DIAGNOSTIC UROLOGY, URINARY DIVERSION AND PERIOPERATIVE CARE
Suggested Reading Breau RH, Karnes RJ, Jacobson DJ et al: The association between statin use and the diagnosis of prostate cancer in a population based cohort. J Urol 2010; 184: 494. Mondul AM, Han M, Humphreys EB et al: Association of statin use with pathological tumor characteristics and prostate cancer recurrence after surgery. J Urol 2011; 185: 1268. Mass AY, Agalliu I, Laze J et al: Preoperative statin therapy is not associated with biochemical recurrence after radical prostatectomy: our experience and meta-analysis. J Urol 2012; 188: 786.
Diagnostic Urology, Urinary Diversion and Perioperative Care Re: Predicting Risk of Prostate Cancer in Men Receiving Finasteride: Effect of Prostate Volume, Number of Biopsy Cores, and American Urological Association Symptom Score D. P. Ankerst, C. Till, A. Boeck, P. J. Goodman, C. M. Tangen and I. M. Thompson Department of Urology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, and Departments of Mathematics and Life Sciences, Technical University Munich, Garching, Germany Urology 2013; 82: 1076e1081.
Abstract available at http://jurology.com/ Editorial Comment: This article records a subset analysis of men enrolled in the Prostate Cancer Prevention Trial. The authors suggest that a 10 to 12-core biopsy is not necessary to adequately determine suspected prostate cancer in patients receiving long-term finasteride, and that a 6-core biopsy will provide similar results. The authors found that the number of cores did not affect the risk of prostate cancer detection, and that prostate volume and symptom score had little effect. They suggest that consideration be given to reducing the number of cores obtained in patients on finasteride. Richard K. Babayan, MD
Re: Perioperative Outcomes for Laparoscopic and Robotic Compared with Open Prostatectomy Using the National Surgical Quality Improvement Program (NSQIP) Database J. J. Liu, B. G. Maxwell, P. Panousis and B. I. Chung Department of Urology, Stanford University School of Medicine, Stanford, California Urology 2013; 82: 579e583.
Abstract available at http://jurology.com/ Editorial Comment: The authors searched the NSQIP database from 2005 to 2010 and compared outcomes of 4,036 patients who underwent laparoscopic or minimally invasive robotic radical prostatectomy (MIRP) with 1,283 patients who underwent open procedures. They found that the morbidity and mortality was 5% in patients undergoing MIRP vs 9% in those undergoing open procedures. The open surgical approach was an independent predictor of major complications, as were age, body mass index and presence of medical comorbidities. Total operative time was greater for MIRP but length of stay, transfusion rate and surgical site infection were significantly decreased. Richard K. Babayan, MD
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Suggested Reading Breau RH, Karnes RJ, Jacobson DJ et al: The association between statin use and the diagnosis of prostate cancer in a population based cohort. J Urol 2010; 184: 494. Mondul AM, Han M, Humphreys EB et al: Association of statin use with pathological tumor characteristics and prostate cancer recurrence after surgery. J Urol 2011; 185: 1268. Mass AY, Agalliu I, Laze J et al: Preoperative statin therapy is not associated with biochemical recurrence after radical prostatectomy: our experience and meta-analysis. J Urol 2012; 188: 786.
Diagnostic Urology, Urinary Diversion and Perioperative Care Re: Predicting Risk of Prostate Cancer in Men Receiving Finasteride: Effect of Prostate Volume, Number of Biopsy Cores, and American Urological Association Symptom Score D. P. Ankerst, C. Till, A. Boeck, P. J. Goodman, C. M. Tangen and I. M. Thompson Department of Urology, University of Texas Health Science Center at San Antonio, San Antonio, Texas, and Departments of Mathematics and Life Sciences, Technical University Munich, Garching, Germany Urology 2013; 82: 1076e1081.
Abstract available at http://jurology.com/ Editorial Comment: This article records a subset analysis of men enrolled in the Prostate Cancer Prevention Trial. The authors suggest that a 10 to 12-core biopsy is not necessary to adequately determine suspected prostate cancer in patients receiving long-term finasteride, and that a 6-core biopsy will provide similar results. The authors found that the number of cores did not affect the risk of prostate cancer detection, and that prostate volume and symptom score had little effect. They suggest that consideration be given to reducing the number of cores obtained in patients on finasteride. Richard K. Babayan, MD
Re: Perioperative Outcomes for Laparoscopic and Robotic Compared with Open Prostatectomy Using the National Surgical Quality Improvement Program (NSQIP) Database J. J. Liu, B. G. Maxwell, P. Panousis and B. I. Chung Department of Urology, Stanford University School of Medicine, Stanford, California Urology 2013; 82: 579e583.
Abstract available at http://jurology.com/ Editorial Comment: The authors searched the NSQIP database from 2005 to 2010 and compared outcomes of 4,036 patients who underwent laparoscopic or minimally invasive robotic radical prostatectomy (MIRP) with 1,283 patients who underwent open procedures. They found that the morbidity and mortality was 5% in patients undergoing MIRP vs 9% in those undergoing open procedures. The open surgical approach was an independent predictor of major complications, as were age, body mass index and presence of medical comorbidities. Total operative time was greater for MIRP but length of stay, transfusion rate and surgical site infection were significantly decreased. Richard K. Babayan, MD
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