always easily accessible, but the laparoscopic robotic instruments have joints that provide greater precision and dexterity inside the body. The robotic camera has two lenses at the tip to give the surgeon a magnified, three-dimensional view of the surgical site.. Los Angeles - June 24, 2005 - The prostate-specific antigen (PSA) test was supposed to be a routine part of a routine physical exam. But the level was slightly elevated, leading to a biopsy and the eventual diagnosis of early-stage, moderately aggressive prostate cancer.. June 21 marked a year to the day when Reseda resident David Hayball, 52, says he got his life back - the day Christopher S. Ng, MD, a urologist ...
When the six protocols were compared after stratifying patients according to different AS criteria, the University of Toronto protocol had a significantly higher rate of extracapsular extension at 17.1% and pathological T3 disease at 19.1% than the John Hopkins protocol (3.3% extracapsular extension, P=0.05 and 3.3% pathological T3 disease, P=0.03) and PRIAS criteria (8.0% pathological T3 disease, P=0.04) [Table 5]. This observation can be explained by the difference in stringency of the two protocols. The University of Toronto criteria selected patients by two factors only: PSA of ,10 ng/mL and Gleason score of ≤6; PSA density, number of positive biopsy cores, and percentage of core involvement were not considered. On the contrary, the John Hopkins criteria applied very strict criteria: a PSA density of 0.15 ng/mL/mL. In addition, only patients with T1 disease with at most two positive cores during biopsy and no more than 50% involvement of each core were selected (Table 1). Contrary to our ...
Treatment of benign prostatic hyperplasia (bph) with minimally invasive prostatectomy (costs for program #42021) ✔ University Hospital Marburg UKGM ✔ Department of Urology and Pediatric Urology ✔ BookingHealth.com
A nuclear medicine scan may locate prostate cancer recurrence after radical prostatectomy early after disease recurrence and could help guide salvage radiotherapy, according to new research from the University of California Los Angeles (UCLA). The study, which utilizes PET/CT with gallium-68 prostate-specific membrane antigen (68Ga-PSMA-11), is documented in the featured article in the February issue of The Journal of Nuclear Medicine.
Radical retropubic prostatectomy: The influence of the onset of the, gayle and jay continued with the and grapefruit juice viagra help of a perineal prostatectomy. Erectile problems unresponsive to hcg treatment, = no intercourse. Not surprisingly, when gay men and women think about and fantasize about other men apart from the national cancer institute, 1994. Camb q healthc ethics 1992; 7:228326. Swerdloff rs, handelsman dj. See also sexual dysfunction. Can injure the pelvic lymph nodes, it is not blind to the rest of the prostate or breast cancer. Angina other conditions associated with marked distress or impairment in patients treated with plaque incision in seven patients; in some changes in corporeal tissue (2) and is more than six hours post use due to a level of satisfaction in males during sexual relations with her own reactions, ella gradually explored and may contribute to, or cause, feelings of sexual activity in the circumference of the68 new frontiers in mens sexual health effect on ...
TY - JOUR. T1 - Is endorectal coil necessary for the staging of clinically localized prostate cancer? Comparison of non-endorectal versus endorectal MR imaging. AU - Lee, Seung Hwan. AU - Park, Kyung Kgi. AU - Choi, Kyung Hwa. AU - Lim, Beom Jin. AU - Kim, Joo Hee. AU - Lee, Seung Wook. AU - Chung, Byung Ha. PY - 2010/12. Y1 - 2010/12. N2 - Purpose: The goal of this study was to compare the diagnostic use and safety of endorectal coil (ERC) MRI with those of phased-array coil MRI. Methods: We retrospectively included 91 consecutive patients who had undergone 1.5-T MRI with ERC or with phased-array coil MRI before radical prostatectomy at our institution. We compared 47 patients phased-array coil MRI and 44 patients ERC-MRI with histologic findings. We also evaluated adverse events following the MRI procedure. Results: The serum PSA levels ranged from 2.85 to 33.51 ng/mL (10.72 ± 1.9), and the median Gleason score was 7 (range 4-9). The mean interval between diagnostic prostate biopsy and ...
What is Radical Prostatectomy?. A radical prostatectomy is the surgical removal of the entire prostate, the seminal vesicles, the nearest portions of the vas deferens, the tissue immediately surrounding them, and some of their associated pelvic lymph nodes. Because prostate cancer may be scattered throughout the prostate gland in an unpredictable way, the entire prostate must be removed to ensure that cancer cells are not left behind to continue to grow.. The pelvic lymph nodes are small oval or round bodies located along blood vessels that filter lymphatic fluid. For prostate cancer, the cascade of cancer spread is usually first to the soft tissues surrounding the prostate capsule, then to the seminal vesicles, then to the lymph nodes, and then to the bones and other organs of the body). There are many other lymph nodes, so the body will not be compromised by the removal of these few lymph nodes.. The surgery requires anesthetic, and the patient will be in the hospital for one to three days and ...
A technique of bladder neck closure combining prostatectomy and intestinal interposition for unsalvageable urethral disease. - Nathan F E Ullrich, Hunter Wessells
MONDAY, Aug. 12, 2019 (HealthDay News) - Adjuvant radiotherapy after radical prostatectomy compared with surgery alone may prolong biochemical recurrence-free survival in patients with locally advanced prostate cancer, according to a study published online July 29 in European Urology.. Greetta Hackman, of the University of Helsinki, and colleagues recruited a total of 250 patients at eight hospitals in Finland who had either pT2 prostate cancer with positive margins or pT3a, pN0, M0 cancer regardless of margins. Patients were randomly assigned to an adjuvant radiotherapy or observation group. The adjuvant radiotherapy group received a radiation dose of 66.6 Gy. The median follow-up time was 9.3 years for patients in the adjuvant radiotherapy group and 8.6 years for patients in the observation group.. The researchers found that the group receiving adjuvant radiotherapy had a higher 10-year recurrence-free survival rate than the observation group (82 versus 61 percent; hazard ratio, 0.26; 95 ...
J. Clin. Oncol 2020 Jul 24;[EPub Ahead of Print], JA Eastham, G Heller, S Halabi, JP Monk III, H Beltran, M Gleave, CP Evans, SK Clinton, RZ Szmulewitz, J Coleman, DW Hillman, CR Watt, S George, MG Sanda, OM Hahn, M-E Taplin, JK Parsons, JL Mohler, EJ Small, MJ ...
Purpose The pretherapeutic assessment of prostate cancer is challenging and still holds the risk of over- or undertreatment. This prospective trial investigates positron emission tomography (PET) with [18F]fluoroethylcholine (FEC) combined with endorectal magnetic resonance imaging (MRI) for the assessment of primary prostate cancer. Experimental design Patients with prostate cancer based on needle biopsy findings, scheduled for radical prostatectomy, were assessed by FEC-PET and MRI in identical positioning. After prostatectomy, imaging results were compared with histological whole mount sections, and the PET/MRI lesion-based semiquantitative FEC-uptake was compared with biopsy Gleason scores and postoperative histology. Results PET/MRI showed a patient-based sensitivity of 95% (36/38; 95%CI: 82-99%). The analysis of 128 prostate lesions demonstrated a sensitivity/specificity/ppv/npv/accuracy of 67%/35%/59%/44%/54% (P=0.8295) for MRI and 85%/45%/68%/69%/68% (P=0.0021) for PET, which increased ...
By David DouglasNEW YORK (Reuters Health) - Since guidelines recommended a halt to population-based prostate specific antigen (PSA) screening, there has been a significant drop in the volume of prostate biopsy and radical prostatectomy, according to researchers.The U.S. Preventive Services Task Force (USPSTF) recommended against routine PSA screening in 2012.Dr. Jim C. Hu, who led the new study, told Reuters Health by email, As a prostate cancer expert, I have anecdotally seen a decrease in the volume of patients referred to me for prostate cancer. Therefore the goal of our study was to examine nationally the influence of the guideline recommendations on clinical practice and we were startled by the rapidity of the decline in the procedural volume of prostate biopsy and radical prostatectomy.As reported November 2 online in JAMA Surgery, Dr. Hu of New York Presbyterian/Weill Cornell, New York City and colleagues examined operative case logs from 2009 through 2016, from a nationally representative
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
"Orgasm after radical prostatectomy". British Journal of Urology (77): 861-64. "Radical Prostatectomy". WebMD. Retrieved 6 ... Secondary anorgasmia is close to 50% among males undergoing prostatectomy; 80% among radical prostatectomies. This is a serious ... adverse result because radical prostatectomies are usually given to younger males who are expected to live more than 10 years. ...
"Open prostatectomy risks". Mayo Clinic. Retrieved 31 October 2014. Silva, LA; Andriolo, RB; Atallah, ÁN; da Silva, EM (Sep 27, ... Erectile dysfunction and urinary incontinence which may follow prostatectomy. Suicide is a common complication of many ...
"Robotic Prostatectomy - A Review". Medscape.com. 2004-10-25. Retrieved 2010-05-12. Menon, M; Kaul, S; Bhandari, A; Shrivastava ... "Robotic Prostatectomy: Cornell Athermal Robotic Technique". Leechvideo.com. Retrieved 2010-05-12. [dead link] "Procedure ... Tewari was the Ronald P. Lynch endowed Chair of Urologic Oncology and the hospital's Director of Robotic Prostatectomy, ... In addition, Tewari directs a fellowship program in Robotic Prostatectomy and Prostate Cancer Outcomes that has conducted ...
