Radical Prostatectomy for prostate cancer
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- เผยแพร่เมื่อ 4 ต.ค. 2024
- Dr. William Stiles, board certified Urological Surgeon, Osteopathic Physician, Men's Health Expert and functional medicine trained doctor educates men about various prostate conditions, including prostate cancer, benign prostatic hyperplasia (BPH), chronic prostatitis, intersitial cystitis, erectile dysfunction, and whole body optimization.
Estimated one in seven men will be diagnosed with prostate cancer in their lifetime. An estimated 220,000 men in the U.S. will be diagnosed with prostate cancer this year. Prostate cancer can be a complex issue for the patient and his family to understand. There are many treatment options for prostate cancer including surgical removal of the prostate, external beam radiation (IMRT / SBRT), proton beam therapy, cryotherapy, hormone treatment, chemotherapy, focal treatment, and even not immediately treating prostate cancer for low risk cases (Active surveillance). Early detection of prostate cancer is important. Most prostate cancers are detected when the cancer is still contained within the prostate gland, but some cancers are advanced and have moved outside of the prostate gland (metastatic). Each person with prostate cancer has their own unique conditions and situations that can affect treatment decisions going forward. Cancer staging radiographs (CT scan, bone scan, PET scan, etc) is often done by the urologist that performed the prostate biopsy to assess for spread of cancer outside of the prostate.
Medical Disclaimer:
The Prostate Coach and Dr. William Stiles does not provide medical advice. The content available in our videos, on our website, or on our social media handles do not provide a diagnosis or other recommendation for treatment and are not a substitute for the professional judgment of a healthcare professional in diagnosis and treatment of any person. We intend to provide educational information only. The determination of the need for medical services and the types of healthcare to be provided to a patient are decisions that should be made only by a physician or other licensed health care provider. Always seek the advice of a physician or other qualified healthcare provider with any questions you have regarding a medical condition.
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What about laporoscopy removal?
HELLO, DR . HOW EFFECTIVE IS THE NANOKNIFE PROCEDURE???
Hi Dr. Stiles: What is your suggestion on the earliest time after Robotic Assisted Radical Prostatectomy I can safely resume the maintenance BCG treatment for my bladder cancer? Thank you.
Thank you for your comment. This is a question that only your doctor / surgeon can answer. Before resuming intravesical BCG, you would want to make sure that the
bladder - urethra anastomosis is fully healed and sealed. Sometimes an x-ray called VCUG (voiding cystourethrogram) can be done to confirm that their is no leakage of urine. Hope this helps. Talk with your surgeon.
My husband had mri showed Pirads 4. Biopsy showed gleason 7 all 12 cores positive. Gleason 7 group 2 want laporoscopy removal. With this diagnosis does he have to get it removed?
What is a "high volume" surgeon? How many per day?
Thank you for your question. The answer to this is variable, but most would suggest that surgeons that have done more than 250 robotic radical prostatectomies have better surgical outcomes. This is a one-shot operation. I recommend getting the most experienced surgeon possible. Hope this helps !
My husband is getting a 2nd opinion at Fox Chase Cancer Center in Philadelphia, Pennsylvania ...they do robotic.
Robotic is the way to go if choosing surgery.
Hello Dr. IF one has 3+4 ? Would brachythearpy seed implant be better 🤔 than prostate removal?? What are the benefits ??? If any ??
The best treatment is the one that eradicates the cancer with the lowest side effect.
Each treatment has different cancer control and different side effect profiles. It is impossible to state that one treatment is “better” than the other. Each person’s health situation, disease, and desires is different.
Brachytherapy is one of many treatment options. With Gleason 3+4 disease, you may be able to have radiation (external beam, proton beam, brachytherapy, etc. without needing hormone blocking agents, but that is a decision that needs to be made with your physician.
@@theprostatecoach8058 I THANKYOU EXTREMELY ❤️ 🙏, IVE GOTTEN A SECOND OPINION FROM A MSK. DOCTOR, SUGGESTED, PSMA, AND THE GENO TEST ,TO START OUT FIRST ,????
Brachytherapy / radioactive seed therapy for treatment on prostate cancer
th-cam.com/video/DqUPAi-xwbw/w-d-xo.html
Robotic assisted prostatectomy is a vast improvement on the delivery system of what has become an inferior treatment. Modern radiation and PSMA pet has thankfully rendered it obsolete except for fully organ contained, earlier stage disease. The urologic surgeons will eventually have to look elsewhere for their cash cow.
The robot-assisted prostatectomy is a huge illusion of a progress. Those operations will not be performed better than the classic ones. They are certainly much more expensive. So, the only winner is a company that produces those toys, not the patients, not the hospitals. Both recurrence and metastasis formation do not depend on a type of surgical resection!
‘Large side effect profile’. lol Translation: A shorter, thinner penis that in most men doesn’t get hard anymore. No need to sugar coat it.
Thank you for your comments Jim.
Yes, there are numerous potential long term and irreversible complications to having radical prostatectomy. Every treatment (including active surveillance) has benefits, risks, and alternatives that need to be CAREFULLY weighed out before proceeding with treatment. This is why we stress the importance of education so that you can have informed discussions with your physicians.
When you have a choice to live or die you don't worry about thinner penis or don't get hard anymore when having the surgery... quit posting like a grade school child....
@@theprostatecoach8058 Of course the treatments need to be carefully weighed. I commend you for saying so. The problem is urologic surgeons are often dodgy and vague when discussing SE’s with patients. especially ED. Or they just give them a pamphlet they know they probably won’t read. They need to look men in the eye and tell them the truth. Few do.