Precise, Minimally Invasive Prostate Cancer Removal

Size: px
Start display at page:

Download "Precise, Minimally Invasive Prostate Cancer Removal"

Transcription

1 Precise, Minimally Invasive Prostate Cancer Removal Learn why da Vinci Surgery may be your best treatment option 1 Beyond Minimally Invasive For Prostate Cancer 1

2 Facing Prostate Cancer Prostate cancer is among the most common cancers diagnosed in men. In the US, one in six men will be diagnosed in their lifetimes. 1 While no one will say that facing prostate cancer is easy, the good news is that with increased awareness and screening, more men are diagnosed early. Thus, most cancers are diagnosed while still localized. Treatment Options for Prostate Cancer When prostate cancer is believed to be localized, there are five common treatment options available to a patient: 1. Surgery to remove the cancerous prostate (radical prostatectomy) 2. Radiation of the cancerous prostate, through either external radiation or radioactive seed implants (radiation therapy or brachytherapy, respectively) 3. Freezing of the cancerous prostate (cryotherapy) 4. Hormonal therapy, which is non-curative and often done in conjunction with radiation therapy or cryotherapy 5. Observation (watchful waiting) Patients should discuss the advantages and disadvantages of each treatment approach with their doctor. For localized prostate cancer, radical prostatectomy has traditionally been considered the definitive way to treat the cancer, by removing it. 2 This guide was designed to provide patients with information on the surgical treatment of prostate cancer, which can be performed in a very precise, minimally invasive manner using the da Vinci Surgical System. 1

3 Surgery: The Definitive Treatment for Prostate Cancer Because the entire prostate gland is removed with radical prostatectomy, the major potential benefit of this procedure is a cancer cure in patients in whom the prostate cancer is truly localized American Urological Association Clinical Guidelines It is estimated that 91% of the prostate cancers diagnosed in the US are clinically localized, 2 which means that most men are potential candidates for cancer removal. Choosing Surgery: Patient Perspectives James Porter, MD da Vinci Surgeon and da Vinci Prostatectomy patient We often see a lot more cancer in the prostate than we would have predicted based on the biopsy. I knew with surgery that I was going to get the final word with regard to how much cancer I had... I guess you could call it the need to know. Donald Sosin da Vinci Prostatectomy patient You have a chance with this kind of surgery to get rid of the cancer... If I had to do it again, I would do it again except sooner. Visit for more perspectives on why patients chose da Vinci Surgery to treat their prostate cancer. 2

4 Surgery: Confidence in Knowing Your Status Removing the cancerous prostate lets your doctor see the extent and nature of the cancer. This step can be critical: In clinical studies, up to 35% of tumors are undergraded; in other words, they are more aggressive than the pre-surgery assessment and biopsy results indicated. 3 Margin status refers to whether or not there is cancer present at the very edge (the margin) of the removed prostate gland. A negative margin means that all edges of the prostate are free from cancer cells. A negative margin is a good indicator that all of the cancer has been removed. Surgery: Preserving Your Options Choosing surgery over radiation can make it easier for your doctor to detect a cancer recurrence, through careful PSA* monitoring, after a radical prostatectomy than after radiation therapy. 4 It can also help preserve your radiation treatment options if your cancer returns. After radiation therapy, there may be damage to the tissue surrounding the prostate. If you have tissue damage, nerve-sparing surgery may no longer be an option should your cancer recur. However, radiation usually remains an option for patients who have had surgery to treat their prostate cancer. 5 *PSA= Prostate-Specific Antigen, a protein that may indicate the presence of cancer. 3

5 Long-Term Survival and Localized Prostate Cancer With any cancer treatment, the first priority is survival. Several large studies suggest that there is a greater chance of long-term survival for patients undergoing surgery over other potential treatments. 15-Year Relative Risk of Death Lower with Radical Prostatectomy than with Radiation Cancer Specific Mortality Overall Mortality 40% 38% A study of 3,159 patients found that 15 years after treatment, those who had undergone radical prostatectomy had a 40% lower risk of death from prostate cancer than radiation patients. 6 4

6 Cancer Survival Comparison of Multiple Treatment Methods 1.0 Cumulative Survival, % Prostatectomy Watchful waiting Radiotherapy Other therapy Hormone therapy No. of Years After Diagnosis In a study of 844 patients with localized prostate cancer, the patients who had undergone prostatectomy showed a higher prostate cancer survival rate than men choosing other treatments. 7 5

7 Precision with da Vinci Surgery The da Vinci System provides your doctor with several clinical advantages that can allow him or her to perform a more precise surgery: Precision The da Vinci System s tiny wristed instruments have an even greater range of motion than the human hand. da Vinci seamlessly filters any tremors from your surgeon s hands and scales his or her motions, translating them into more precise movements of the instrument tips. da Vinci Surgical System instruments are approximately the diameter of a pencil. Vision High-definition 3D vision and 10x magnification enable your doctor to see both the cancer and healthy tissues and blood vessels at a level of detail far beyond what is possible with open surgery or conventional laparoscopic surgery. Control The da Vinci System s Intuitive Motion provides control through an interface that allows your doctor to use natural movements similar to traditional surgery

8 Precision Matters: Cancer Control Bladder Rectum Urethra Prostate The prostate gland is attached to nerves, the rectum and the bladder. The goal of nerve-sparing surgery is to maximize preservation of important nerves, blood vessels and structures that control urinary continence and sexual function, without compromising cancer control. In Prostate Cancer Treatment, Precision Matters In prostate cancer treatment, millimeters matter. Nerve fibers and blood vessels are attached to the prostate gland. To spare these nerves, they must be delicately separated from the prostate before its removal. In comparison, radiation beam treatment can vary by several millimeters. In one study of newer radiation beam therapy the average variation of the beam target was 3mm between sessions. 8 This variation can cause different amounts of radiation energy to be delivered to the edges of the prostate where the nerves are located. 7