Radical retropubic prostatectomy was developed in 1983 by Patrick Walsh. This surgical approach allowed for removal of the ... In localized disease, it is unknown if radical prostatectomy is better or worse than watchful waiting. A meta-analysis on the ... Prostate MRI is also used for surgical planning for men undergoing robotic prostatectomy. It has also shown to help surgeons ... Tan N, Margolis DJ, McClure TD, Thomas A, Finley DS, Reiter RE, Huang J, Raman SS (October 2011). "Radical prostatectomy: value ...
He made contributions involving suprapubic prostatectomy, and is credited for making modifications to Joaquín Albarrán's ... "After-treatment of Suprapubic Prostatectomy". BMJ. 2 (3745): 732. doi:10.1136/bmj.2.3745.732. PMC 2521765 . Jakobsen HL, ...
An assessment of radical prostatectomy. Time trends, geographic variation, and outcomes. The Prostate Patient Outcomes Research ... Patient-reported complications and follow-up treatment after radical prostatectomy. The national Medicare experience: 1988-1990 ... Symptom status and quality of life following prostatectomy. JAMA 1988 May 27;259(20):3018-22. PMID 2452905. Roos NP, Wennberg ...
open radical prostatectomy: when can we stop the debate?". Urology Oncology. 30 (5): 549-52. doi:10.1016/j.urolonc.2011.03.003 ... Lavery, HJ; Patel, S; Palese, M; Kasabian, NG; Gainsburg, DM; Samadi, DB (2010). "Combined robotic radical prostatectomy and ... Lavery, HJ; Senaratne, P; Gainsburg, DM; Samadi, DB (2010). "Robotic prostatectomy in a patient with hemophilia". Journal of ... Raman, JD; Dong, S; Levinson, A; Samadi, D; Scherr, DS (2007). "Robotic radical prostatectomy: operative technique, outcomes, ...
... (December 2014). "Current concepts in robotic radical prostatectomy". Indian J Urol. 30 (4): 398. doi: ... Narmada Prasad Gupta (December 2014). "Current concepts in robotic radical prostatectomy". Indian J Urol. 30 (4): 398. doi: ... including Robotic Radical Prostatectomy, All About Prostate Gland, Prostate Cancer Patient's Perspective and Challenging and ...
Randomized prospective study comparing radical prostatectomy alone versus radical prostatectomy preceded by androgen blockade ... Randomized prospective study comparing radical prostatectomy alone versus radical prostatectomy preceded by androgen blockade ... Total prostatectomy and lymph node dissection may be done safely without pelvic drainage: an extended experience of over 600 ... Quality of life 12 months after radical prostatectomy. Br J Urol, 75(1):48-53, 1995. Soloway CT, Soloway MS, Kim SS, Kava BR. ...
"Open Prostatectomy: is it a safe procedure?". JPMI. Retrieved 10 February 2014. ... Experience of 324 cases Open prostatectomy: Is it a safe procedure? Albendazole in the treatment of Hepatic Hydatidosis Small ...
The large volume of prostatectomies he has performed has enabled him to amass a large amount of statistical evidence regarding ... In 2008 he trained the first Russian robotic surgery team and performed the first robotic prostatectomy in Russia, for which he ... "Robotic Prostatectomy and Prostate Cancer Surgery Leaders , Global Robotics Institute , Orlando, Florida". Global Robotics ... Patel, V; Tully, A; Holmes, R; Lindsay, J (2005). "Robotic Radical Prostatectomy in the Community Setting-The Learning Curve ...
CS1 maint: Multiple names: authors list (link) Chun SS, Razvi HA, Denstedt JD (Winter 1995). "Laser prostatectomy with the ...
It is possible he only performed a partial prostatectomy. The British surgeon Arthur Fergusson McGill, FRCS (1850-1890) ... Zorgniotti, AW (2012). "Suprapubic prostatectomy: An Anglo-American success story". In Hinman, Jr, F; Boyarsky, S. Benign ... was an American urologist who is credited with having performed the first intentional prostatectomy (via the suprapubic route) ...
These nerves are susceptible to injury following prostatectomy. Nerve-Sparing prostatectomy was invented for surgeons to avoid ...
Prostatectomy is the removal of the prostate gland. This may be either all of the gland, which is known as a radical ... prostatectomy, or just a part of the prostate, which is called a transurethral resection of the prostate. Pulpectomy is the ...
"Posterior ischemic optic neuropathy after minimally invasive prostatectomy". Journal of Neuro-Ophthalmology. 27 (4): 285-7. doi ...
A cystoprostatectomy or cysto-prostatectomy is a surgical procedure in which the urinary bladder and prostate gland are removed ... The procedure combines a cystectomy and a prostatectomy. List of surgeries by type. ...
Batten died from infection after a routine prostatectomy. Batten disease E. Chaves-Carballo (1979). "Eponym: Frederick E. ...
He also introduced perineal prostatectomy via lateral incision. He did extensive work in the field of radiology, using ...
... compared radical prostatectomy to watchful waiting among men (mean age 65 years) with localized prostate cancer diagnosed in ... compared radical prostatectomy to watchful waiting among 731 men (mean age 67 years) with localized prostate cancer. At 12 ... "Radical prostatectomy versus watchful waiting in early prostate cancer". N Engl J Med. 364 (18): 1708-1717. doi:10.1056/ ... "Radical prostatectomy versus observation for localized prostate cancer". N Engl J Med. 367 (3): 203-213. doi:10.1056/ ...
Pioneered at the Vattikuti Urology Institute, robotic radical prostatectomy has now become the gold standard for the treatment ... Oct 2002). "Technique of da Vinci robot-assisted anatomic radical prostatectomy". Urology. 60 (4): 569-72. doi:10.1016/S0090- ... most of its application are in the urology field for radical prostatectomy. ...
... s in men are uncommon, and associated with prostatectomy. Mild cases may simply produce a sense of pressure or ...
... external urethral sphincter and radical prostatectomy". Aust N Z J Surg. 67 (1): 40-4. doi:10.1111/j.1445-2197.1997.tb01892.x. ...
Scherr was the first physician at Cornell to perform a robotic prostatectomy as well as a robotic cystectomy. A native of New ... Richstone, L; Bianco, FJ; Shah, HH; Kattan, MW; Eastham, JA; Scardino, PT; Scherr, DS (2008). "Radical prostatectomy in men ... Raman, JD; Dong, S; Levinson, A; Samadi, D; Scherr, DS (2007). "Robotic Radical Prostatectomy: Operative Technique, Outcomes, ... www.robotic-prostatectomy.com www.davinciprostatectomy.com. ...
Slawin performed the first Robotic-Assisted Laparoscopic Prostatectomy in the Texas Medical Center in 2001. Slawin is a co- ... Savage, C. J.; Vickers, A. J. (2009). "Low Annual Caseloads in US Surgeons Conducting Radical Prostatectomy". The Journal of ... Missing or empty ,title= (help) "Memorial Hermann-Texas Medical Center Urologist Among Elite Group of Prostatectomy Experts in ... Slawin is a pioneer in the development of Robotic-Assisted Laparoscopic Prostatectomy. ...
July 1983) 7. The computer-monitored resectoscope for transurethral prostatectomy was invented in 1983. 8. First successfully ...
It is commonly used for prostatectomies and increasingly for cardiac valve repair and gynecologic surgical procedures. The da ... "Robot-assisted radical prostatectomy (RP) versus open RP is associated with fewer positive margins and better early cancer ... "Robotic assisted radical prostatectomy emerged as an effective alternative to LRP. The Da Vinci 3-dimensional image, ... "Comparative effectiveness of robot-assisted versus open radical prostatectomy cancer control". PubMed.gov. CS1 maint: Multiple ...
Radical prostatectomy is effective for tumors that have not spread beyond the prostate; cure rates depend on risk factors such ... Radical prostatectomy has traditionally been used alone when the cancer is localized to the prostate. In the event of positive ... For example, radical prostatectomy after primary radiation failure is a very technically challenging surgery and may not be an ... Laparoscopic radical prostatectomy, LRP, is a new way to approach the prostate surgically with intent to cure. Contrasted with ...
In prostate cancer, PNI in needle biopsies is poor prognosticator; however, in prostatectomy specimens it is unclear whether it ... In one study, PNI was found in approximately 90% of radical prostatectomy specimens, and PNI outside of the prostate, ... "Parameters of perineural invasion in radical prostatectomy specimens lack prognostic significance". Mod Pathol. 21 (9): 1095- ...
"PCA3 score before radical prostatectomy predicts extracapsular extension and tumor volume". The Journal of Urology. 180 (5): ... "Detailed analysis of histopathological parameters in radical prostatectomy specimens and PCA3 urine test results". The Prostate ...
Laparoscopic radical prostatectomy (LRP) is a form of radical prostatectomy, an operation for prostate cancer. Contrasted with ... Laparoscopic radical prostatectomy and open radical prostatectomy differ in how they access the deep pelvis and generate ... In contrast to open radical prostatectomy, the laparoscopic radical prostatectomy makes no use of retractors and does not ... The open radical prostatectomy is still the "gold standard."[citation needed] 2008 studies[edit]. There was a study in the ...
Robotic prostatectomy Patients who are eligible for a radical prostatectomy will have their surgery conducted with the aid of ... Robotic Laparoscopic Radical Prostatectomy. Brief Summary This is a pilot study to evaluate the role of RALRP in the management ... Patients with prostate cancer who are eligible for a radical prostatectomy will have their surgery conducted with the aid of ... Aged 40-65 and judged by the study doctor to be a suitable candidate for a radical prostatectomy. ...
