Michael O. Koch, MD, presented “Expanding the Role of Surgical Management of High-Risk Prostate Cancer” during the 5th Annual Oklahoma Prostate & Urologic Cancers Symposium on September 13th, 2019 in Oklahoma City, Oklahoma.

How to cite: Koch, Michael O. “Expanding the Role of Surgical Management of High-Risk Prostate Cancer” September 13th, 2019. Accessed Jul 2020. https://grandroundsinurology.com/expanding-the-role-of-surgical-management-of-high-risk-prostate-cancer​/

Expanding the Role of Surgical Management of High-Risk Prostate Cancer – Summary:

Michael O. Koch, MD, the John Donohue Professor and Chair of Urology at the Indiana University School of Medicine, discusses the advantages and disadvantages of open retropubic radical prostatectomy (RRP) and robotic-assisted radical prostatectomy (RARP) in decreasing disease burden amongst high-risk prostate cancer patients. He goes on to discuss data from the Capsure Database, which placed more high-risk patients on ADT rather than surgery, as well as data from the Pivot Trial, which demonstrated a decrease in prostate cancer mortality among high-risk patients treated with surgery versus the observation (control) group. Finally, Dr. Koch evaluates several studies pertaining to the efficacy of wide surgical resection in reducing positive surgical margins among RRP and RARP cohorts, and how urologists can utilize imaging such as mpMRI and 68Ga PSMA to identify patients who would most likely benefit from wide versus nerve-sparing surgical approaches.

About The 5th Annual Prostate & Urologic Cancer Symposium:

The Prostate & Urologic Cancers Symposium is held through the University of Oklahoma and the Stephenson Cancer Center to provide new insights in the treatment of prostate and urologic cancers. This single-day program consists of lectures and case discussions highlighting a multidisciplinary approach to urologic cancer care and integration of new technology in the evaluation and treatment of patients with prostate and/or urologic cancers. Dr. Koch presented this lecture during the 5th iteration of this summit in 2019. Other presentations from this symposium include:

MRI First: The Role of MRI in Biopsy Naïve Patients
M0 CRPC: Treatment Options and Emerging Concepts