9 Precision Matters: Cancer Control Surgeons use the precision, vision and control provided by the da Vinci System to assist them in removal of the cancerous prostate while preserving important nerves and blood vessels. In several large published studies, da Vinci Prostatectomy has shown equal or lower rates of positive surgical margins (the measurement of cancer cells left behind) than large studies of other forms of surgery. Effective Cancer Control Shown with da Vinci Surgery (T2 positive margins) 4.5% %11 4.8% % 9 Study 1 Study 2 Study 3 Study 4 Cancer control is variable and based on each patient s specific cancer type. Surgeon experience is also an important factor. Talk to your doctor about what your individual expectations should be regarding cancer control. Please visit for more cancer control data. 8

10 Precision Matters: Urinary Symptoms Studies have shown that patients who have undergone da Vinci Prostatectomy may experience a faster return of urinary continence following their surgery, compared with other surgical patients. Surgery patients also report lower rates of urinary pain than radiation (brachytherapy) patients. Speed of Return to Urinary Continence 89.8% 13 95% 13 80% 14 77% 15 54% 14 62% 15 3 Months 6 Months da Vinci Prostatectomy Open Surgery Laparoscopic Surgery Increased Urinary Pain 63.7% % 16 19% 16 Surgery Radiation 2% 16 2 Months 24 Months 9

11 Precision Matters: Sexual Function The prostate is surrounded by a delicate layer of nerves that support erectile function. Many patients are candidates for a nerve-sparing prostatectomy, where the prostate gland is removed but the surgeon maximizes preservation of these nerves. Return of sexual function at one year 79% 17 81% 18 87% 19 96% 20 Study 1 Study 2 Study 3 Study 4 Several studies have shown that patients potent prior to surgery have experienced a high level of recovery of sexual function (defined as an erection sufficient for intercourse) within a year following da Vinci Surgery. Talk to your surgeon about reasonable expectations for recovery of sexual function and ask about a rehabilitation program that may include exercises and drug therapy. Radiation and Sexual Function Radiation can cause long-term damage to the nerves and important structures involved in sexual function. Many patients undergoing brachytherapy or external beam radiation treatment develop erectile dysfunction (as many as 50% in several studies.) 21, 22 Many radiation patients 10 are also placed on hormone therapy, which can have an immediate negative impact on sexual function

12 da Vinci: Get Back to Your Life As a minimally invasive treatment, da Vinci Surgery for prostate cancer offers numerous potential benefits compared to traditional open surgery. Using da Vinci, surgeons operate through tiny 5-12mm incisions which is roughly the diameter of a pencil. Potential benefits include: Shorter hospital stay 24 Significantly less pain 25 Less blood loss and fewer transfusions 26 Less scarring Faster return to normal activities 27 Open Surgical Incision da Vinci Prostatectomy Incision Learn more at 11

13 da Vinci Surgery: Beyond Minimally Invasive Surgery With the added precision, vision and control provided by the da Vinci System, your surgeon can offer you the gold standard treatment surgery with all the potential benefits of a minimally invasive procedure. da Vinci Surgery provides a minimally invasive approach while preserving the potential outcome benefits of traditional open surgery. Its exceptional precision can provide you with effective cancer removal, as well as a better chance of preserving delicate nerve structures responsible for sexual function and urinary continence, as compared with traditional surgery or radiation. In summary, da Vinci Surgery can help to put cancer behind you so you can get back to your life as quickly as possible. Important Considerations with da Vinci Prostatectomy While clinical studies support the use of the da Vinci Surgical System as an effective tool for minimally invasive surgery, individual results may vary. da Vinci Prostatectomy is a surgical procedure, and all surgery carries inherent risks. Though data suggests that da Vinci Surgery can provide excellent cancer control, faster return to sexual function and to urinary continence as compared with other treatment options, all prostate cancer treatments, including surgery, can increase risk of incontinence and/or urinary symptoms and impotence. Additionally, there is no guarantee of the benefits described for every patient. For example, some individuals may not be candidates for a full nerve-sparing procedure due to the extent of their cancer. And as with any surgical treatment, results of da Vinci Surgery are in part surgeon-dependent and can improve significantly with surgeon experience

