Best Options For Prostate Surgery: Traditional Versus Robot
A diagnosis of prostate cancer that hasnt spread comes with treatment options such as watchful waiting, hormone therapy, and radiation. But if your doctor recommends prostate removal, you have one very important decision: trust your surgery to human hands or to robotic arms controlled by your surgeon. A study led by researchers at Harvard-affiliated Massachusetts General Hospital and published in the Journal of Clinical Oncology found little difference in the outcomes. Yes, the two are basically the same in outcomes, says Dr. William DeWolf, professor of surgery at Harvard Medical School and urologist-in-chief at Beth Israel Deaconess Medical Center. I dont see any difference between the two, nor should there be, based on technique.
Surgeries and outcomes
Researchers looked at the two most common methods of radical prostatectomy . During robot-assisted radical prostatectomy, the surgeon sits at a console and controls robotic arms that have long, thin, laparoscopic-type instruments. Small keyhole incisions are made across the abdomen, and the prostate is removed in its entirety. The surgery typically lasts about four hours.
In contrast, during traditional open radical prostatectomy, the surgeon holds the instruments in his or her own hands, makes a four-inch incision in the abdomen, and then removes the prostate. It lasts about two hours.
Which is right for you
And when it comes to finding a surgeon, Dr. DeWolf recommends asking about expertise, not methodology.
Find The Best Surgeon You Can Get It Done Right
Radical prostatectomy is a very difficult operation. It takes not only skill, but the kind of expertise you get only after being involved in a lot of procedures, first from the sidelines as a doctor in training, and then learning how to do it meticulously with the guidance of an expert surgeon.
The very best prostate surgeons specialize in the prostate. Thats often all they do, and they do a lot of these procedures every year.
You dont want to be part of the learning curve.
Another point: Because there are so many bad surgeons out there, you cant trust everything you read on the internet or from hospitals propaganda.
Our goal is to weed out the bad surgeons, so they stop doing procedures they arent skilled enough to do.
As for you, well, this is your one shot at this. Do your due diligence. How can you find the right surgeon? We have developed this checklist with the help of three experts. Please. Take the following things into consideration before you go under the knife:
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Surgical procedures to remove the diseased prostate are usually necessary. Surgical procedures are not always necessary. If the disease is caused by bacterial infections, a doctor can treat the symptoms using alpha-blockers or surgery. Physical therapy, relaxation exercises, and warm baths are all recommended. A physician may also prescribe antibiotics to cure the infection. A bacterial infection can also cause a recurrence of the condition.
An enlarged prostate can be uncomfortable for both men and women. Some of the symptoms of an enlarged male reproductive organ include a weakened urine stream, urgent need to urinate, and urinary tract infections. BPH can also cause damage to the kidneys. A sudden inability to urinate can be life-threatening, as it can lead to bladder and kidney damage. Unfortunately, most men with enlarged prostrates put up with the symptoms for years before they seek treatment. However, many of the men with symptoms finally decide to go to a doctor for proper gynecological evaluation and to begin enlarged prostatic therapy.
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How To Find An Expert Prostate Cancer Surgeon
- Original: May 16, 2019
Urologists are one of the experts that treat prostate cancer with surgery or prostatectomy. How do you choose one?
Radical prostatectomy is a difficult operation. Many patients seen by the best surgeons still experience significant side effects from the surgery. It takes not only skill, but the kind of expertise you get only after being involved in a lot of procedures, first from the sidelines as a doctor in training, and then learning how to do it meticulously with the guidance of an expert surgeon.
The very best prostate surgeons specialize in the prostate. Thats often all they do, and they do a lot of prostatectomies every year. Do your diligence to find the right surgeon?
Is Taking The Help Of Hospital Which Uses Robotic Surgeons For Prostate Cancer Safe
Yes, it is safe to have your surgery from a hospital that uses robotic prostate cancer surgeons. The reason is that robots or robotic surgeons are controlled by specialized doctors who know how to use it.
