A new robotic surgical technique developed at The Cancer Institute of New Jersey (CINJ) for the removal of all or part of the prostate gland is showing what investigators call a “dramatic improvement” in a male’s sexual potency rate. The results were recently presented at the 26th World Congress Endourology meeting in Shanghai, China. CINJ is a Center of Excellence of UMDNJ-Robert Wood Johnson Medical School and has also developed a Center of Excellence for robotic surgery.

Robotic prostatectomy allows a surgeon to control a set of robotic arms that holds the surgical instruments in order to remove prostate cancer through several incisions that are smaller than a quarter. It allows for additional precision, reduced blood loss, shorter hospital stays and faster recovery for the patient. Isaac Kim, MD, PhD, who is the director of CINJ’s Urologic Oncology Program and assistant professor of surgery at UMDNJ-Robert Wood Johnson Medical School, found a way to enhance the procedure, by developing a new technique known as Athermal Intrafascial Robotic (AIR) prostatectomy.

In AIR prostatectomy, the nerve that controls a man’s ability to have an erection is better preserved by sparing over 90 percent of the tissues that surrounds the prostate. In the conventional open or robotic radical prostatectomy, typically only 40 to 50 percent of the tissue around the prostate is spared. Additional tissues that are located at the top of the prostate are nearly impossible to spare during an open prostatectomy due to the presence of a major vein called the dorsal venous complex.

Typically with the conventional method, the sexual potency rate is between 65 and 75 percent at one year following the surgery. With the AIR procedure, investigators at CINJ found the potency level was at 91 percent nine months post surgery. At the nine-month mark for the conventional robotic method, the potency rate was only 67 percent.

Dr. Kim, who has performed more than 450 robotic prostatectomies over the past four years at CINJ’s Flagship hospital, Robert Wood Johnson University Hospital in New Brunswick, notes the results are significant, “Not only does the AIR procedure help men regain sexual function in a quicker fashion, but it also helps them to regain control over their bladder faster as well as reducing incontinence.”

At six months, the continence rate (defined as requiring no protective pads) following the AIR procedure was 93 percent.

About The Cancer Institute of New Jersey

The Cancer Institute of New Jersey is the state’s first and only National Cancer Institute-designated Comprehensive Cancer Center, and is dedicated to improving the prevention, detection, treatment and care of patients with cancer. CINJ’s physician-scientists engage in translational research, transforming their laboratory discoveries into clinical practice quite literally bringing research to life. The Cancer Institute of New Jersey is a center of excellence of UMDNJ-Robert Wood Johnson Medical School. To support CINJ, please call the Cancer Institute of New Jersey Foundation at 1-888-333-CINJ.

The Cancer Institute of New Jersey Network is comprised of hospitals throughout the state and provides a mechanism to rapidly disseminate important discoveries into the community. Flagship Hospital: Robert Wood Johnson University Hospital. Affiliate Hospitals: Bayshore Community Hospital, Carol G. Simon Cancer Center at Morristown Memorial Hospital, Carol G. Simon Cancer Center at Overlook Hospital, CentraState Healthcare System, Cooper University Hospital*, Jersey Shore University Medical Center, JFK Medical Center, Raritan Bay Medical Center, Robert Wood Johnson University Hospital at Hamilton (CINJ at Hamilton), Saint Peter’s University Hospital, Somerset Medical Center, Southern Ocean County Hospital, The University Hospital/UMDNJ-New Jersey Medical School*, and University Medical Center at Princeton. *Academic Affiliate

Michele Fisher
Media Relations Specialist
Office of Communications
The Cancer Institute of New Jersey
195 Little Albany Street
New Brunswick, NJ 08903
http://www.cinj.org

The conversation about male sexual dysfunction has grown from a whisper to a roar. From Bob Dole to Mike Ditka, erectile dysfunction, or ED, is no longer hush-hush as more men are talking more openly. Non-stop commercials convey help in the bedroom is just a prescription away. And while some 35 million men in this country have found a renewed sex life thanks to the “little blue pill,” Temple urologist Jack Mydlo says men can improve their performance without a visit to the doctor or a drugstore.

“The last thing I want them to do is take a pill and jump in bed because a certain part of the mechanism for erections is psychological. They have to be in the right mood, with the right person and take care of themselves” said Mydlo, MD, professor and chair of the department of urology at the School of Medicine.

Surprisingly, a good percentage of men who seek medical help aren’t even in a relationship.

“About thirty percent of the men who have a penile prosthesis don’t even have a partner,” said Mydlo. “They’re putting the cart before the horse, so to speak, and think they’ll get a partner once they have the implant.

Instead, Mydlo offers simple tips this Valentine’s Day to turn a man’s potency from terrible to terrific.

Stop smoking

Diabetes and high blood pressure restrict blood flow to the penis, leading to erectile dysfunction. But if you can rule those conditions out as causes of ED, the next culprit in line is cigarettes. “The number one thing we can do to stop erectile dysfunction is to stop smoking. It’s the number one environmental cause of ED in our society,” says Mydlo. Again, smoking restricts blood flow. The catch? Don’t expect better erections the minute you stop lighting up. He says it takes 12 to 24 months for better function once you quit the habit.

Control cholesterol

Cholesterol is a trigger of sorts for ED. “Men with a cholesterol level of 240 or higher have almost a twofold increase of ED compared to a man who has lower cholesterol numbers,” says Mydlo. That’s because high levels of cholesterol lead to plaque buildup in tubes (corpa cavernosa) in the penis and arteries, which can greatly reduce blood flow. And no blood flow means no erection. So start exercising and check with your doctor about cholesterol-lowering medications.

Cut back on fat

Obesity is to blame not only for men with self-esteem issues involving their appearance, but also their performance. “Adipose tissue in body fat converts testosterone to estrogen, and lower levels of testosterone can make it difficult for a man to achieve an erection, no matter how many pills they take,” says Mydlo. Losing weight will improve the testosterone to estrogen ratio, which may improve sex drive, or libido, as well as erections. It also decreases cholesterol, which will help improve blood flow.

For some of the 18 million men who have erectile dysfunction, these three tips may do the trick. For others, Mydlo suggests a visit to a urologist to go over options, ranging from pumps to implants to pills, like Viagra. Cialis Levitra (vardenafil). Levitra There is one factor, though, that Mydlo can’t help with but Cupid probably can: finding the right mate.

“They believe if they don’t have good sexual function, who is going to want them? But the truth is, if you don’t have a mental connection with your partner, everything will be for naught.”

Temple University
301 University Services Bldg.1601 N Broad St.
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PA 19122
United States
http:// www.temple.edu

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