14 Clinical References 1 2 Prostate cancer clinical guideline update panel. Guideline for the management of clinically localized prostate cancer: 2007 update. Linthicum (MD): American Urological Association Education and Research, Inc. 2007; King CR, Patterns of prostate cancer biopsy grading: trends and clinical implications. Int J. Cancer (Radiat. Oncol. Invest.) 2000; 90, Di Blasio, C. J., A. C. Rhee, et al. Predicting clinical end points: treatment nomograms in prostate cancer. Semin Oncol. 2005; 30(5): Carlucci JR, Nabizada-Pace F, Samadi DB. Organ-confined prostate cancer and the emergence of robotic prostatectomy: What primary care physicians and geriatricians need to know. Geriatrics. 2009; 64(2): Tewari A, Raman JD, Chang P, Rao S, Divine G, Menon M. Long-term survival probability in men with clinically localized prostate cancer treated either conservatively or with definitive treatment (radiotherapy or radical prostatectomy). Urology Dec; 68(6): Merglen A, et al. Short- and long-term mortality with localized prostate cancer. Arch Intern Med 2007; 167: Boda-Heggemann J, Kohler FM, Wertz H, et al. Intrafraction motion of the prostate during an IMRT session: a fiducial-based 3D measurement with Cone-beam CT. Radiat Oncol Nov 5; 3(1):37. 9 Patel VR, Thaly R, Shah K. Robotic radical prostatectomy: outcomes of 500 cases. BJU Int May; 99(5): Ahlering TE, Woo D, Eichel L, Lee DI, Edwards R, Skarecky DW. Robot-assisted versus open radical prostatectomy: a comparison of one surgeon s outcomes. Urology May; 63(5): Kaul, S, A Savera, K Badani, M Fumo, A Bhandari, M Menon. Functional outcomes and oncological efficacy of Vattikuti Institute prostatectomy with Veil of Aphrodite nerve-sparing: an analysis of 154 consecutive patients. BJU Int. 2006; 97: Tewari et al. Total reconstruction of the vesico-urethral junction, BJU international. 2008; 101, Patel VR, Thaly R, Shah K. Robotic radical prostatectomy: outcomes of 500 cases. BJU Int May; 99(5): Walsh PC. Patient-reported urinary continence and sexual function after anatomic radical prostatectomy. J Urol Jul; 164(1):242, Goeman L., Salomon L., La De Taille A, et al. Long-term functional and oncological results after retroperitoneal laparoscopic prostatectomy according to a prospective evaluation of 550 patients. World J Urol. 2006; 24, Buron C, Le Vu B, et al. Brachytherapy versus prostatectomy in localized prostate cancer: Results of a French multicenter prospective medico-economic study. Int J Radiat Oncol Biol Phys. 2007; 67(3): Badani KK, Kaul S, Menon M. Evolution of robotic radical prostatectomy: assessment after 2766 procedures. Cancer Sep; 24;110(9): Mottrie A, Van MP, De NG, Schatteman P, Carpentier P, et al. Robot-assisted laparoscopic radical prostatectomy: oncologic and functional results of 184 cases. Eur Urol. 2007; 52: Mikhail A, et al. Robotic-assisted laparoscopic prostatectomy in overweight and obese patients. Urology. 2006; 67(4): Kaul S, Savera A, Badani K, Fumo M, Bhandari A, Menon M. Functional outcomes and oncological efficacy of Vattikuti Institute prostatectomy with Veil of Aphrodite nerve-sparing: an analysis of 154 consecutive patients. BJU Int. 2006; 97: Zelefsky M, Chan H, Hunt M, Yamada Y, Shippy A, Amols H. Long-term outcome of high dose intensity modulated radiation therapy for patients with clinically localized prostate cancer. journal of urology.2006; 176 (4): Merrick G. Erectile function after prostate brachytherapy. Int J Radiat Oncol Biol Phys Jun; 62(2): Sharifi N, Gulley J, and Dahut W. Androgen deprivation therapy for prostate cancer. JAMA Jul; 294(2): Ahlering TE, Woo D, Eichel L, Lee DI, Edwards R, Skarecky DW. Robot-assisted versus open radical prostatectomy: a comparison of one surgeon s outcomes. Urology May;63(5): Menon M, Tewari A, Baize B, Guillonneau B, Vallancien G. Prospective comparison of radical retropubic prostatectomy and robot-assisted anatomic prostatectomy: the Vattikuti Urology Institute experience. J Urol Jul;170(1): Boris RS, Kaul SA, Sarle RC, Stricker HJ. Radical prostatectomy: a single surgeon comparison of retropubic, perineal, and robotic approaches. Can J Urol Jun;14(3): Miller J, Smith A, Kouba E, Wallin E, Pruthi R. Prospective evaluation of short-term impact and recovery of health-related quality of life in men undergoing robotic-assisted laparoscopic radical prostatectomy versus open radical prostatectomy. J Urol Jul; 178 (3 pt 1): While clinical studies support the effectiveness of the da Vinci System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits Intuitive Surgical. All rights reserved. Intuitive, Intuitive Surgical, da Vinci, da Vinci S and EndoWrist are trademarks or registered trademarks of Intuitive Surgical. PN Rev. B 5/09 13

15 14

16 For more information about da Vinci Prostate Cancer Surgery visit: 15

Precise, Minimally Invasive Prostate Cancer Removal

Precise, Minimally Invasive Prostate Cancer Removal Precise, Minimally Invasive Prostate Cancer Removal Why da Vinci Surgery may be your best treatment option 1 Beyond Minimally Invasive For Prostate Cancer 1 Facing Prostate Cancer Prostate cancer is the

More information

da Vinci Prostatectomy Information Guide (Robotically-Assisted Radical Prostatectomy)

da Vinci Prostatectomy Information Guide (Robotically-Assisted Radical Prostatectomy) da Vinci Prostatectomy Information Guide (Robotically-Assisted Radical Prostatectomy) Prostate Cancer Overview Prostate cancer is a disease in which malignant (cancer) cells form in the tissues of the

More information

Facing Prostate Cancer Surgery? Learn about minimally invasive da Vinci Surgery

Facing Prostate Cancer Surgery? Learn about minimally invasive da Vinci Surgery Facing Prostate Cancer Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Prostate Cancer Your prostate is a walnut-sized gland that is part of the male reproductive system. The prostate

More information

Prostate Cancer Treatment Comparison

Prostate Cancer Treatment Comparison Prostate Cancer Treatment Comparison Treatment Comparative Data Outcome Comparison: Surgery vs. Radiotherapy Outcome Radical Prostatectomy* Radiation** Survival duration compared to conservative disease

More information

Prostate Cancer Treatment Comparison

Prostate Cancer Treatment Comparison Prostate Cancer Treatment Comparison Treatment Comparative Data Outcome Comparison: Surgery vs. Radiotherapy Outcome Radical Prostatectomy* Radiation** Survival duration compared to conservative disease

More information

da Vinci Prostatectomy (Robotically Assisted Radical Prostatectomy)

da Vinci Prostatectomy (Robotically Assisted Radical Prostatectomy) Peninsula Urology Center, Inc. Dieter Bruno, M.D, F.A.C.S Chris Threat, M.D. 3351 El Camino. Real, Suite 101 Atherton, CA 94027 (650) 306-1016 dbrunomd@pucenter.com http://www.pucenter.com/ da Vinci Prostatectomy

More information

East Lancashire Surgical Robot

East Lancashire Surgical Robot East Lancashire Surgical Robot For ALL patients in Lancashire Prostate cancer claims the life of one man every hour and by 2030 will be the most common cancer; it is already the most common male cancer.