And also, it could be beneficial for you if you visit the type of advanced hospital because if prostate cancer surgeries are done with the help of technologies, there will be no chance of mistake. Also, the surgery will take less time, and you can also go home soon.
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Open Or Laparoscopic Radical Prostatectomy
In the more traditional approach to prostatectomy, called anopen prostatectomy, the surgeon operates through a single long skin incision to remove the prostate and nearby tissues. This type of surgery is done less often than in the past.
In a laparoscopic prostatectomy, the surgeon makes several smaller incisions and uses special long surgical tools to remove the prostate. The surgeon either holds the tools directly, or uses a control panel to precisely move robotic arms that hold the tools. This approach to prostatectomy has become more common in recent years. If done by experienced surgeons, the laparoscopic radical prostatectomy can give results similar to the open approach.
Experience Still Matters With Robotic
A surgeon may have to perform well over a thousand robotic-assisted prostate cancer surgeries before becoming fully proficient at the procedure. Previous studies of robotic-assisted prostate surgery have suggested that it doesnt take long for surgeons to learn how to perform the procedure safely.
To assess the number of robotic-assisted prostate surgeries that a surgeon must perform before becoming fully proficient, researchers assessed 3,794 patients who were treated by one of three surgeons.
A key outcome that was considered in the study was the rate of positive surgical margins. A positive surgical margin means that cancer is found at the edge of the tissue that was removed during surgery it may be a sign that not all of the cancer was removed.
- The rate of positive surgical margins declined as surgeons gained experience. The lowest rates of positive surgical margins came after a surgeon had performed more than 1,600 robotic-assisted prostate surgeries.6
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The Initial Causes Best Robotic Surgeons For Prostate Cancer
One of the first symptoms of prostate issues is pain or tenderness in the groin or lower back. This can be the result of a noncancerous condition called enlarged prostatic tissue, or it could be an infection of the bladder. In either case, its important to see a doctor as soon as possible. If youre suffering from prostate pain, you may want to consider reducing your caffeine intake.
Another symptom of a potentially enlarged prostate is difficulty starting a stream of urine, leaking, or dribbling. These symptoms are not serious, but theyre still alarming. Most men put up with an enlarged prostate for years before seeking medical attention, but they typically seek treatment as soon as they notice symptoms. Even if you dont have symptoms, its worth getting checked to determine if you have any prostate issues.
If you experience nightly bathroom runs, you may be experiencing an enlarged prostate. You may be having difficulty starting a stream of urine, or you may even be dribbling or leaking during the day. These problems arent life-threatening, but can become a nuisance. You should not ignore these signs and seek treatment as soon as you notice them. If you feel any of these symptoms, you should consult a doctor.
Day Of Surgery Medications
You may take all your normal medications with a sip of water, except oral diabetic medication, ACE inhibitors and diuretics such as hydrochlorothiazide . Call our office if you have any questions about your medications. Due to COVID-19 restrictions we encourage you to contact our hospital concierge for the latest visitor guidelines by calling .
On the day of your surgery, you may use valet parking or park in one of the lots in front of the building. Your procedure will take place at AdventHealth Celebration, located at 400 Celebration Place, Celebration, Florida 34747. You will need to report to the hospital main entrance. Our concierge will meet you in the front lobby of the hospital to escort you to the surgery area and walk you through the process.
After your surgery is completed, Dr. Patel will call your family and give them an update on your status.
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How To Choose The Best Robotic Da Vinci Prostatectomy Doctors In The World
The specialists CV contains details about doctors expertise and work experience, education, scientific research, and languages spoken. Compare information on several specialists, read carefully about their experience, success rates and methods they apply. Make sure the chosen doctor has a relevant experience in the treatment of a medical issue you are looking for. Read reviews of patients who had a consultation with the chosen specialist.
Famous Robotic da Vinci prostatectomy doctors have vast experience, continue education constantly, participate in professional associations and have positive feedback from patients treated.