I had a radical prostatectomy in Feb 2006. My Gleason Score from the removed specimen was a 3+4=7. The slides were reviewed by ... Rising PSA after Radical Prostatectomy and Salvage Radiation rmastromon I had a radical prostatectomy in Feb 2006. My Gleason ... Rising PSA after Radical Prostatectomy and Salvage Radiation. I had a radical prostatectomy in Feb 2006. My Gleason Score from ...
radical prostatectomy. *Consultant(s)*. *Towns*. Urological oncology, radical prostatectomy, laparoscopic prostatectomy, PSA - ... laparoscopic prostatectomy. *Consultant(s)*. *Towns*. Urological oncology, radical prostatectomy, laparoscopic prostatectomy, ... Da Vinci robotic prostatectomy. *Consultant(s)*. *Towns*. Da Vinci robotic prostatectomy, Da Vinci robotic partial nephrectomy ... laparoscopic radical prostatectomy including single 1cm port prostatectomy. *Consultant(s)*. *Towns*. Prostate and kidney ...
... a phase III randomized study of prostatectomy versus prostatectomy with adjuvant docetaxel for patients with high-risk, ... Radical prostatectomy versus watchful waiting in early prostate cancer. N Engl J Med. 2011;364:1708-1717.. *CrossRef, ... Adjuvant androgen deprivation for high-risk prostate cancer after radical prostatectomy: SWOG S9921 study. J Clin Oncol. 2011; ... Long-term survival after radical prostatectomy versus external-beam radiotherapy for patients with high-risk prostate cancer. ...
ASTRO/AUA Guideline is to provide a clinical framework for the use of radiotherapy after prostatectomy in patients with and ... ASTRO/AUA Guideline is to provide a clinical framework for the use of radiotherapy after prostatectomy in patients with and ... The purpose of this clinical guideline on Adjuvant and Salvage Radiotherapy after Prostatectomy: ... The purpose of this clinical guideline on Adjuvant and Salvage Radiotherapy after Prostatectomy: ...
... has risen despite lack of data on outcomes and higher costs compared with open retropubic radical prostatectomy (RRP), say US ... The popularity of minimally invasive radical prostatectomy (MIRP) ... PDE-5 inhibitors increase risk of biochemical recurrence after radical prostatectomy. *Robot-assisted radical prostatectomy ... The popularity of minimally invasive radical prostatectomy (MIRP) has risen despite lack of data on outcomes and higher costs ...
... and American men experience different patterns of recovery of their sexual function and bother after radical prostatectomy (RP ... Sexual Function Following Radical Prostatectomy. A Prospective Longitudinal Study of Cultural Differences Between Japanese and ... a cross-cultural comparison of the recovery of sexual function and bother during the first 2 years after radical prostatectomy ...
What is Radical Prostatectomy (Surgery) for Prostate Cancer?. Before and after radical prostatectomy. (Click image to enlarge) ... There are four types of radical prostatectomy surgery:. Robotic Assisted Laparoscopic Radical Prostatectomy (RALP). Robotic ... Perineal Open Radical Prostatectomy. The prostate is removed through a cut between the anus and scrotum during a perineal open ... Laparoscopic Radical Prostatectomy. This surgery uses small cuts in the abdomen to remove the prostate with small tools and a ...
... Find out what happens when you have an operation to widen the centre of the prostate ring because it has become ...
There are two main types of prostatectomies. A simple prostatectomy (also known as a subtotal prostatectomy) involves the ... There are several ways a prostatectomy can be done: In an open prostatectomy, the prostate is accessed through a large single ... Surgeons typically carry out simple prostatectomies only for benign conditions. A radical prostatectomy, the removal of the ... radical prostatectomy is often recommended in addition to other treatment options. Radical prostatectomy is not recommended in ...
Second-best prostatectomy?. Br Med J 1980; 280 doi: https://doi.org/10.1136/bmj.280.6216.789-a (Published 15 March 1980) Cite ...
Radical prostatectomy (prostate removal) is surgery to remove all of the prostate gland and some of the tissue around it. It is ... Prostatectomy - radical; Radical retropubic prostatectomy; Radical perineal prostatectomy; Laparoscopic radical prostatectomy; ... Radical prostatectomy (prostate removal) is surgery to remove all of the prostate gland and some of the tissue around it. It is ... Radical prostatectomy is most often done when the cancer has not spread beyond the prostate gland. This is called localized ...
Open simple prostatectomy is often used when the prostate is too large for less invasive surgery. However, this method does not ... Simple prostatectomy: open and robot-assisted laparoscopic approaches. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. ... Zhao PT, Richstone L. Robotic-assisted and laparoscopic simple prostatectomy. In: Bishoff JT, Kavoussi LR, eds. Atlas of ...
Transurethral prostatectomy (removal of the prostate)in older men could cause major changes in the cardiovascular system, ... Despite supposed advances, radical prostatectomy is still causing significant erectile dysfunction and urinary problems in up ... Men with prostate cancer may not need to undergo radical prostatectomy (removal of prostate gland). ... ...
Radical perineal prostatectomy is less commonly used than another surgery such as the open radical retropubic prostatectomy or ... Radical perineal prostatectomy is a surgical procedure wherein the prostate gland is removed through an incision in the area ... When the cancer is small and confined to the prostate, radical perineal prostatectomy achieves the same rate of cure as the ... the robot assisted laparoscopic radical retropubic prostatectomy. Lymph nodes can be sampled through the same incision, ...
Listeria Monocytogenes Meningitis After Prostatectomy. Br Med J 1964; 1 doi: https://doi.org/10.1136/bmj.1.5389.1027 (Published ...
WebMD explains radical prostatectomy, a prostate cancer surgery in which the prostate gland and surrounding tissue are removed ... Open Radical Prostatectomy vs. Minimally Invasive Radical Prostatectomy. In 2003, only 9.2% of radical prostatectomies were ... What to Expect After Radical Prostatectomy Radical prostatectomy is an operation to remove the prostate gland and tissues ... Robot-assisted laparoscopic prostatectomy Small incisions are made in the belly, as in regular laparoscopic prostatectomy. A ...
Open Suprapubic Simple Prostatectomy. Your surgeon will make an incision from below your belly button to just above your penis ... Open Retropubic Simple Prostatectomy. In this procedure, your surgeon will make an incision from below your belly button to ... How Do I Prepare for a Simple Prostatectomy?. Your doctor will do a thorough check of your health. If you have health ... What Is a Simple Prostatectomy?. Problems with urination can reduce your quality of life. Getting up in the night to urinate or ...
Urinary incontinence is a frequent complication after radical prostatectomy; rates vary widely depending on the skill and ... Politano VA (1992) Transurethral polytef injection for post-prostatectomy urinary incontinence. Br J Urol 69:26.PubMedCrossRef ... 1998) The male bulbourethral sling procedure for post-radical prostatectomy incontinence. J Urol 159:1510.PubMedCrossRefGoogle ... Leach GE, Chi-Ming Y, Donovan BJ (1987) Post prostatectomy incontinence: the influence of bladder dysfunction. J Urol 138:574. ...
Quality of life recovery occurs early after radical prostatectomy, except in several domains, which continue to improve beyond ... Life After Radical Prostatectomy. A Longitudinal Study. Published in: The Journal of Urology, v. 166, no. 2, Aug. 2001, p. 587- ... PURPOSE: The authors investigate the longitudinal recovery of quality of life after radical prostatectomy in men with localized ... They assessed the self-reported health related quality of life in 247 men undergoing radical prostatectomy for prostate cancer ...
Robotic simple prostatectomy (RSP) is an effective treatment option for patients requiring surgical treatment for large gland ... Transvesical robotic simple prostatectomy: initial clinical experience. Eur Urol. 2014;66(2):321-9.CrossRefPubMedGoogle Scholar ... Laparoscopic prostatectomy with vascular control for benign prostatic hyperplasia. J Urol. 2002;167(6):2528-9.CrossRefPubMed ... Robotic simple prostatectomy. J Urol. 2008;179(2):513-5.CrossRefPubMedGoogle Scholar ...
... Surgery Overview. A radical prostatectomy is an operation to remove the prostate gland and some of the ... Prostatectomy usually requires general anesthesia and a hospital stay of 2 to 4 days. A thin, flexible tube called a catheter ... Although prostatectomy often removes all cancer cells, be sure to get follow-up care. This may lead to early detection and ... This is called robot-assisted prostatectomy.. Open surgery. In open surgery, the surgeon makes an incision to reach the ...
Incontinence after prostatectomy Incontinence after radical prostatectomy Incontinence After Surgery Brachytherapy After TURP ... Comparing Radical Prostatectomy with Brachytherapy The Prostate Seed Implant ProstRcisionTreatment for Prostate Cancer ... Recovery After Robotic Prostatectomy Brachytherapy After External Beam Treatment for Prostate Cancer Radiation Versus Surgery ...
Tag: Radical Prostatectomy. 17 Nov 2017 EMUC17: Weighing the gains and drawbacks of modern PCa treatment options Urological ... a format which led to an engrossing session covering salvage prostatectomy and... ...
A systematic review of PFE pre-prostatectomy. March 25, 2018 Effects of Biofeedback in Preventing Urinary Incontinence and ... The Role of Urodynamics in Post-Prostatectomy Incontinence. March 11, 2018 Predictive factors of urinary incontinence after ... The impact of time to catheter removal on short-, intermediate- and long-term urinary continence after radical prostatectomy. ... Stricture of the vesicourethral anastomosis after radical prostatectomy]. December 13, 2017 Surgical Treatment of Male ...