More information

Robotic Radical Prostatectomy: What s s the Advantage? Matthew T. Gettman, M.D. Associate Professor Department of Urology

Robotic Radical Prostatectomy: What s s the Advantage? Matthew T. Gettman, M.D. Associate Professor Department of Urology Robotic Radical Prostatectomy: What s s the Advantage? Matthew T. Gettman, M.D. Associate Professor Department of Urology Prostate Cancer Epidemiology: 2009 Estimated new cases: 230,000 Estimated deaths:

More information

PROSTATE CANCER. Get the facts, know your options. Samay Jain, MD, Assistant Professor,The University of Toledo Chief, Division of Urologic Oncology

PROSTATE CANCER. Get the facts, know your options. Samay Jain, MD, Assistant Professor,The University of Toledo Chief, Division of Urologic Oncology PROSTATE CANCER Get the facts, know your options Samay Jain, MD, Assistant Professor,The University of Toledo Chief, Division of Urologic Oncology i What is the Prostate? Unfortunately, you have prostate

More information

Thomas A. Kollmorgen, M.D. Oregon Urology Institute

Thomas A. Kollmorgen, M.D. Oregon Urology Institute Thomas A. Kollmorgen, M.D. Oregon Urology Institute None 240,000 new diagnosis per year, and an estimated 28,100 deaths (2012) 2 nd leading cause of death from cancer in U.S.A. Approximately 1 in 6 men

More information

PSA Screening for Prostate Cancer Information for Care Providers

PSA Screening for Prostate Cancer Information for Care Providers All men should know they are having a PSA test and be informed of the implications prior to testing. This booklet was created to help primary care providers offer men information about the risks and benefits

More information

Radical Prostatectomy

Radical Prostatectomy Radical Prostatectomy Table of Contents Surgery Overview What To Expect After Surgery Why It Is Done How Well It Works Risks What To Think About References Credits Surgery Overview A radical prostatectomy

More information

Proton Therapy for Prostate Cancer: Your Questions, Our Answers.

Proton Therapy for Prostate Cancer: Your Questions, Our Answers. Proton Therapy for Prostate Cancer: Your Questions, Our Answers. When you re looking for the right treatment for your prostate cancer, nothing s more important than accurate information. Read on, and learn

More information

These rare variants often act aggressively and may respond differently to therapy than the more common prostate adenocarcinoma.

These rare variants often act aggressively and may respond differently to therapy than the more common prostate adenocarcinoma. Prostate Cancer OVERVIEW Prostate cancer is the second most common cancer diagnosed among American men, accounting for nearly 200,000 new cancer cases in the United States each year. Greater than 65% of

More information

Prostate Cancer Guide. A resource to help answer your questions about prostate cancer

Prostate Cancer Guide. A resource to help answer your questions about prostate cancer Prostate Cancer Guide A resource to help answer your questions about prostate cancer Thank you for downloading this guide to prostate cancer treatment. We know that all the information provided online

More information

Management of Localized Prostate Cancer. Treatment Options

Management of Localized Prostate Cancer. Treatment Options Management of Localized Prostate Cancer Surgery James A. Eastham, MD Chief, Urology Service Memorial lsloan Kettering Cancer Center Treatment Options 1. Active surveillance/watchful waiting 2. Focal therapy

More information

Prostate Cancer Action Plan: Choosing the treatment that s right for you

Prostate Cancer Action Plan: Choosing the treatment that s right for you Prostate Cancer Action Plan: Choosing the treatment that s right for you Segment 1: Introduction Trust me, there's a better way to choose a treatment for your prostate cancer. Watching this program is

More information

A Woman s Guide to Prostate Cancer Treatment

A Woman s Guide to Prostate Cancer Treatment A Woman s Guide to Prostate Cancer Treatment Supporting the man in your life Providing prostate cancer support and resources for women and families WOMEN AGAINST PROSTATE CANCER A Woman s Guide to Prostate

More information

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery The Condition: Early Stage Gynecologic Cancer A variety of gynecologic

More information

Prostate Cancer. What is prostate cancer?

Prostate Cancer. What is prostate cancer? Scan for mobile link. Prostate Cancer Prostate cancer is a tumor of the prostate gland, which is located in front of the rectum and below the bladder. Your doctor may perform a physical exam, prostate-specific

More information

Treating Prostate Cancer

Treating Prostate Cancer Treating Prostate Cancer A Guide for Men With Localized Prostate Cancer Most men have time to learn about all the options for treating their prostate cancer. You have time to talk with your family and

More information

Summary of Harms from Screening and Treatment for Prostate Cancer

Summary of Harms from Screening and Treatment for Prostate Cancer DRAFT: Advice from Dr John Childs MoH advisor Summary of Harms from Screening and Treatment for Prostate Cancer There are minimal risks directly attributable to PSA testing or transrectal ultrasound (TRUS)

More information

Questions to ask my doctor: About prostate cancer

Questions to ask my doctor: About prostate cancer Questions to ask my doctor: About prostate cancer Being diagnosed with prostate cancer can be scary and stressful. You probably have a lot of questions and concerns. Learning about the disease, how it

More information

Prostate Cancer. Treatments as unique as you are

Prostate Cancer. Treatments as unique as you are Prostate Cancer Treatments as unique as you are UCLA Prostate Cancer Program Prostate cancer is the second most common cancer among men. The UCLA Prostate Cancer Program brings together the elements essential

More information

Facing Kidney Surgery? Learn about minimally invasive da Vinci Surgery

Facing Kidney Surgery? Learn about minimally invasive da Vinci Surgery Facing Kidney Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Kidney Cancer Your kidneys are two, fist-sized organs located behind the abdomen on each side of your spine. Kidneys

More information

The prostate and kidney cancer specialists. Robot-assisted surgery for prostate and kidney cancer

The prostate and kidney cancer specialists. Robot-assisted surgery for prostate and kidney cancer The prostate and kidney cancer specialists Robot-assisted surgery for prostate and kidney cancer ROBOT-ASSISTED SURGERY AT HARLEY STREET UROLOGY Mr Marc Laniado, Consultant Urologist Robot-assisted prostatectomy,

