Apr 23/09. In Choosing a Surgeon - Part I. Considerations, Choosing a Surgeon - Part I. Considerations we added: Different primary care physicians have different approaches toward PSA testing [PMID: 19296843 ].
Apr 20/09. On the Calculators page under SWOP the link has changed and risk indicators 3-6 are no longer present.
Apr 24/09. In RP vs. LRP vs. RLRP - Part 4. What Surgeons and Others Say: Maurice Anidjar (papers) provides the following table (slightly abbreviated here) in Our Voice vol. 14 No. 1 pg. 10 (2009):
|Incision||Mideline abdominal opening from pubic bone to navel||4-5 tiny incisions in the lower abdomen||5-6 small lower abdominal incisions|
|Blood Loss||About 700 ml||Average 400 ml||150 ml|
|Duration of procedure||2.5 hours||2 hours||2 hours|
|Recovery||bladder catheter in place for at least 2 weeks; in-hospital recovery usually 4 days; convalescence up to 6 weeks||Catheter removed after 4-7 days; less pain; shorter hospital stay (2 days) and convalescence (4 weeks)||Catheter usually removed after 7 days; shortest hospital stay (1 day)|
|Continence||As high as 90% at 1 year||Long-term results at least equivalent to those reported with open surgery||Recovery of urinary control appears to be earlier than with open surgery|
|Potency||Depending on nerve-sparing, can be up to 85%; takes 18 months or longer||Long-term results at least equivalent to those reported with open surgery||Results at least equivalent to best results from open and laparascopic approaches|
|Surgeon skills involved||Measured by ability to eliminate the entire tumor and preserve patient's continence and potency||Major learning curve reuired for surgeon to master the technique||Shorter learning curve than with laparascopic surgery|
Apr 24/09. In Radiation risks associated with Prostate Cancer we added: A study presented at the April 2009 American Roentgen Ray Society meeting based on 100 physician surveys in various specialities found that 63% underestimated radiation exposure from abdominal-pelvic CT scans and only 20% thought that radiation risk was a part of disclosure. See this PSA Rising article.