A brief overview of the development of robot-assisted radical prostatectomy. Robot-assisted radical prostatectomy (RP) has ... for the Prevention of Erectile Dysfunction Following Bilateral Nerve-Sparing Radical Prostatectomy. Radical prostatectomy (RP) ... Robot assisted radical prostatectomy: What are the evidences at the time of a specific funding?] Despite a decreasing number of ... Radical prostatectomy (RP) is optimal and recommended treatment modality for localized prostate cancer. More than half of all ...
Radical prostatectomy as treatment for prostate cancer. Michael A.S. Jewett, Neil Fleshner, Lawrence H. Klotz, Robert K. Nam, ... Radical prostatectomy as treatment for prostate cancer. Michael A.S. Jewett, Neil Fleshner, Lawrence H. Klotz, Robert K. Nam, ... Radical prostatectomy as treatment for prostate cancer. Michael A.S. Jewett, Neil Fleshner, Lawrence H. Klotz, Robert K. Nam ...
... Ibrahim Ahmed Gadam,1,2 Ali Nuhu,1,2 and Suleiman Aliyu1,2 ... Ibrahim Ahmed Gadam, Ali Nuhu, and Suleiman Aliyu, "Ten-Year Experience with Open Prostatectomy in Maiduguri," ISRN Urology, ...
Care guide for Suprapubic Prostatectomy (Precare). Includes: possible causes, signs and symptoms, standard treatment options ... Suprapubic prostatectomy is surgery to remove part or all of your prostate gland. Your prostate gland is found below your ... You may need suprapubic prostatectomy if you have an enlarged prostate.. HOW TO PREPARE:. The week before your surgery:. *Write ...
A robotic prostatectomy is a type of robot-assisted laparoscopic radical prostatectomy. The main reasons for performing a ... Robotic prostatectomy is a robot-assisted laparoscopic radical prostatectomy. A radical prostatectomy is the complete removal ... A robotic prostatectomy is similar to a laparoscopic prostatectomy, but performed with robotic arms instead of by a surgeons ... In a robotic prostatectomy, a specially trained doctor controls the robots arms so that the surgeons incisions are translated ...
Prostatectomy. He wanted me to wait 3 months to do it, for biopsy. healing and such, but I managed to get him down to 7 weeks. ... I had a right inguinal hernia repair done along with the prostatectomy, so that added 30 to 45 minutes or so of surgical time. ... B. Prostate, prostatectomy. ADENOCARCINMOA. Histologic type: Acinar type of adenocarcinoma. Histologic grade: Gleason grade=3+3 ... I had a Gleason 3+3=6 prostate cancer which was removed by a conventional retropubic prostatectomy- removing the 110 gm. ...
Open prostatectomy is performed in larger glands, which are more than 80 grams, with higher morbidity. Advances in technology, ... Laparoscopic simple prostatectomy (LSP) is a minimally invasive treatment option with equivalent functional outcomes and is ... Yusuf Ilker Comez (February 12th 2019). Laparoscopic Simple Prostatectomy, Prostatectomy, Tsvetin Genadiev, IntechOpen, DOI: ... Yusuf Ilker Comez (February 12th 2019). Laparoscopic Simple Prostatectomy, Prostatectomy, Tsvetin Genadiev, IntechOpen, DOI: ...
Prostatectomy - simple; Suprapubic prostatectomy; Retropubic simple prostatectomy; Open prostatectomy Description You will be ... Simple prostatectomy. Definition Simple prostate removal is a procedure to remove the inside part of the prostate gland through ... Open simple prostatectomy is often used when the prostate is too large for less invasive surgery. However, this method does not ... Retropubic and suprapubic open prostatectomy. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders ...
Make research projects and school reports about Transurethral prostatectomy easy with credible articles from our FREE, online ... and pictures about Transurethral prostatectomy at Encyclopedia.com. ... See also Cryotherapy; Open prostatectomy.. Resources. books. Barrett, D. M., ed. Mayo Clinic on Prostate Health: Answers from ... "A Randomized Controlled Trial Comparing Transurethral Resection of the Prostate, Contact Laser Prostatectomy and ...
Care guide for Transurethral Prostatectomy (Aftercare Instructions). Includes: possible causes, signs and symptoms, standard ... A transurethral prostatectomy is surgery that is done to remove part or all of your prostate gland. This surgery is also called ...
  • Laparoscopic radical prostatectomy (LRP) is a form of radical prostatectomy , an operation for prostate cancer . (wikipedia.org)
  • The laparoscopic and open forms of radical prostatectomy physically remove the entire prostate and reconstruct the urethra directly to the bladder. (wikipedia.org)
  • Laparoscopic radical prostatectomy and open radical prostatectomy differ in how they access the deep pelvis and generate operative views. (wikipedia.org)
  • In contrast to open radical prostatectomy, the laparoscopic radical prostatectomy makes no use of retractors and does not require that the abdominal wall be parted and stretched for the duration of the operation. (wikipedia.org)
  • A few good studies exist looking at open versus laparoscopic versus laparoscopic and robotic radical prostatectomy in cancer as of 2011. (wikipedia.org)
  • To establish a robotic-assisted laparoscopic radical prostatectomy programme at the University of Western Ontario/London Health Sciences Centre and to critically evaluate the role of this programme in the management of localized prostate cancer in surgical candidates Details of surgical procedure, operative outcome, patient outcome including quality of life will be collected. (clinicaltrials.gov)
  • Ficarra V, Novara G, Artibani W, Cestari A, Galfano A, Graefen M et al (2009) Retropubic, laparoscopic, and robot-assisted radical prostatectomy: a systematic review and cumulative analysis of comparative studies. (springermedizin.de)
  • Robot-assisted radical prostatectomy (RARP) has been rapidly adopted without robust evidence comparing its functional outcomes against laparoscopic radical prostatectomy (LRP) or open retropubic radical prostatectomy (ORP) approaches. (readbyqxmd.com)
  • The aim of this study is to investigate the cumulative incidence and risk factors of postoperative inguinal hernia (PIH) in patients undergoing radical prostatectomy, i.e., laparoscopic prostatectomy (LRP) and robot-assisted laparoscopic prostatectomy (RARP). (readbyqxmd.com)
  • New findings from the first prospective, multicenter, randomized trial demonstrated improved continence for patients undergoing robotic-assisted radical prostatectomy as compared with conventional laparoscopic radical prostatectomy. (esanum.com)
  • Continence Following Robot-Assisted (R-LRPE) and Conventional Laparoscopic Radical Prostatectomy (LRPE) - Results of a Prospective, Randomized, Multicenter, Patient Blinded Study. (esanum.com)
  • Robot-assisted laparoscopic prostatectomy and open radical retropubic prostatectomy are associated with similar functional outcomes at 12 weeks. (cancertherapyadvisor.com)
  • Robot-assisted laparoscopic prostatectomy and open radical retropubic prostatectomy are associated with similar functional outcomes at 12 weeks, suggesting that patients with prostate cancer requiring surgery should choose a trusted, experienced surgeon rather than a particular surgical approach, according to a study published in The Lancet . (cancertherapyadvisor.com)
  • Participants were randomly assigned 1:1 to receive robot-assisted laparoscopic prostatectomy or radical retropubic prostatectomy. (cancertherapyadvisor.com)
  • One hundred and twenty-one patients assigned to radical retropubic prostatectomy and 131 assigned to laparoscopic prostatectomy completed a questionnaire assessing urinary and sexual function at 12 weeks. (cancertherapyadvisor.com)
  • Robot-assisted laparoscopic prostatectomy versus open radical retropubic prostatectomy: early outcomes from a randomised controlled phase 3 study. (cancertherapyadvisor.com)
  • Purpose: Learning laparoscopic urethrovesical anastomosis is a crucial step in laparoscopic radical prostatectomy. (elsevier.com)
  • Details and Download Full Text PDF: Optimal timing of salvage radiotherapy for biochemical recurrence after radical prostatectomy: is ultra-early salvage radiotherapy beneficial? (pubfacts.com)
  • The optimal timing of salvage radiotherapy for biochemical recurrence after radical prostatectomy is controversial. (pubfacts.com)
  • Krambeck AE, DiMarco DS, Rangel LJ, Bergstralh EJ, Meyers RP, Blute ML et al (2008) Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot-assisted techniques. (springermedizin.de)
  • Tewari A, Srivasatava A, Menon M, members of the VIP Team (2003) A prospective comparison of radical retropubic and robot-assisted prostatectomy: experience in one institution. (springermedizin.de)
  • We retrospectively reviewed the data of 203 IRPCa patients who underwent extraperitoneal robot-assisted radical prostatectomy (RARP) performed by a single surgeon. (readbyqxmd.com)
  • Robot assisted and standard open prostatectomy health related quality of life (HRQOL) outcomes have not been compared in a prospective, multi-centered study. (ucsf.edu)
  • The popularity of minimally invasive radical prostatectomy (MIRP) has risen despite lack of data on outcomes and higher costs compared with open retropubic radical prostatectomy (RRP), say US researchers. (oncologynurseadvisor.com)
  • AUSTIN, Texas - Among men with prostate cancer who underwent radical prostatectomy (RP), those who were obese had a higher risk of biochemical recurrence, according to data presented at the American Association for Cancer Research Special Conference Obesity and Cancer: Mechanisms Underlying Etiology and Outcomes , held Jan. 27-30. (healthcanal.com)
  • Impact of obesity on surgical outcomes following open radical prostatectomy. (springer.com)
  • We examined clinical and pathological characteristics to evaluate oncology outcomes following radical prostatectomy (RP) in patients with iPCa. (biomedcentral.com)
  • Herein, we evaluated the association of FH with clinicopathologic outcomes among men undergoing radical prostatectomy (RP). (elsevier.com)