More information

855-DRSAMADI or 212-241-8779

855-DRSAMADI or 212-241-8779 SMART SURGERY NEWS MARCH 2013 Dr. David Samadi 855-DRSAMADI or 212-241-8779 YOUR PROSTATE CANCER NEWS PREVENTION DIAGNOSIS TREATMENT LIFE AFTER PROSTATE CANCER PREVENTION Prostate Cancer Need-to-Knows

More information

Roswell Park scientists and clinicians:

Roswell Park scientists and clinicians: The Prostate Cancer Center at Roswell Park Connects You to Nationally Recognized Experts for State-of-the-Art Treatment Options and Compassionate, Evidence-based Care Founded in 1898, Roswell Park Cancer

More information

FAQ About Prostate Cancer Treatment and SpaceOAR System

FAQ About Prostate Cancer Treatment and SpaceOAR System FAQ About Prostate Cancer Treatment and SpaceOAR System P. 4 Prostate Cancer Background SpaceOAR Frequently Asked Questions (FAQ) 1. What is prostate cancer? The vast majority of prostate cancers develop

More information

7. Prostate cancer in PSA relapse

7. Prostate cancer in PSA relapse 7. Prostate cancer in PSA relapse A patient with prostate cancer in PSA relapse is one who, having received a primary treatment with intent to cure, has a raised PSA (prostate-specific antigen) level defined

More information

Chapter 3. Treatment Options

Chapter 3. Treatment Options Chapter 3. Treatment Options With contributions from Nancy L. Brown, Ph.D., Palo Alto Medical Foundation Research Institute; Patrick Swift, M.D., Alta Bates Comprehensive Cancer Program; D. Jeffrey Demanes,

More information

Questions to Ask My Doctor About Prostate Cancer

Questions to Ask My Doctor About Prostate Cancer Questions to Ask My Doctor Being told you have prostate cancer can be scary and stressful. You probably have a lot of questions and concerns. Learning about the disease, how it s treated, and how this

More information

An Introduction to PROSTATE CANCER

An Introduction to PROSTATE CANCER An Introduction to PROSTATE CANCER Being diagnosed with prostate cancer can be a life-altering experience. It requires making some very difficult decisions about treatments that can affect not only the

More information

Oncology Annual Report: Prostate Cancer 2005 Update By: John Konefal, MD, Radiation Oncology

Oncology Annual Report: Prostate Cancer 2005 Update By: John Konefal, MD, Radiation Oncology Oncology Annual Report: Prostate Cancer 25 Update By: John Konefal, MD, Radiation Oncology Prostate cancer is the most common cancer in men, with 232,9 new cases projected to be diagnosed in the U.S. in

More information

Prostate Cancer Treatment: What s Best for You?

Prostate Cancer Treatment: What s Best for You? Prostate Cancer Treatment: What s Best for You? Prostate Cancer: Radiation Therapy Approaches I. Choices There is really a variety of options in prostate cancer management overall and in radiation therapy.

More information

Steward Robotics Surgery Services at St. Elizabeth s Medical Center: Quality Outcomes

Steward Robotics Surgery Services at St. Elizabeth s Medical Center: Quality Outcomes Steward Health Forum Steward Robotics Surgery Services at St. Elizabeth s Medical Center: Quality Outcomes Steward Health Care System, LLC Published: June 2013 736 Cambridge Street, Brighton, MA 02135

More information

Therapies for Prostate Cancer and Treatment Selection

Therapies for Prostate Cancer and Treatment Selection Prostatic Diseases Therapies for Prostate Cancer and Treatment Selection JMAJ 47(12): 555 560, 2004 Yoichi ARAI Professor and Chairman, Department of Urology, Tohoku University Graduate School of Medicine

More information

HEALTH NEWS PROSTATE CANCER THE PROSTATE

HEALTH NEWS PROSTATE CANCER THE PROSTATE HEALTH NEWS PROSTATE CANCER THE PROSTATE Prostate comes from the Greek meaning to stand in front of ; this is very different than prostrate which means to lie down flat. The prostate is a walnut-sized

More information

Early Prostate Cancer: Questions and Answers. Key Points

Early Prostate Cancer: Questions and Answers. Key Points CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Early Prostate Cancer:

More information

Bard: Prostate Cancer Treatment. Bard: Pelvic Organ Prolapse. Prostate Cancer. An overview of. Treatment. Prolapse. Information and Answers

Bard: Prostate Cancer Treatment. Bard: Pelvic Organ Prolapse. Prostate Cancer. An overview of. Treatment. Prolapse. Information and Answers Bard: Prostate Cancer Treatment Bard: Pelvic Organ Prolapse Prostate Cancer An overview of Pelvic Treatment Organ Prolapse Information and Answers A Brief Overview Prostate Anatomy The prostate gland,

More information

Prostate Cancer Screening. A Decision Guide

Prostate Cancer Screening. A Decision Guide Prostate Cancer Screening A Decision Guide This booklet was developed by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). Is screening right for you?

More information

Prostate Cancer Treatment

Prostate Cancer Treatment Scan for mobile link. Prostate Cancer Treatment Prostate cancer is a tumor of the prostate gland, which is located in front of the rectum and below the bladder. Your doctor may perform a physical exam,

More information

X-Plain Prostatectomy Reference Summary

X-Plain Prostatectomy Reference Summary X-Plain Prostatectomy Reference Summary Introduction Prostate cancer is a very common condition that affects men. The rate of occurrence of prostate cancer increases with age. Prostatectomy is a surgery

More information

Radiation Therapy for Prostate Cancer

Radiation Therapy for Prostate Cancer Radiation Therapy for Prostate Cancer Introduction Cancer of the prostate is the most common form of cancer that affects men. About 240,000 American men are diagnosed with prostate cancer every year. Your

More information

Quality of Life After Radical Prostatectomy

Quality of Life After Radical Prostatectomy Quality of Life After Radical Prostatectomy Bernard H. Bochner, MD FACS Attending Surgeon, Urology Service Vice Chairman, Department of Surgery Memorial Sloan-Kettering Cancer Center Quality of Life After

