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HDR liefert exzellente Ergebnisse

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Translation currently in progress.

 

WPZ stellte aktuelle Studie auf der EAU in Barcelona vor

Prostatakrebs-Patienten mit einem lokal fortgeschrittenen Tumor profitieren von einer kombinierten Strahlenbehandlung. Dabei wird der Tumor sowohl von innen mittels HDR-Brachytherapie als auch von außen bestrahlt. Dies zeigt eine Studie des Westdeutschen Prostatazentrums, die jüngst auf der Jahrestagung 2010 der European Association of Urology (EAU) in Barcelona vorgestellt wurde.

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PSA-Test halbiert Sterblichkeit

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Translation currently in progress.

 Aktuelle schwedische Studie mit 20.000 Teilnehmern überzeugt vom Nutzen des PSA-Tests

Trotz seiner Erfolgsgeschichte seit der routinemäßigen Einführung Anfang der 80er Jahre wird der PSA-Test zur Früherkennung von Prostatakrebs mehr denn je kritisch diskutiert. Den Anlass dazu gaben zwei Studien, die letztes Jahr in der Zeitschrift „New England Journal of Medicine“ veröffentlicht wurden.
 

Guidelines confirm: less impotence and incontinence after seed implantations compared to surgery

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What has already been evidenced in numerous international studies1, has now been confirmed by leading experts: prostate cancer patients, who receive brachytherapy (internal beam radiation), suffer significantly less from incompetence after the treatment. This is also true for incontinence, which is with a 0,3 to 3 percent occurrence disappearingly small compared to an occurrence of 50 percent in cases in which prostate carcinoma was treated by surgery2. Additionally, Incontinence actually occurs only after previously performed transurethral prostate resection (TURP).

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More side effects after robot-assisted surgery

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The modern robot-assisted surgery, which was unbiased accepted as a treatment option without distress for the patient, proves to have more side effects than has been advocated so far. Thus, the most recent cohort study1 published in the Journal of American Medical Association - JAMA, shows that robotic surgery can increase the rate of complications, such as impotence and incontinence. In spite of the less invasive technique, these complications are even more pronounced after robotic-assisted surgery than after standard surgical therapies for localized prostate cancer. The results of the study show that the rate of incontinence after a robotic surgery increase to 24 percent and the erectile dysfunction increases to 29 percent
 

Prostate Carcinoma: Just wait and see, and not do anything?

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Thanks to improved early detection methods, prostate carcinoma are more often discovered at an early stage, and especially in Germany this still leads to radical surgical procedures. At the same time, many of these tumors would never cause any problems, let alone cause death. In the battle of this “overtreatment“, the defensive strategies such as the „active surveillance“ or the low-risk brachytherapy with few side effects become very essential therapies.
 

Implementing the prostate cancer guidelines

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None of the developments in medicine is beneficial, if it does not reach the patient. For this reason, the Professional Association of the German Urologists (Berufsverband der Deutschen Urologen e.V., BDU) wants to translate the new S3 Guidelines for the treatment of the prostate carcinoma into practice. In a statewide initiative furthering education, the currently available knowledge of early detection, diagnosis, and therapies is to be conveyed to all urologists in German. According to the President of the Association, Dr. Martin Bloch, the stated objective of the BDU is that patients profit as quickly as possible from the new developments, and receive “beneficial treatment in accordance with the guidelines”.
 

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