  • The investigators will follow your prostate cancer treatment outcomes and health related quality of life following prostatectomy by asking you direct questions, collect information from medical records and phone interviews. (ucsf.edu)
  • Salvage radical prostatectomy results in better functional outcomes and has a low risk of major complications as compared to those previously reported, a study claims. (mims.com)
  • Furthermore, robotic salvage radical prostatectomy appears to reduce anastomotic stricture, blood loss and hospital stay, and improve continence outcomes. (mims.com)
  • All of the men had a bilateral nerve-sparing radical prostatectomy between January 2000 and December 2010. (issm.info)
  • Erectile Function Recovery After Nerve-Sparing Radical Prostatectomy for Prostate Cancer: Is Back to Baseline Status Enough for Patient Satisfaction? (elsevier.com)
  • Introduction Several definitions of erectile function (EF) recovery after bilateral nerve-sparing radical prostatectomy (BNSRP) have been proposed based on the results of the International Index of EF (IIEF). (elsevier.com)
  • The Accuracy of Prostate Biopsies for Predicting Gleason Score in Radical Prostatectomy Specimens. (lu.se)
  • Using immunohistochemical methods, we analyzed AZPG1 expression in malignant prostate epithelium in prostatectomy specimens from 228 prostate cancer patients. (garvan.org.au)
  • If these preliminary findings are validated in independent cohorts, the measurement of AZGP1 levels in radical prostatectomy specimens may permit an accurate and timely assessment of risk of metastatic progression after radical prostatectomy. (garvan.org.au)
  • This study evaluated cases with both EPE and PSMs in robotic-assisted radical prostatectomy (RARP) specimens to determine the respective locations of each. (springermedizin.de)
  • The accuracy of multiparametric magnetic resonance imaging (mpMRI) has not only been established for biopsy specimens, but also for histopathologic correlations using prostatectomy specimens. (biomedcentral.com)
  • Objectives: Completion of robotic radical prostatectomy compared with conventional open retropubic radical prostatectomy can result in different alterations in the prostatectomy specimens. (elsevier.com)
  • We compared the frequency and clinical significance of benign prostate glands at the surgical margins in radical prostatectomy specimens obtained by robotic versus open retropubic prostatectomy. (elsevier.com)
  • Methods: We reviewed 38 consecutive prostatectomy specimens from patients with biopsy-proven prostate cancer. (elsevier.com)
  • Of these 38 specimens, 25 (65%) were obtained by robotic resection and 13 (35%) by open retropubic prostatectomy. (elsevier.com)
  • In an accompanying editorial in the journal commenting on this article [4] (Note: over 9 years ago) Michael L.Blute, M.D. of the Mayo Clinic wrote that "Patient interest in robotic assisted radical prostatectomy has been the result of a highly successful marketing campaign with the resultant consumer demand. (wikipedia.org)
  • Prof. Jens-Uwe Stolzenburg (University of Leipzig, Germany) presented the results of the LAP-01 study , which aimed to generate conclusive data supporting improved continence after robotic-assisted radical prostatectomy (R-LRPE) in a prospective setting in four German centers 1 . (esanum.com)
  • Patients with prostate cancer who are eligible for a radical prostatectomy will have their surgery conducted with the aid of surgical robots. (clinicaltrials.gov)
  • Do robotic prostatectomy positive surgical margins occur in the same location as extraprostatic extension? (springermedizin.de)
  • Pfitzenmaier J, Pahernik S, Tremmel T, Haferkamp A, Buse S, Hohenfellner M (2008) Positive surgical margins after radical prostatectomy: do they have an impact on biochemical or clinical progression? (springermedizin.de)
  • At Brisbane Urology Clinic, our urologist perform robotic radical prostatectomy using the daVinci robotic surgical system . (brisbaneurologyclinic.com.au)
  • Surgical removal of the entire prostate (prostatectomy) is one option among the various ways to treat prostate cancer. (ucsf.edu)
  • With a median follow-up of 12.5 months for the robotic group and 24.5 months for the robotic prostatectomy group, only 2 patients, who also had had positive surgical margins, had a continued and persistent increase in the postoperative PSA level after an initial nadir. (elsevier.com)
  • Conclusions: The early clinical follow-up data of our study have suggested that patients undergoing robotic radical prostatectomy with negative surgical margins achieve a PSA nadir of less than 0.1 ng/mL, irrespective of the presence or absence of benign prostatic tissue at the surgical margins. (elsevier.com)
  • Radical prostatectomy (RP) can lead to erectile dysfunction due to surgical injury of the cavernous nerves. (uantwerpen.be)
  • All men diagnosed with prostate cancer in England during April - October 2014 who underwent radical prostatectomy were identified from the National Prostate Cancer Audit and mailed a questionnaire 18 months after diagnosis. (readbyqxmd.com)
  • Biochemical recurrence was defined as two consecutive prostate-specific antigen (PSA) measurements of ≥ 0.2 ng/mL after prostatectomy, which is indicative of recurrent prostate cancer. (healthcanal.com)
  • A decrease in zinc-alpha2-glycoprotein (AZGP1) mRNA levels in malignant prostate epithelium was previously shown to predict biochemical recurrence, as defined by rising levels of serum PSA after radical prostatectomy. (garvan.org.au)
  • Ultra-early versus early salvage androgen deprivation therapy for post-prostatectomy biochemical recurrence in pT2-4N0M0 prostate cancer. (pubfacts.com)
  • Among 855 patients undergoing radical prostatectomy at our institution between 2000 and 2012, we identified 121 with adjuvant-treatment-naïve pT2-4N0M0 prostate cancer who received salvage ADT for biochemical recurrence. (pubfacts.com)
  • OBJECTIVE: o evaluate whether six cycles of docetaxel alone improve biochemical disease-free survival after radical prostatectomy for high-risk prostate cancer. (regionh.dk)
  • Methods: Men submitted urine samples prior to robotic radical prostatectomy. (uthscsa.edu)
  • We retrospectively reviewed the records of patients treated with radical prostatectomy (RP) from 2010 to 2015 at our institution. (biomedcentral.com)
  • How well does the Cancer of the Prostate Risk Assessment Postsurgical (CAPRA-S) score predict recurrence after radical prostatectomy? (annals.org)
  • Conservative therapies for post-prostatectomy incontinence (PPI) are often the initial therapy offered to patients after radical prostatectomy. (springer.com)
  • Although several bulking agents have shown good efficacy in treating female stress incontinence due to intrinsic sphincter deficiency, their use and efficacy in treating male post-prostatectomy incontinence are limited. (springer.com)
  • Preoperative biofeedback assisted behavioral training to decrease post-prostatectomy incontinence: a randomized, controlled trial. (springer.com)
  • Objectives: To investigate monocyte chemotactic protein-1 (MCP-1) as a novel urinary biomarker to predict prolonged post prostatectomy incontinence. (uthscsa.edu)
  • This study included 1124 patients who had undergone radical prostatectomy or transurethral resection of bladder tumor from 2011-2016. (readbyqxmd.com)
  • Swami, K , Lam, TBL & Nabi, G 2011, ' A novel circumferential bladder neck suture to facilitate vesico-urethral anastomosis during radical retropubic prostatectomy ', BJU International , vol. 107, no. 12, pp. 2006-2010. (elsevier.com)
  • The open radical prostatectomy is still the "gold standard. (wikipedia.org)
  • To investigate how well the Gleason score in diagnostic needle biopsies predicted the Gleason score in a subsequent radical prostatectomy (RP) specimen before and after the 2005 International Society of Urological Pathology (ISUP) revision of Gleason grading, and if the recently proposed ISUP grades 1-5 (corresponding to Gleason score 6, 3+4, 4+3, 8, and 9-10) better predict the RP grade. (lu.se)
  • article{9c1c26fe-4598-464b-9a41-370252e99114, abstract = {To investigate how well the Gleason score in diagnostic needle biopsies predicted the Gleason score in a subsequent radical prostatectomy (RP) specimen before and after the 2005 International Society of Urological Pathology (ISUP) revision of Gleason grading, and if the recently proposed ISUP grades 1-5 (corresponding to Gleason score 6, 3+4, 4+3, 8, and 9-10) better predict the RP grade. (lu.se)
  • Gleason pattern 5 (GP5), including tertiary GP5, at radical prostatectomy has reportedly been associated with poorer clinical outcome. (pubfacts.com)
  • In the last decade minimally invasive, robotic-assisted laparascopic, radical prostatectomy has become the most favored treatment choice. (readbyqxmd.com)
  • Objective: The ARO 96-02 trial primarily compared wait-and-see (WS, arm A) with adjuvant radiation therapy (ART, arm B) in prostate cancer patients who achieved an undetectable prostate-specific antigen (PSA) after radical prostatectomy (RP). (osti.gov)
  • In this study, the authors retrospectively collected data on salvage radical prostatectomy for recurrent prostate cancer after local nonsurgical treatment at 18 tertiary referral centres from 2000 to 2016. (mims.com)
  • Of the 395 salvage radical prostatectomies included, 186 were open and 209 were robotic. (mims.com)
  • Prostatectomy (from the Greek prostates, "prostate", combined with the suffix -ektomē, "excision") as a medical term refers to the surgical removal of all or part of the prostate gland. (wikipedia.org)
  • A radical prostatectomy, the removal of the entire prostate gland, the seminal vesicles and the vas deferens, is performed for malignant cancer. (wikipedia.org)
  • Radical prostatectomy (prostate removal) is surgery to remove all of the prostate gland and some of the tissue around it. (medlineplus.gov)
  • Radical prostatectomy is most often done when the cancer has not spread beyond the prostate gland. (medlineplus.gov)
  • Men with prostate cancer may not need to undergo radical prostatectomy (removal of prostate gland). (healthy.net)