More information

1. What is the prostate-specific antigen (PSA) test?

1. What is the prostate-specific antigen (PSA) test? 1. What is the prostate-specific antigen (PSA) test? Prostate-specific antigen (PSA) is a protein produced by the cells of the prostate gland. The PSA test measures the level of PSA in the blood. The doctor

More information

The Business of Prostate Cancer Care: A Clinician-Researcher s Perspective

The Business of Prostate Cancer Care: A Clinician-Researcher s Perspective The Business of Prostate Cancer Care: A Clinician-Researcher s Perspective David F. Penson, MD, MPH Departments of Urology and Preventive Medicine Keck School of Medicine University of Southern California

More information

Historical Basis for Concern

Historical Basis for Concern Androgens After : Are We Ready? Mohit Khera, MD, MBA Assistant Professor of Urology Division of Male Reproductive Medicine and Surgery Scott Department of Urology Baylor College of Medicine Historical

More information

Cyberknife Information Guide. Prostate Cancer Treatment

Cyberknife Information Guide. Prostate Cancer Treatment Cyberknife Information Guide Prostate Cancer Treatment CYBERKNIFE INFORMATION GUIDE PROSTATE CANCER TREATMENT As a patient recently diagnosed with localized prostate cancer, it is important that you familiarize

More information

PATIENT GUIDE. Localized Prostate Cancer

PATIENT GUIDE. Localized Prostate Cancer PATIENT GUIDE Localized Prostate Cancer The prostate* is part of the male reproductive system. It is about the same size as a walnut and weighs about an ounce. As pictured in Figure 1, the prostate is

More information

The lungs What is lung cancer? How common is it? Risks & symptoms Diagnosis & treatment options

The lungs What is lung cancer? How common is it? Risks & symptoms Diagnosis & treatment options Why We re Here The lungs What is lung cancer? How common is it? Risks & symptoms Diagnosis & treatment options What Are Lungs? What Do They Do? 1 Located in the chest Allow you to breathe Provide oxygen

More information

Prostatectomy. da Vinci prostatectomy. How does the da Vinci surgical system work?

Prostatectomy. da Vinci prostatectomy. How does the da Vinci surgical system work? Prostatectomy da Vinci prostatectomy How does the da Vinci surgical system work? The da Vinci surgical system, developed in the USA, is the most state-of-the-art system for minimally invasive surgery.

More information

Short-term outcome of patients with robot-assisted versus open radical prostatectomy: for localised carcinoma of prostate

Short-term outcome of patients with robot-assisted versus open radical prostatectomy: for localised carcinoma of prostate O R I G I N A L A R T I C L E Short-term outcome of patients with robot-assisted versus open radical prostatectomy: for localised carcinoma of prostate KL Lo CF Ng Cleo NY Lam Simon SM Hou KF To Sidney

More information

DIAGNOSIS OF PROSTATE CANCER

DIAGNOSIS OF PROSTATE CANCER DIAGNOSIS OF PROSTATE CANCER Determining the presence of prostate cancer generally involves a series of tests and exams. Before starting the testing process, the physician will ask questions about the

More information

Prostate Cancer Screening. A Decision Guide for African Americans

Prostate Cancer Screening. A Decision Guide for African Americans Prostate Cancer Screening A Decision Guide for African Americans This booklet was developed by the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC). Published

More information

Facing Lung Cancer? Learn why da Vinci Surgery may be your best treatment option for lung cancer.

Facing Lung Cancer? Learn why da Vinci Surgery may be your best treatment option for lung cancer. Facing Lung Cancer? Learn why da Vinci Surgery may be your best treatment option for lung cancer. The Condition: Lung Cancer The lung is the organ that moves oxygen through your body. You have two lungs

More information

Minimally Invasive Surgical Treatment of Prostate Cancer: Robots, Microwaves, and Freezers

Minimally Invasive Surgical Treatment of Prostate Cancer: Robots, Microwaves, and Freezers Minimally Invasive Surgical Treatment of Prostate Cancer: Robots, Microwaves, and Freezers Paul D. Maroni, MD Assistant Professor Department of Surgery/Urology Disclosures Relevant EDAP HIFU - investigator

More information

to Know About Your Partner s

to Know About Your Partner s What You Need to Know About Your Partner s Prostate Cancer. A Guide for Wives, Partners, and the Men They Love. Providing Support for Your Partner Prostate cancer can be a physical and emotional challenge

More information

After Diagnosis: Prostate Cancer. Understanding Your Treatment Options

After Diagnosis: Prostate Cancer. Understanding Your Treatment Options After Diagnosis: Prostate Cancer Understanding Your Treatment Options What s inside How will this booklet help me?... 3 What is the prostate?... 4 What is prostate cancer?... 4 Who gets prostate cancer?...

More information

DA VINCI ROBOTIC HYSTERECTOMY

DA VINCI ROBOTIC HYSTERECTOMY DA VINCI ROBOTIC HYSTERECTOMY Until recently, surgery for most gynecologic conditions was performed using a large abdominal incision. This is because while conventional laparoscopic surgery is effective

More information

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer

Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer Facing Hysterectomy? Learn why da Vinci Surgery may be your best treatment option for early stage gynecologic cancer The Condition: Early Stage Gynecologic Cancer A wide variety of gynecologic cancers

More information

Coding for Prostate Cancer

Coding for Prostate Cancer Coding for Prostate Cancer Tracy L. Burney, M.D. Health First Physicians Urology September 19, 2012 Prostate Cancer Basics What is the Prostate and What Does it do? Walnut sized organ found only in men.

More information

CMScript. Member of a medical scheme? Know your guaranteed benefits! Issue 7 of 2014

CMScript. Member of a medical scheme? Know your guaranteed benefits! Issue 7 of 2014 Background CMScript Member of a medical scheme? Know your guaranteed benefits! Issue 7 of 2014 Prostate cancer is second only to lung cancer as the leading cause of cancer-related deaths in men. It is

More information

Prostate Cancer. There is no known association with an enlarged prostate or benign prostatic hyperplasia (BPH).

