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Archive for the ‘Radical prostatectomy’ Category

PROSTABLOG NZ: My last PSA test recently showed it continues to be undetectable, some 20 months after my surgery in March, 2009.

But I’m not getting cocky just yet (forgive the pun).

From what I’ve read about prostate cancer treatment, if the cancer bug has got out of the organ during/after a prostatectomy, there’s a good chance the first signs will come two years after the operation.

My two-year anniversary comes up in a couple of months – so wish me luck.

It’s interesting how long it takes to fully recover from the surgery’s effects.

My scar is virtually gone and I’ve felt fit for ages.

There’s no incontinence. I haven’t done the pelvic floor exercises for more than a year, but there’s never any problem with not being able to hold it in, even when I’m busting.

Not that I put myself in the busting mode if I can avoid it.

So, hey, no regrets and no real worries. I’m bloody lucky.

Well, there is one worry – the number of friends and people I know who have been diagnosed. Talk about an epidemic.

And I wonder if the NZ Parliamentary Health Select Committee will ever get round to reporting back on its prostate cancer inquiry…

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URO TODAY: Men undergoing prostate surgery have a higher risk of later developing a penis-deforming condition called Peyronie’s disease. READ MORE>

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URO TODAY: Having erectile dysfunction prior to prostate cancer surgery does not affect you chances of surviving the treatment, a study shows. READ MORE>

Pre-operative erectile dysfunction is associated with decreased overall survival and survival from causes other than prostate cancer following radical prostatectomy.

However, pre-operative ED was not an independent predictor of overall survival after adjusting for other predictors of survival.

Urologists should carefully assess pre-treatment ED status to enhance appropriate treatment recommendation for men with prostate cancer.

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URO TODAY: Use of a carbon dioxide laser to assist in robot-assisted radical prostatectomy improves nerve sparing and reduces damage that can cause impotency. READ MORE>

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URO TODAY: Robot-assisted surgery for prostate cancer is now the preferred method in the US, where a study says its benefits outweigh other methods. READ MORE>

While cost remains a valid criticism to the robotic technique, some of the additional expenditure is offset by improved convalescence, fewer medical complications, and decreased morbidity.

Data with follow up approaching 10 years demonstrates equal if not superior outcomes with respect to continence, sexual and oncological factors.

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URO TODAY: Only 38% of men treated with radical prostatectomy, if able to choose, would unconditionally accept radical prostatectomy again for treatment. READ MORE>

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URO TODAY: Prostate cancer patients with localised disease but positive margins do derive a survival benefit from adjuvant radiation therapy, a new study has found. READ MORE>

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