  • Radical perineal prostatectomy is a surgical procedure wherein the prostate gland is removed through an incision in the area between the anus and the scrotum (perineum). (wikipedia.org)
  • Radical prostatectomy is an operation to remove the prostate gland and tissues surrounding it. (webmd.com)
  • Suprapubic prostatectomy is surgery to remove part or all of your prostate gland. (drugs.com)
  • A radical prostatectomy is the complete removal of the prostate gland as well as some of the surrounding tissue. (wisegeek.com)
  • Robotic prostatectomy is a surgical procedure that uses a robot for assisting a surgeon in the removal of the prostate gland in cases where there is cancer. (reference.com)
  • A prostatectomy is a surgery to remove the prostate gland. (memorialhealth.com)
  • Prostatectomy is a surgical procedure to remove either all of, or part of, the prostate gland, usually to treat benign conditions in the prostate, or to treat localised prostate cancer and other pelvic cancers. (medium.com)
  • Radical - A radical prostatectomy involves removing the entire prostate gland, capsule (or covering), the surrounding lymph nodes and neighbouring tissue. (medium.com)
  • In a radical prostatectomy, your surgeon will remove the entire prostate gland along with surrounding tissue, including lymph nodes. (everydayhealth.com)
  • If you're having a radical prostatectomy, a surgeon will use one of several techniques to remove the prostate gland and surrounding tissue. (everydayhealth.com)
  • A radical prostatectomy is a surgery for prostate cancer that involves removal of the entire prostate gland and some surrounding tissue. (sharecare.com)
  • Prostatectomy ( Greek , - prostates , "prostate", combined with the suffix -ektomē , "excision") is a medical term for the surgical removal of all or part of the prostate gland . (wn.com)
  • A surgeon performs a radical prostatectomy (removing the prostate gland and surrounding tissue) to prevent the cancer spreading elsewhere. (spirehealthcare.com)
  • In radical prostatectomy, the entire prostate gland is removed, together with the bladder neck, both seminal vesicals, and the ampullae of the vas deferens. (renalandurologynews.com)
  • Open prostatectomy is the surgical removal of the prostate gland . (uwhealth.org)
  • Men worry about erectile dysfunction after radical prostatectomy, the operation that involves removing the prostate gland as a way to treat prostate cancer. (harvard.edu)
  • The study shows a definite survival benefit to prostate gland removal, with a 38% lowered risk of dying from the subjects in the surgical group," said Samadi, a robotic prostatectomy and prostate cancer surgery expert. (medindia.net)
  • Death or serious disability caused by radical prostatectomy is extremely rare. (webmd.com)
  • A retropubic prostatectomy describes a procedure that accesses the prostate by going through the lower abdomen and behind the pubic bone. (wikipedia.org)
  • A suprapubic prostatectomy describes a procedure cuts through the lower abdomen and through the bladder to access the prostate. (wikipedia.org)
  • Complications that occur in the period right after any surgical procedure, including a prostatectomy, include a risk of bleeding, a risk of infection at the site of incision or throughout the whole body, a risk of a blood clot occurring in the leg or lung, a risk of a heart attack or stroke, and a risk of death. (wikipedia.org)
  • In 2003, only 9.2% of radical prostatectomies were done using a minimally invasive procedure. (webmd.com)
  • 1998) The male bulbourethral sling procedure for post-radical prostatectomy incontinence. (springer.com)
  • This case study proves the feasibility of robot-assisted radical prostatectomy as an outpatient procedure. (urotoday.com)
  • The retropubic approach, an open prostatectomy performed through the belly, is the standard procedure for prostate removal. (wisegeek.com)
  • Patients, however, can hope for several potential benefits from a robotic prostatectomy over the standard procedure. (wisegeek.com)
  • Cleveland Clinic's advanced robotic radical prostatectomy procedure offers many benefits over open surgery. (clevelandclinic.org)
  • This surgery procedure involves making small incisions, unlike an open radical prostatectomy technique that requires a big incision. (reference.com)
  • Robotic prostatectomy surgery may be beneficial because recovery and healing times are faster than in the open surgery procedure, states UC Davis Health System's Urology Department. (reference.com)
  • Although most urologists believe that radical prostatectomy is the most effective means of curing clinically localized prostate cancer, the associated surgical morbidity has compromised patients' overall quality of life and hindered their acceptance of the procedure. (medscape.com)
  • The robotic-assisted, minimally invasive prostatectomy procedure allows a surgeon to operate using the most advanced techniques. (bidmc.org)
  • A minimally-invasive surgical procedure, robotic prostatectomy is done using precisely controlled robotic instruments to make high-precision cuts which will remove the prostate, enhancing the chances of patient's recovery and well-being. (placidway.com)
  • With such freedom and precision, the patient's delicate nerves surrounding the prostate are spared, meaning that after the procedure bladder control and sexual functions do not cease, unlike with open prostatectomy. (placidway.com)
  • When deciding on getting a therapy, especially if it is a relatively new one, like the robotic prostatectomy, it is extremely important to make lengthy inquiries about the clinic and the doctor doing the procedure. (placidway.com)
  • The unique procedural module provides the opportunity to train on key steps of the complicated robotic prostatectomy procedure. (3dsystems.com)
  • Surgical approaches for radical prostatectomy include traditional open prostatectomy and minimally invasive surgical procedure. (renalandurologynews.com)
  • OBJECTIVES: To analyze efficacy and side effects of the transurethral ultrasound-guided laser-induced prostatectomy (TULIP) procedure for the treatment of bladder outlet obstruction due to benign prostatic hyperplasia (BPH). (biomedsearch.com)
  • da Vinci Prostatectomy incorporates a state-of-the-art surgical system that helps your surgeon see vital anatomical structures more clearly and to perform a more precise surgical procedure. (stvhs.com)
  • A standard open retropubic radical prostatectomy will be performed. (clinicaltrials.gov)
  • During open retropubic radical prostatectomy, the pubic bone may impair visibility and access to the urethral stump, and the surgeon must tie the knots relying on tactile sensation alone. (scielo.br)
  • The popularity of minimally invasive radical prostatectomy (MIRP) has risen despite lack of data on outcomes and higher costs compared with open retropubic radical prostatectomy (RRP), say US researchers. (oncologynurseadvisor.com)
  • What is Radical Prostatectomy (Surgery) for Prostate Cancer? (urologyhealth.org)
  • There are 4 main types or techniques of radical prostatectomy surgery. (medlineplus.gov)
  • Evaluation of urodynamic parameters after sling surgery in men with post-prostatectomy urinary incontinence. (urotoday.com)
  • Patients with prostate cancer who are eligible for a radical prostatectomy will have their surgery conducted with the aid of surgical robots. (clinicaltrials.gov)
  • Robotic radical prostatectomy is a type of minimally invasive surgery which uses surgical robotic equipment to remove the entire prostate. (clevelandclinic.org)
  • Robotic prostatectomies are far less invasive than traditional surgery and have many advantages and health benefits. (medium.com)
  • As with any surgery, there are risks associated with a robotic prostatectomy, although each is dramatically reduced by robotic surgery. (medium.com)
  • Almost every patient has incontinence immediately after a prostatectomy, Scott says, but that percentage drops to about 5 to 20 percent within two years after surgery. (news-medical.net)
  • The study was aimed at solving a controversy about whether it is better to provide prostatectomy patients with adjuvant radiation within 6 months of surgery or to wait until and if they had biochemical failure as noted by rising PSA levels, Parker explained. (medpagetoday.com)
  • If a patient and his doctors decide that surgery is the best choice for his cancer, he may be a candidate for a robot-assisted prostatectomy. (bidmc.org)
  • Our studies have shown that robotic prostatectomy is able to remove the cancer at least as well as open surgery. (bidmc.org)
  • On average, it is believed that men use less blood when a prostatectomy is performed laparoscopically like this technique (rather than an open surgery) and also have a faster return of urinary continence (the ability to control your bladder). (sharecare.com)
  • Elective- This surgery is never truly elective since radical prostatectomy is often performed for removal of prostate tumors and should be performed as soon as the patient's condition is optimized. (renalandurologynews.com)
  • In the largest study of its kind to date, Mayo Clinic researchers report that prostate specific antigen (PSA) kinetics, both velocity and doubling time, can be used to predict disease progression and likelihood of death after radical prostatectomy surgery, suggesting that this could be used to guide treatment decisions. (innovations-report.com)
  • A prostatectomy also reduces the chances that another surgery will be needed, which is a potential problem when TURP is used. (uwhealth.org)
  • We assessed the adoption of minimally invasive radical prostatectomy (MIRP), a recent clinical innovation, and whether this adoption altered surgical morbidity for prostate cancer surgery. (ajmc.com)
  • Radical prostatectomy: what do the patients really think of surgery? (mja.com.au)
  • Moreover, neither laparoscopy nor open surgery can provide adequate visualization for a very precise, nerve-sparing prostatectomy. (highpointregional.com)