Prostate Cancer. There is no known association with an enlarged prostate or benign prostatic hyperplasia (BPH). Prostate Cancer Definition Prostate cancer is cancer that starts in the prostate gland. The prostate is a small, walnut-sized structure that makes up part of a man's reproductive system. It wraps around

More information

Prostate Cancer. Patient Information

Prostate Cancer. Patient Information Prostate Cancer Patient Information 1 The Prostate & Prostate Cancer The prostate is a small gland in the male reproductive system, approximately the size and shape of a walnut. It is located directly

More information

Beyond the PSA: Genomic Testing in Localized Prostate Cancer

Beyond the PSA: Genomic Testing in Localized Prostate Cancer Beyond the PSA: Genomic Testing in Localized Prostate Cancer Kelvin A. Moses, MD, PhD Vanderbilt University Medical Center Wednesday, December 2, 2015 5:00 p.m. ET/2:00 p.m. PT About ZERO ZERO s mission

More information

Treating Localized Prostate Cancer A Review of the Research for Adults

Treating Localized Prostate Cancer A Review of the Research for Adults Treating Localized Prostate Cancer A Review of the Research for Adults Is this information right for me? Yes, this information is right for you if: Your doctor * said all tests show you have localized

More information

Important Information for Women with Breast Cancer. what lumpectomy

Important Information for Women with Breast Cancer. what lumpectomy Important Information for Women with Breast Cancer what lumpectomy begins Your most important decisions MammoSite completes Today, more and more women with early-stage breast cancer are able to treat their

More information

Prostate cancer is the most common cause of death from cancer in men over age 75. Prostate cancer is rarely found in men younger than 40.

Prostate cancer is the most common cause of death from cancer in men over age 75. Prostate cancer is rarely found in men younger than 40. A.D.A.M. Medical Encyclopedia. Prostate cancer Cancer - prostate; Biopsy - prostate; Prostate biopsy; Gleason score Last reviewed: October 2, 2013. Prostate cancer is cancer that starts in the prostate

More information

Your Health Matters. Localized Prostate Cancer and Its Treatment

Your Health Matters. Localized Prostate Cancer and Its Treatment Your Health Matters Localized Prostate Cancer and Its Treatment Greetings! Understanding prostate cancer and choosing among the various treatment options can be a difficult and anxiety-arousing process.

More information

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery

Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery Facing a Hysterectomy? If you ve been diagnosed with early stage gynecologic cancer, learn about minimally invasive da Vinci Surgery The Condition: Early Stage Gynecologic Cancer A variety of gynecologic

More information

Understanding Prostate Cancer. The Urology Group Guide for Newly Diagnosed Patients. Advanced Care. Improving Lives.

Understanding Prostate Cancer. The Urology Group Guide for Newly Diagnosed Patients. Advanced Care. Improving Lives. Understanding Prostate Cancer The Urology Group Guide for Newly Diagnosed Patients Advanced Care. Improving Lives. UNDERSTANDING PROSTATE CANCER The Urology Group has created this publication to provide

More information

Latest da Vinci Xi Robotic Surgical System First Introduced in Asia by Hong Kong Sanatorium & Hospital

Latest da Vinci Xi Robotic Surgical System First Introduced in Asia by Hong Kong Sanatorium & Hospital For Immediate Release Latest da Vinci Xi Robotic Surgical System First Introduced in Asia by Hong Kong Sanatorium & Hospital (25 September 2014 Hong Kong) Hong Kong Sanatorium & Hospital (HKSH) has installed

More information

Considering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery

Considering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery Considering Endometriosis Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Endometriosis Endometriosis is a condition in which the tissue that lines your uterus (the endometrium)

More information

Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery

Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery Considering Hysterectomy? Learn about minimally invasive da Vinci Surgery The Conditions: Chronic Pain, Heavy Bleeding, Fibroids, Endometriosis, Adenomyosis, Prolapse Many benign (non-cancerous) conditions

More information

The PSA Test for Prostate Cancer Screening:

The PSA Test for Prostate Cancer Screening: For more information, please contact your local VA Medical Center or Health Clinic. U.S. Department of Veterans Affairs Veterans Health Administration Patient Care Services Health Promotion and Disease

More information

High Intensity Focused Ultrasound for Prostate Cancer

High Intensity Focused Ultrasound for Prostate Cancer High Intensity Focused Ultrasound for Prostate Cancer Patient Information Exploring a Minimally Invasive Prostate Cancer Therapy The Choice for HIFU Worldwide A Patient s Guide to Prostate Cancer and Sonablate

More information

P R O S T A T E C A N C E R

P R O S T A T E C A N C E R The Management of Localized P R O S T A T E C A N C E R Patient Guide Based on recommendations from the Prostate Cancer Clinical Guideline Panel of the American Urological Association The AUA Foundation

More information

Considering Surgery for Uterine Fibroids? Learn about minimally invasive da Vinci Surgery

Considering Surgery for Uterine Fibroids? Learn about minimally invasive da Vinci Surgery Considering Surgery for Uterine Fibroids? Learn about minimally invasive da Vinci Surgery The Condition: Uterine Fibroids A uterine fibroid is a benign (non-cancerous) tumor that can grow inside and outside

More information

Prostate cancer screening. It s YOUR decision!

Prostate cancer screening. It s YOUR decision! Prostate cancer screening It s YOUR decision! For many years now, a test has been available to screen for. The test is called the prostate-specific antigen blood test (or PSA test). It is used in combination

More information

Robotic Assisted Laparoscopic Salvage Prostatectomy for Radiation Resistant Prostate Cancer

Robotic Assisted Laparoscopic Salvage Prostatectomy for Radiation Resistant Prostate Cancer Robotic Assisted Laparoscopic Salvage Prostatectomy for Radiation Resistant Prostate Cancer Jonathan A. Eandi,* Brian A. Link, Rebecca A. Nelson, David Y. Josephson, Clayton Lau, Mark H. Kawachi and Timothy

More information

Basics on Treatment for prostate cancer

Basics on Treatment for prostate cancer Basics on Treatment for prostate cancer SECTION 1: TREATMENTS This pamphlet provides information about different treatments for prostate cancer including what to expect and any risks and side-effects.

