Archive for the ‘robotic prostatectomy’ Category

New Study Reports on Continence and Sexual Function Following Robotic Surgery for Prostate Cancer

Friday, October 23rd, 2009


A new study published in the October 14 issue of the Journal of the American Medical Assn (JAMA) suggests that less invasive surgery for prostate cancer may mean a higher risk of lasting incontinence and impotence when compared with traditional surgery. Advantages of this type of prostate surgery has been fewer hospital days, and a quicker recovery with less chance for infections or other complications.
Although robotic surgery has been increasingly the surgery of choice by prostate cancer patients there have not previously been comparison studies on the outcomes of patients having traditional and minimal invasive surgery.
In the current study the researchers analyzed Medicare data for almost 9,000 prostate cancer patients who had surgical treatment between 2003 and 2007. Of those, 1,938 patients had minimal invasive surgery and 6,899 had traditional surgery. It is unknown how many of the minimal invasive surgery patients had robotic surgery. The patients having keyhole surgery left the hospital a day earlier than the standard surgery patients (2 instead of 3 days on average) and had lower rates of blood transfusions, breathing problems, and internal scarring. But they were more likely to report genital and urinary function complications than the standard surgery group. About 5% of the minimal invasive surgery group as compared to about 2% of the standard surgery group reported these complications. And after 18 months they had more incontinence and erectile dysfunction.
The researchers also found that minimal invasive surgery was more popular with more affluent and highly educated men. This group may tend to seek out care for complications more than the less affluent and thus, skew the findings. In addition, it is believed that the skill of the surgeon may be a factor in the differences found because minimal invasive surgery is relatively new and not all surgeons have had extensive practice in this procedure.
The listeners of the Holistic Health Show will remember Dr David Samadi, Chief of Minimal Invasive and Robotic Surgery at Mt Sinai in New York spoke to this in his interview and said the skill of the physician makes a difference in the outcomes experienced by patients. Dr Samadi who has performed hundreds of the procedures reported he was having about 95% success rate among his patients regarding continence and sexual function following surgery. However, he said these results could vary with the experience of the surgeon.

Dr Carl O Helvie Interviewed Prostate Cancer Experts Using Cutting Edge Technology and Survivor on the Holistic Health Show

Sunday, June 21st, 2009

Two experts (Dr David Samali. above left and Dr Brian Goss, above right) and Mr Daniel Goldstone, right were interviewed on the Holistic Health Show on BBS Radio last night. Dr David Samali is Chief, Division of Robotics and Minimal Invasive Surgery at Mt Sinai School of Medicine in New York. More information is available at or in the interview below or a previous post. Dr Brian Goss, is Medical Director of Radiation Oncology at the New Mexico Cancer Center in Alburquerque, New Mexico. More information is available at (505) 842-8171, in the interview below or on a previous posting.
Mr Daniel Goldstone is a prostate cancer survivor who used a holistic approach to recovery from advanced stage prostate cancer and more information is available at

A link to the streaming of the show follows (about 1 hour). If you wish a download button of this show and all future shows sign up for free emailing of all future shows on a different page on this site. As a 33 year cancer survivor I am interested in getting the information in this series on cancer out to all who might benefit from it.

Dr David Samadi to be Interviewed by Dr Carl O Helvie on Saturday, June 20th on BBS Radio

Monday, June 15th, 2009

My first guest on the Holistic Health Show ( on Saturday at 7 p.m., PST or 10 p.m. EST is Dr David Samadi, Chief, Division of Robotics and Minimal Invasive Surgery at Mt Sinai School of Medicine, New York City. He is a board certified urologic surgeon trained in open, laparoscopic, and robotic surgery. He is one of the worlds most experienced da Vinci surgeons and one of the only surgeons in the country to have completed two fellowships: one in oncology at Memorial Sloane Kettering Cancer Center in New York City and the other in laparoscopy at Henri Mondor Hospital in France. He has completed more than 1600 da Vinci surgeries in his career and since arriving at Mount Sinai a year ago has performed over 750 robotic operations. He has proctored and taught urologists all over the world to perform endopelvic fascia sparing robotic prostatectomy procedures. Her can be reached at 1-888-Robot10 (1-888-762-6810) or on his website

World Renowned Authority on Dreams and Best Selling Author Dr Patricia Garfield Interviewed

Saturday, December 20th, 2008

Dr Patricia GarfieldDr Patricia Garfield was interviewed on the Holistic Health Show on BBS Radio on December 20 and talked about different types of dreams and analyzed dreams submitted by listeners. Listen to the interview below.

Interview with Dr Carolyn Chambers Clark on a Holistic Approach to Resolving Anxiety

Tuesday, November 25th, 2008
Living Well with Anxiety: What your doctor Doesn't Tell You That You Need to Know
Dr Carolyn Chambers Clark, author of numerous books speaks about one of her latest books Living Well with Anxiety: What your doctor Doesn’t Tell You That You Need to Know. Carolyn uses a holistic approach to dealing with anxiety. She has written many books and ebooks, been editor of major journals, worked with major health care organizations and is known internationally as a wellness consultant. She has received numerous awards including the Media Recognition Award from the American Heart Association and a Book of the Year Award from the American Journal of Nursing. More information about her books and ebooks can be found at

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