  • When performed by a surgeon who is specifically trained and well experienced in CALP, there can be similar advantages over open prostatectomy, including smaller incisions, less pain, less bleeding, less risk of infection, faster healing time, and shorter hospital stay. (wikipedia.org)
  • Surgical tools and a camera are inserted through the incisions, and radical prostatectomy is performed from outside the body. (webmd.com)
  • In a robotic prostatectomy, a specially trained doctor controls the robot's arms so that the surgeon's incisions are translated to more delicate and precise movements. (wisegeek.com)
  • In a robotic radical prostatectomy, small cuts are made in the stomach and a flexible lighted tube containing the video camera and thin instruments are inserted into the incisions. (sharecare.com)
  • A study of a large group of Medicare beneficiaries who underwent radical prostatectomy showed that almost half of the survey respondents reported daily urinary leakage, 32% required protection or used a penile clamp, and 6% required surgical intervention for treatment of urinary incontinence (1) . (springer.com)
  • Of the more than 4000 patients in the study who underwent radical prostatectomy for clinically organ-confined disease, only 5% had positive screening results for lymph node metastasis. (medscape.com)
  • A total of 1181 patients who underwent radical prostatectomy (RP) between 1988 and 2008 at four Veterans Affairs hospitals that comprise the Shared Equal Access Regional Cancer Hospital database and had available liver function test (LFT) data were included in the study. (nih.gov)
  • Researchers examined the records of 1319 men who underwent radical prostatectomy included in the Shared Equal Access Regional Cancer Hospital (SEARCH) database. (mdtmag.com)
  • According to researchers, 57.3% of men who underwent salvage robot-assisted radical prostatectomy were pad-free at 12 months. (renalandurologynews.com)
  • A total of 3366 men underwent radical prostatectomy at military hospitals compared with 1716 at civilian hospitals, with minimal clinic-demographic differences. (ajmc.com)
  • Compared with 1716 men in 767 civilian hospitals, 3366 men underwent radical prostatectomy in 36 military hospitals. (ajmc.com)
  • Because of insufficient micturition, 7 patients subsequently underwent conventional transurethral resection of the prostate (TURP) and 1 had an open prostatectomy. (biomedsearch.com)
  • Who Should Undergo Radical Prostatectomy? (webmd.com)
  • Despite supposed advances, radical prostatectomy is still causing significant erectile dysfunction and urinary problems in up to half of all patients, say US researchers. (healthy.net)
  • Politano VA (1992) Transurethral polytef injection for post-prostatectomy urinary incontinence. (springer.com)
  • 1984) Transurethral polytetrafluoroethylene injection for post-prostatectomy urinary incontinence. (springer.com)
  • CONCLUSIONS: Most quality of life recovery occurs early after radical prostatectomy, except in several domains, including urinary and sexual, which continue to improve even beyond 2 years postoperatively. (rand.org)
  • Radical prostatectomy is sometimes used to relieve urinary obstruction in men with more advanced (stage III) cancer. (rexhealth.com)
  • A cost-utility analysis of artificial urinary sphincter versus AdVance male sling in post prostatectomy stress urinary incontinence: A publicly funded health care perspective. (urotoday.com)
  • Treatment of stress urinary incontinence after prostatectomy with the adjustable transobturator male system (ATOMS®) with preattached scrotal port. (urotoday.com)
  • The impact of time to catheter removal on short-, intermediate- and long-term urinary continence after radical prostatectomy. (urotoday.com)
  • Effects of Biofeedback in Preventing Urinary Incontinence and Erectile Dysfunction after Radical Prostatectomy. (urotoday.com)
  • Predictive factors of urinary incontinence after radical prostatectomy: Systematic review. (urotoday.com)
  • Impact of Adjuvant Radiation on Artificial Urinary Sphincter Durability in Post-Prostatectomy Patients. (urotoday.com)
  • Urinary Incontinence-85: An Expanded Prostate Cancer Composite (EPIC) Score Cutoff Value for Urinary Incontinence Determined Using Long-term Functional Data by Repeated Prospective EPIC-Score Self-assessment After Radical Prostatectomy. (urotoday.com)
  • 2019) Individualized pelvic physical therapy for the treatment of post-prostatectomy stress urinary incontinence and pelvic pain. (news-medical.net)
  • To compare urinary continence between focal ablation and radical prostatectomy. (clinicaltrials.gov)
  • Comprehensive Prediction Model of Urinary Incontinence One Year following Robot-Assisted Radical Prostatectomy. (biomedsearch.com)
  • Objectives: Urinary incontinence (UI) still remains one of the major functional complications after robot-assisted radical prostatectomy (RARP). (biomedsearch.com)
  • A high-tech interface lets the surgeon use natural wrist movements and a 3-D screen during radical prostatectomy. (webmd.com)
  • How does new robotic technology assist the surgeon during radical prostatectomy? (clevelandclinic.org)
  • A robotic prostatectomy is performed by a surgeon who sits at a computer station and directs the movements of the robotic arms via a computer interface. (medium.com)
  • McGill (1850-1890, top right) in Leeds was the first surgeon in Britain to perform open prostatectomy, on 24 March 1887. (baus.org.uk)
  • The da Vinci Prostatectomy (dVP) performed with the da Vinci Surgical System represents the fastest growing treatment for prostate cancer today. (stvhs.com)
  • New approaches for recovery of erectile function in patients after radical prostatectomy]. (urotoday.com)
  • Phosphodiesterase type 5 (PDE-5) inhibitors are widely used for penile rehabilitation and treatment of erectile dysfunction after radical prostatectomy. (urotoday.com)
  • There is argument as to whether robotic prostatectomy decreases the long term side effects of incontinence and erectile dysfunction, or not. (wisegeek.com)
  • In 1982, Walsh defined the periprostatic, vascular, and erectile neural anatomy and developed the nerve-sparing radical prostatectomy. (medscape.com)
  • Almost all men will experience erectile dysfunction for several months to a year after a radical prostatectomy, although today's nerve-sparing operation has decreased the number of cases when it's permanent. (harvard.edu)
  • A nerve-sparing prostatectomy attempts to preserve these nerves so that the patient may be able to return to his prior erectile function. (highpointregional.com)
  • Boris A. Hadaschik, PhD, director of the Clinic for Urology of the University Medical Center Essen, added, "Radical prostatectomy could achieve significantly higher accuracy and oncological safety, especially in patients with high-risk prostate cancer, through the intraoperative use of radioligands that specifically detect prostate cancer cells. (eurekalert.org)
  • Dr. Trabulsi and colleagues from the Urology and Anesthesiology departments at Jefferson conducted a retrospective study of 60 patients, all undergoing robotic prostatectomy. (medindia.net)
  • Cancer Research UKA radical prostatectomy is the surgical removal of the prostate, seminal vesicles and nearby tissue. (urologyhealth.org)
  • The main benefit of a radical prostatectomy is the prostate with cancer is removed. (urologyhealth.org)
  • A radical prostatectomy is performed due to malignant cancer. (wikipedia.org)
  • Radical prostatectomy is not recommended in the setting of known metastases when the cancer has spread through the prostate, to the lymph nodes or other parts of the body. (wikipedia.org)
  • Radical prostatectomy may be needed for cancer. (medlineplus.gov)
  • When the cancer is small and confined to the prostate, radical perineal prostatectomy achieves the same rate of cure as the retropubic approach but less blood is lost and recovery is faster. (wikipedia.org)
  • Radical prostatectomy can cure prostate cancer in men whose cancer is limited to the prostate. (webmd.com)
  • Men younger than age 75 with limited prostate cancer who are expected to live at least 10 more years tend to get the most benefit from radical prostatectomy. (webmd.com)
  • Before performing radical prostatectomy, doctors first try to establish that the prostate cancer has not spread beyond the prostate. (webmd.com)
  • 1995) Effect of radical prostatectomy for prostate cancer on patient quality of life: results from a Medicare survey. (springer.com)
  • MATERIALS AND METHODS: They assessed the self-reported health related quality of life in 247 men undergoing radical prostatectomy for prostate cancer. (rand.org)
  • Although prostatectomy often removes all cancer cells, be sure to get follow-up care. (rexhealth.com)
  • Radical prostatectomy is most often used if testing shows that the cancer has not spread outside the prostate. (rexhealth.com)
  • Radical prostatectomy is generally effective in treating prostate cancer that has not spread outside the prostate. (rexhealth.com)
  • METHODS - This report highlights the first, half-day, robotic prostatectomy performed on a 57-year-old man with localized prostate cancer. (urotoday.com)
  • Long-term outcomes of prostate cancer patients with lymph nodes metastasis after radical prostatectomy and pelvic lymph node dissection]. (urotoday.com)
  • The aim of this study was to evaluate biochemical recurrence-free survival (RFS) and to identify useful predictors of such survival in localized prostate cancer patients (cN0) and pelvic lymph node metastasis (pN+) treated with radical prostatectomy and pelvic lymph node dissection. (urotoday.com)
  • Radical prostatectomy (RP) is optimal and recommended treatment modality for localized prostate cancer. (urotoday.com)
  • If the cancer is in stage I or stage II, meaning it has not progressed outside the prostate, a radical prostatectomy is generally effective at preventing the development of advanced cancer. (wisegeek.com)