Robotic Prostate Surgery Expertise
Dr. Samadi completed his post-graduate training in general surgery at Montefiore Medical Center and in urology at Albert Einstein School of Medicine and Montefiore Medical Center. He went on to do an oncology fellowship in urology at Memorial Sloan Kettering Cancer Center and a robotic prostatectomy fellowship at Henri Mondor Hospital Creteil in France, under the mentorship of Professor Claude Abbou.
Dr. David Samadi is a member of the American Urologic Association and the American Medical Association.
Dr. David Samadi frequently presents his clinical research at medical conferences as a subject matter expert nationally and internationally. His dedication to prostate cancer patients around the globe is evidenced in his travels and this website, which is regarded as a global source for prostate cancer expertise, translated into six different languages.
Dr. Samadi is the leader in this field and delivers top results to his patients, with the help of the da Vinci surgical robot by Intuitive Surgical. He has operated on many celebrities, including Roy Emerson, Hall of Fame Tennis Pro. Dr. Samadis appearances on FOX News as an expert medical contributor have gained him a status as one of the most famous urologists, but his skills and dedication to his patients are the leading factors that attest to his capacities. He has been interviewed and featured in many leading publications, such as Forbes and New York Magazine.
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Recognized As One Of The Best Robotic Prostate Cancer Surgeons In The World Serving Canada
Dr. Razdan has thousands of satisfied patients from Canada. He is one of the elite few surgeons in the United States who are trained in high-tech robotic and laser surgery. Dr. Razdan has presented at many medical seminars nationally and internationally and has received multiple awards. Additionally, he is the Professor and Chairman of the International Robotic Prostatectomy Institute, a globally recognized state of the art facility, dedicated exclusively to prostate cancer treatment. He is also the Director of Robotic Urology at MiVIP Centers of Miami. Dr. Razdan is the former Director of the Urology Center of Excellence and the former Chairman of the Department of Surgery at Jackson South Hospital in Miami. Dr. Razdan is certified by The American Board of Urology and the Endourology Society.Helping Prostate Cancer patients from Canada to achieve Earlier Return of Sexual Function & Urinary Control! The worlds first prospective randomized study using human amniotic membrane in post robotic radical prostatectomy patients was successfully completed at the International Robotic Prostatectomy Institute in Miami with the last patient enrolled in November, 2013.
Transurethral Resection Of The Prostate
This operation is more often used to treat men with non-cancerous enlargement of the prostate called benign prostatic hyperplasia . But it is also sometimes used in men with advanced prostate cancer to help relieve symptoms, such as trouble urinating.
During this operation, the surgeon removes the inner part of the prostate gland that surrounds the urethra . The skin is not cut with this surgery. An instrument called a resectoscope is passed through the tip of the penis into the urethra to the level of the prostate. Once it is in place, either electricity is passed through a wire to heat it or a laser is used to cut or vaporize the tissue. Spinal anesthesia or general anesthesia is used.
The operation usually takes about an hour. After surgery, a catheter is inserted through the penis and into the bladder. It remains in place for about a day to help urine drain while the prostate heals. You can usually leave the hospital after 1 to 2 days and return to normal activities in 1 to 2 weeks.
You will probably have some blood in your urine after surgery.
Other possible side effects from TURP include infection and any risks that come with the type of anesthesia used.
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Benefits Of Using Robotic Surgeons For Prostate Cancer
Robotic prostate cancer surgeon help is taken nowadays in the hospital. There are many reasons for it. One of the most significant and common reasons is that it provides the people with a lot of benefits during the surgery, which is helpful. Here are some benefits among them-
With the help of robotic surgery for prostate cancer, the doctor will take significantly fewer days for the accomplishment of your surgery. It means that you can go back to your home sooner.
If your surgery is done by taking the help of robotic surgeons, you will have less blood loss and also less transfusion.
One of the most significant benefits that you can enjoy by taking the help of doctors who uses robotic surgeons for prostate cancer is that you will have smaller incisions as well as less scarring during the surgery.
The robotic surgery for prostate cancer allows you to have improved cancer control as well as promises you to have a faster return to the convenience and the potency.
