RLUH Urology Cancer Centre

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RLUH Urology Cancer Centre

• Philip A Cornford

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Total 797
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Radical Prostatectomy

• 1.01.08 - 31.12.08

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Who did what
Total 73
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Histological Grade
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Histological stage
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Positive Surgical margins
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Adjuvant Treatments
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Outcomes
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The demand is changing
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Challenges

• Why have less men chosen surgery if referrals
  have increased?
• Why do men choose open surgery?
• Are the same changes being seen with Radiotherapy
  and Brachytherapy

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Radical Cystectomy

• 1.01.08 31.12.08

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Number of Cases performed
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Pathology
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Outcomes
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National Results

• 8874 cystectomies
• MF 7624
• Mean mortality
• 30 day 3.56
• 60 day 5.98 90 day 8.08
• Overall crude survival
• 1yr 74.3
• 5yr 46.5

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Effect of Training
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Effect of training
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What we achieved

• Mortality rate similar to UK average
• Neoadjuvant chemotherapy has led to a larger than
  expected number to pT0
• Better than expected 1 year survival

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What we need to address

• High complication rate
• Trainee involvement in complex pelvic cancer
  surgery
• Lack of cover at RLUH