Radical Prostatectomy: Hospital volumes and surgical volumes – does practice make perfect?

Radical Prostatectomy: Hospital volumes and surgical volumes – does practice make perfect?

BACKGROUND Between the years 1993 and 2003, more than 140,000 men underwent radical prostatectomy (RP), thus making RP one of the most common treatment options for localized prostate cancer in the United States. DISCUSSION Localized prostate cancer treated by RP is one of the more challenging procedures performed by urologic surgeons. Studies suggest a definite learning curve in performing th...

Auditory perception: Does practice make perfect?

Recent studies have shown that adult humans can learn to localize sounds relatively accurately when provided with altered localization cues. These experiments provide further evidence for experience-dependent plasticity in the mature brain.

Managing Hospital Volumes

Positive surgical margins after radical prostatectomy: does it matter?

After decades of study, it remains difficult to accurately quantify the incidence or prevalence of positive surgical margins (PSMs) after radical prostatectomy (RP). Reported percentages of PSMs vary greatly (range: 1% to 50%) depending on whether the prostate cancer (PCa) was organ confined (pT2) or not (pT3+) [1]. This is due to amultitude of factors including varying definitions of PSMs, cha...

Radical prostatectomy practice in England.

PURPOSE As there is paucity of data on radical prostatectomy (RP) as a primary treatment for patients with localized prostate cancer, we analyzed the trends in the RP practice in England. MATERIALS AND METHODS This study was carried out on 14 300 patients who underwent RP for carcinoma of the prostate. Database was prepared from hospital episode statistics of the Department of Health in Engla...