More information

Radiation Therapy for Prostate Cancer: Treatment options and future directions

Radiation Therapy for Prostate Cancer: Treatment options and future directions Radiation Therapy for Prostate Cancer: Treatment options and future directions David Weksberg, M.D., Ph.D. PinnacleHealth Cancer Institute September 12, 2015 Radiation Therapy for Prostate Cancer: Treatment

More information

male sexual dysfunction

male sexual dysfunction male sexual dysfunction lack of desire Both men and women often lose interest in sex during cancer treatment, at least for a time. At first, concern for survival is so overwhelming that sex is far down

More information

Prostate Cancer. Report to the Nation on. A Guide for Men and Their Families AUTHORS

Prostate Cancer. Report to the Nation on. A Guide for Men and Their Families AUTHORS A Guide for Men and Their Families AUTHORS Peter R. Carroll, MD University of California, San Francisco Urologist Michael A. Carducci, MD The Johns Hopkins University Medical Oncologist Anthony L. Zietman,

More information

Radiation Therapy in Prostate Cancer Current Status and New Advances

Radiation Therapy in Prostate Cancer Current Status and New Advances Radiation Therapy in Prostate Cancer Current Status and New Advances Arno J. Mundt MD Professor and Chairman Dept Radiation Oncology Moores Cancer Center UCSD Radiation Therapy Wilhelm Roentgen (1845-1923)

More information

Learning curve in robotic surgery: Review of the literature (RALP, RAPN and RARC)

Learning curve in robotic surgery: Review of the literature (RALP, RAPN and RARC) Learning curve in robotic surgery: Review of the literature (RALP, RAPN and RARC) G. De Naeyer, P. Schatteman, P. Carpentier, A. Mottrie Department of Urology, OLV Clinic, Aalst, Belgium Learning Learning

More information

Treatment Choices for Men

Treatment Choices for Men National Cancer Institute Treatment Choices for Men With Early-Stage Prostate Cancer U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Things to Remember Many men with prostate

More information

LIvING WITH Prostate Cancer

LIvING WITH Prostate Cancer Living with Prostate Cancer A Common Cancer in Men If you ve been diagnosed with prostate cancer, it s normal to be concerned about your future. It may help you to know that this disease can often be cured

More information

da Vinci Mitral Valve Repair

da Vinci Mitral Valve Repair da Vinci Mitral Valve Repair Changing the Experience of Cardiac Surgery Are you a candidate for the latest treatment option for mitral valve disease? Your doctor may be able to offer you a new, minimally

More information

Prostate Cancer. Understanding your diagnosis

Prostate Cancer. Understanding your diagnosis Prostate Cancer Understanding your diagnosis Prostate Cancer Understanding your diagnosis When you first hear that you have cancer, you may feel alone and afraid. You may be overwhelmed by the large amount

More information

Prostate Cancer Screening

Prostate Cancer Screening Prostate Cancer Screening Bruce L. Houghton, MD Associate Professor of Medicine Division of General Medicine Department of Internal Medicine Creighton University School of Medicine http://en.wikipedia.org/wiki/image:prostatelead.jpg

More information

Facing Pancreatic Surgery? Learn about minimally invasive da Vinci Surgery

Facing Pancreatic Surgery? Learn about minimally invasive da Vinci Surgery Facing Pancreatic Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Pancreatitis/Pancreatic Cancer The pancreas is an organ that produces enzymes and hormones to help your body digest

More information

Making the Choice. Deciding What to Do About Early Stage Prostate Cancer

Making the Choice. Deciding What to Do About Early Stage Prostate Cancer Making the Choice Deciding What to Do About Early Stage Prostate Cancer We have all faced the same tough choices you face now. We talked with our doctors and others we love and trust. We each made our

More information

People Living with Cancer

People Living with Cancer Patient Guide ASCOInformation for People Living with Cancer HORMONE THERAPY FOR ADVANCED PROSTATE CANCER Recommendations of the American Society of Clinical Oncology Welcome The American Society of Clinical

More information

AFTER DIAGNOSIS: PROSTATE CANCER Understanding Your Treatment Options

AFTER DIAGNOSIS: PROSTATE CANCER Understanding Your Treatment Options AFTER DIAGNOSIS: PROSTATE CANCER Understanding Your Treatment Options INTRODUCTION This booklet describes how prostate cancer develops, how it affects the body and the current treatment methods. Although

More information

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data

Analysis of Prostate Cancer at Easter Connecticut Health Network Using Cancer Registry Data The 2014 Cancer Program Annual Public Reporting of Outcomes/Annual Site Analysis Statistical Data from 2013 More than 70 percent of all newly diagnosed cancer patients are treated in the more than 1,500

More information

Recovery of Erectile Function After Radical Prostatectomy Vanderbilt University Department of Urologic Surgery

Recovery of Erectile Function After Radical Prostatectomy Vanderbilt University Department of Urologic Surgery Recovery of Erectile Function After Radical Prostatectomy Vanderbilt University Department of Urologic Surgery Postoperative erectile dysfunction is a potential risk of surgery for prostate cancer, whether

More information

Why Robotic Surgery Is Changing the Impacts of Medical Field

Why Robotic Surgery Is Changing the Impacts of Medical Field Volume Article.13-08 Publish Date: 25th March 2013 Author(s): MPUH - CRS Team Why Robotic Surgery Is Changing the Impacts of Medical Field ARTICLE hhh Muljibhai Patel Urological Hospital (MPUH) Centre

More information

PROSTATE CANCER. Diagnosis and Treatment

PROSTATE CANCER. Diagnosis and Treatment Diagnosis and Treatment Table of Contents Introduction... 1 Patient and Coach Information... 1 About Your Prostate... 1 What You Should Know About Prostate Cancer... 2 Screening and Diagnosis... 2 Digital

More information