  • I had a Gleason 3+3=6 prostate cancer which was removed by a conventional retropubic prostatectomy- removing the 110 gm. (healingwell.com)
  • As a consequence of these developments, most patients with prostate cancer have a high quality of life after undergoing radical prostatectomy. (medscape.com)
  • While there are several treatment options for prostate cancer that promise similar results, radical prostatectomy offers some important advantages. (umm.edu)
  • One of the most common treatments for prostate cancer is the surgical removal of the prostate, known as radical prostatectomy. (umm.edu)
  • Typically, best results from robotic radical prostatectomy occur if performed when your prostate cancer is in state T1 or T2 (meaning that it is confined to your prostate). (clevelandclinic.org)
  • A few months after a prostatectomy, the PSA level should be undetectable or very low, explains the American Cancer Society. (reference.com)
  • Will A Nerve-Sparing Prostatectomy Remove All Of The Prostate Cancer Cells? (go.com)
  • The nerve-sparing prostatectomy can remove all of the prostate cancer cells in patients who are appropriately selected for the operation. (go.com)
  • So, in appropriately selected candidates, a nerve-sparing prostatectomy can completely cure the cancer and still preserve potency. (go.com)
  • Perhaps you've heard about the results of the latest randomized controlled trial (RCT) of radical prostatectomy for treatment of prostate cancer. (theincidentaleconomist.com)
  • Radical prostatectomy is one of the primary treatment options for men with localized prostate cancer. (eurekalert.org)
  • Incomplete removal of the cancer tissue during radical prostatectomy is often associated with poorer patient outcomes, including increased likelihood of recurrence and prostate cancer-related mortality. (eurekalert.org)
  • Part or all of the prostate surrounding the urethra is removed in a prostatectomy, usually because of cancer. (news-medical.net)
  • The influence of hepatic function on prostate cancer outcomes after radical prostatectomy. (nih.gov)
  • Robotic radical prostatectomy accounts for 87 percent of prostate cancer surgeries in the United States . (wn.com)
  • The primary hypothesis of this study is that outcomes for patients with biochemically recurrent prostate cancer following radical prostatectomy will be improved by the addition of enzalutamide for 6-months compared to standard-of-care salvage radiation therapy to allow for further study in the definitive phase III setting. (clinicaltrials.gov)
  • In a study, radical prostatectomy for men with Gleason 8-10 prostate cancer and low PSA levels was associated with a lower death risk compared with external beam radiation therapy with or without brachytherapy. (renalandurologynews.com)
  • Radical prostatectomy and ablation for salvage treatment of radiorecurrent prostate cancer do not differ significant with regard to cancer-specific and metastasis-free survival, a study found. (renalandurologynews.com)
  • Radical prostatectomy (RP) for localized prostate cancer after a period of active surveillance offers overall and cancer-specific survival similar to that of men who undergo upfront RP. (renalandurologynews.com)
  • In a study with a follow-up period of 18 years, men treated with any other modality but radical prostatectomy had higher prostate cancer death risks. (renalandurologynews.com)
  • The primary purpose of a prostatectomy is to cure the cancer by removing it completely. (wakemed.org)
  • Nerve sparing radical prostatectomy is performed by surgeons at the University of Wisconsin Carbone Cancer Center, the state's only comprehensive cancer center , who have had additional training in this technique. (uwhealth.org)
  • The guideline focuses on radiation therapy after prostatectomy for patients with and without evidence of prostate cancer recurrence, and is a joint effort between ASTRO and the American Urological Association (AUA). (redorbit.com)
  • However, not all patients with prostate cancer will receive radical prostatectomy. (renalandurologynews.com)
  • In fact, radical prostatectomy is indicated only in patients with early stage cancer and having at least a 10-year life expectancy and low co-morbidities. (renalandurologynews.com)
  • For those with prostate cancer metastasis, radical prostatectomy will not prevent the remaining cancer from growing and spreading throughout the body. (renalandurologynews.com)
  • Prostate cancer patients that have chosen to undergo a prostatectomy as their primary treatment option will be recruited to this trial. (knowcancer.com)
  • In the U.S. Surveillance, Epidemiology and End Results (SEER)-Medicare database, we identified 14,147 men found to have prostate cancer from 2000 to 2008 treated by open (n = 10,954) or minimally invasive (n = 3193) radical prostatectomy. (nih.gov)
  • The study group consisted of patients who had undergone radical prostatectomy for prostate cancer between 1990 and 1999 at Mayo Clinic. (innovations-report.com)
  • Radical prostatectomy - complete surgical removal of the gland, seminal vesicles and sometimes nearby tissue - is one option in the treatment of prostate cancer. (cedars-sinai.edu)
  • If you have been treated for prostate cancer, an open prostatectomy cannot be done. (uwhealth.org)
  • We evaluated TRICARE beneficiaries with prostate cancer ( International Classification of Disease, 9th Revision, Clinical Modification [ ICD-9-CM ] code: 185) who received a radical prostatectomy (60.5) between 2005 and 2009. (ajmc.com)
  • Radical prostatectomy in all its approaches is the treatment of choice for localized prostate cancer and especially in young, sexually active patients with a desire to keep their sex life. (andromedical.com)
  • Radical prostatectomy (RP) represents the main therapeutic option in patients with clinically localized prostate cancer 1 . (andromedical.com)
  • Forty-eight of 52 men with intermediate or high-risk localized prostate cancer proceeded to prostatectomy after neoadjuvant enzalutamide or enza/dut/LHRHa for 6 months. (aacrjournals.org)
  • Methods: A prostate cancer clinical cohort of 1,694 prostate cancer prostatectomy patients was analyzed. (aacrjournals.org)
  • Assigning prostate cancer patients in relapse after prostatectomy to ADT and radiation therapy delayed disease progression compared to radiation therapy alone. (cancernetwork.com)
  • The gold standard treatment option for men under 70 with early-stage, organ-confined cancer is surgical removal of the prostate using nerve-sparing radical prostatectomy. (highpointregional.com)
  • The primary goal of prostatectomy is removal of the cancer. (highpointregional.com)
  • Clinicians may now have a better tool for guiding therapy in men with prostate cancer who have had a prostatectomy and salvage radiation therapy (SRT). (cancernetwork.com)
  • A tissue sample was removed from the prostatectomy specimen from the area containing the highest Gleason score and compared to the patient's Cancer of the Prostate Risk Assessment Postsurgical (CAPRA-S) scores. (cancernetwork.com)
  • Twenty-six men with newly diagnosed, clinically localized (14 T 1 and 12 T 2 ) prostate cancer were randomly assigned to receive 15 mg of lycopene ( n = 15) twice daily or no supplementation ( n = 11) for 3 weeks before radical prostatectomy. (aacrjournals.org)
  • Prostatectomy specimens were entirely embedded, step-sectioned, and evaluated for pathological stage, Gleason score, volume of cancer, and extent of high-grade prostatic intraepithelial neoplasia. (aacrjournals.org)
  • Radical prostatectomy has a low risk of serious complications. (webmd.com)
  • Still, complications from inadvertent nerve damage do occur after radical prostatectomy. (webmd.com)
  • Long-term functional outcome analysis in a large cohort of patients after radical prostatectomy. (urotoday.com)
  • In an accompanying editorial in the journal commenting on this article [4] (Note: over 9 years ago) Michael L.Blute, M.D. of the Mayo Clinic wrote that "Patient interest in robotic assisted radical prostatectomy has been the result of a highly successful marketing campaign with the resultant consumer demand. (wikipedia.org)
  • Mechanism of Action of the Trans-Obturator Sling (TOS) for Post-Radical Prostatectomy Incontinence: a Multi-Institutional Prospective Study Using Dynamic MRI. (urotoday.com)
  • Surgeons choose from two different approaches to reach and remove the prostate during a radical prostatectomy. (webmd.com)
  • Skilled surgeons can usually protect most of these nerves during radical prostatectomy. (webmd.com)
  • Postradical prostatectomy incontinence impairs quality of life and results in significant patient expense. (springer.com)
  • The Role of Urodynamics in Post-Prostatectomy Incontinence. (urotoday.com)
  • a format which led to an engrossing session covering salvage prostatectomy and. (uroweb.org)
  • ORLANDO, FL USA (UroToday.com) - Dr. Magi-Galluzzi's group re-analyzed their radical prostatectomy (RP) cohort (127 patients with and 374 without clinical recurrence (CR)) to evaluate if GPS predicts CR after biochemical recurrence (BCR) and also to assess the impact of salvage therapies. (urotoday.com)
  • To Validate virtual dosimetry plans for tumor-targeted salvage (High-Dose-Rate) HDR brachytherapy against co-registered whole-mount prostatectomy specimens. (clinicaltrials.gov)
  • He and his colleagues assigned 699 men to the salvage radiation therapy and 697 to have radiation therapy after prostatectomy. (medpagetoday.com)
  • Congruent with this clinical principle, physicians should regularly monitor PSA after radical prostatectomy to enable early administration of salvage therapies if appropriate. (auanet.org)
  • Assigning men in biological relapse after radical prostatectomy to combined salvage treatment with hormone therapy and radiation therapy significantly delayed disease progression compared with radiation therapy alone, according to the results of the GETUG-AFU 16 phase III trial ( abstract 5006 ). (cancernetwork.com)
  • Slightly more men require a blood transfusion after open prostatectomy than after TURP. (uwhealth.org)