Surgeon's Blog

Risk of Prostate cancer metastasis lower in the PSA era

sameersiddiqui10@gmail.com — Tue, 09 Nov 2010 02:56:00 GMT

Latest American Cancer Society guidelines for prostate cancer

sameersiddiqui10@gmail.com — Tue, 09 Mar 2010 17:09:00 GMT

http://caonline.amcancersoc.org/cgi/content/full/caac.20066v1

So you may have heard last week that the ACS came out with new prostate cancer treatment guidelines. No major surprises really. In fact, it's a pretty watered down statement.

They highlight the importance of "informed consent". That's like government speak. Every urologist I know gives detailed informed consent.

The big surprise was the ACS supporting PSA cut offs (>4 ng/ml). Really?! We have 10 years of accumulated data that shows us that strict cut offs have low sensitivity and specificity. Velocity matters. Age matters. Family history and race matter. As we learned from PCPT, there is NO safe low cut off.

The American Urologic Association is coming out with a response. I'll put that on a new post

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Minimally invasive surgery--What does that mean?

sameersiddiqui10@gmail.com — Fri, 29 May 2009 19:48:00 GMT

There have remarkable adavances in the last 100 years in regards to the field of medicine. The most notable advances have included immunizations, access to clean water and the use of antibiotics. For surgeons, progress in computer assisted technology have taken surgery to a new level. In the next few weeks, I will write about specific aspects of surgery that have made it safer, less morbid and less painful...the essence of minimally invasive surgery. The topics will include:

Cancer outcomes
Functional outcomes (continence, sexual function)
Surgical pain
Complications
New directions in minimally invasive surgery

We hope you tune in!

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Welcome!

sameersiddiqui10@gmail.com — Mon, 11 May 2009 19:52:00 GMT

We are in the early phases of developing an exciting new site on Minimally Invasive surgery in the St. Louis area...

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