If the doctor uses the robotic surgeons, they will be able to have more successful treatments or surgeries than before and can more patent life.
The Columbia Robotic Surgery Team
Assistant Professor of Urology, Columbia University Irving Medical Center
Herbert and Florence Irving Professor of Urology
Emeritus Chair, Department of Urology
John K. Lattimer Professor of Urology
Director, Urologic Oncology, Columbia University Irving Medical Center
Chair, Department of Urology, Columbia University Irving Medical Center
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Does Robotic Surgery Improve Outcomes
Among men who undergo radical prostatectomy for the treatment of early-stage prostate cancer, robotic-assisted laparoscopic surgery may not result in better urinary or sexual function than traditional, open surgery.
Prostatectomy may be performed using traditional open surgery, in which the surgeon makes a single, long incision, or through a laparoscopic procedure , in which several small incisions are made. During laparoscopy, the surgeon inserts a small video camera through one of the incisions in order to see inside the abdomen. In a variant of laparoscopic surgery known as robotic-assisted laparoscopic surgery, the surgeon sits at a console near the operating table and performs the surgery by controlling robotic arms that hold the surgical instruments.
Use of robotic-assisted prostatectomy has increased rapidly in the United States. To compare the two procedures produces researchers evaluated Medicare claims data and surveyed men who had undergone a prostatectomy. Completed surveys were obtained from 406 men who had undergone robotic-assisted prostatectomy and 220 men who had undergone open surgery.
- Overall, 31% of the men reported moderate or big problems with incontinence, and 88% of the men reported moderate or big problems with sexual function.
- The frequency of sexual problems and incontinence did not vary significantly by type of surgery.
What Are The Benefits To Patients Who Have Laparoscopic And Robotic Prostate Cancer Surgery
The benefits are similar between robotic and laparoscopic prostate surgery. Patients are usually able to go home the day after prostate surgery, and can return to daily living activities as early as 7-10 days after surgery. Patients undergoing open surgery generally have 4-6 weeks before they can resume routine daily living activities, generally experience less post-operative pain and discomfort and have a faster recovery. They also experience significantly less intraoperative bleeding. Robotic and laparoscopic prostatectomy uses small incisions and is highly precise the risk of incontinence is low and the surgical technique is continuously refined to improve potency.
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Will I Need Further Treatment Such As Radiation Or Chemotherapy Following Surgery
For patients with organ confined prostate cancer that has not spread beyond the prostate capsule or into the lymph nodes or seminal vesicles, prognosis remains excellent as most are cured with surgery alone. In cases where more invasive or metastatic disease is found, additional treatments including radiation and hormonal therapy may be required. There are clinical trials with chemotherapy and vaccine therapy that are available at our institution for cases of metastatic prostate cancer that are refractory to conventional treatments. These would be administrated under advisement of a medical oncologist.
Top Prostate Cancer Surgeon
Dr. Razdan is considered by many as one of the Most Experienced Robotic Prostate Cancer Surgeons in the Worldwith over 8,500 procedures performed to date. He is considered a Pioneering Researcher and Surgeon on Prostate Cancer and has some of the best Robotic Surgery Outcomes in the world. Patients travel from all around the world to Miami to have Prostate Cancer Surgery with Dr. Razdan. From CEO’s of large corporations, celebrities, government officials and even other surgeons entrust Dr. Razdan and his unique set of skills and incredible outcomes. He was the First Surgeon in the World to USE HUMAN AMNIOTIC MEMBRANE for EARLY RETURN of ERECTILE FUNCTION after robotic prostate surgery. He founded and pioneered the technique of MAXIMAL URETHRAL LENGTH PRESERVATION for EARLY RETURN OF URINARY CONTINENCE after robotic prostate surgery which was also published Patients travel to Dr. Razdan for his leading outcomes in terms of Cancer Control, Urinary Continence and Erectile FunctionMost patients have full urinary control often within days of surgery and almost 98% are continent by 6 monthsMajority of patients have erections sufficient for sexual activity by 6 months
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