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September 18, 2006

Watchful waiting for prostate cancer

UroToday - European Urology - Watching the Face of Janus- Active Surveillance as a Strategy to Reduce Overtreatment for Localised Prostate Cancer

A good abstract by Swedish urologists that addresses many of the issues for watchful waiting.
It points out that the best candidates have a small amount of gleason 6 cancer. Most men did well for several years with this option.
These people should have repeat biopsies at intervals and may have a negative psychological impact from choosing this therapy.

I always discuss watchful waiting as a possible therapy with newly diagnosed cancer.

September 17, 2006

Surgeon hand pain during laparoscopic kidney removal

UroToday - Hand Pain during Hand-Assisted Laparoscopic Nephrectomy- An Ischemic Event?

One of my reasons for telling visiting urologists that I prefer robotic kidney surgery to laparoscopy is how much better I feel physically during a robotic vs. a laparoscopic surgery.

This abstract discusses the pain encountered by urologists during hand assist nephrectomies. I agree there is pain, but I notice it more if the hand port is relatively tight. The tighter it is, the more pain I have.

Regardless of the reason for the pain, I think most of us would agree that doing robotic kidney surgery in a comfortable fashion that the da Vinci provides may be better than operating with an ischemic, painful hand.

September 8, 2006

Robotic Surgery Growth: August 06 update

View chart of Dr Savatta's robotic volume

This is a monthly update on the growth of Robotic Surgery in my practice.

In August I performed 12 robotic operations. 10 were daVinci prostatetcomies for prostate cancer, 1 was a nephrectomy for cancer, and 1 was a partial nephrectomy for cancer. The total number of robotic prostatectomies I have performed is 153 and robotic operations is 194.

The main highlights included the press conference for the opening of our training center. We had considerable media coverage for the event, including a front page story in the star-ledger and my 9 news.

I also have had very impressive results from a new technique I developed to save patients erections. I use a combination of techniques from Dr Menon and Dr Ahlering that I modified that has improved short term return of erections.