Tuesday, March 6, 2012

What is the answer for prostate surgery?

Robotic surgeries for prostate cancer don't appear to have a better track record than open surgeries for avoiding the side effects of incontinence or sexual problems.

A study reported in the Journal of Clinical Oncology compared the rate of side effects for Medicare--age men who had robotic prostate removal compared to those who underwent open surgery.

The report's conclusions:

"Risks of problems with continence and sexual function are high after both procedures. Medicare-age men should not expect fewer adverse effects following robotic prostatectomy."

That's bad news for men who were sold on the robotic surgery to reduce the chance of side effects later on.

Of the men who responded to the survey, 31% reported a problem with incontinence and 88% of men reported having a moderate to major problem with sexual function. There didn't appear to be a significant difference between men who had robotic or open surgery.

A newsletter for the Oncology Nursing Society says the experience of the doctor may be more important than the method used:

"... the outcome of any type of procedure is based not only on the technology but also on the skill and experience of the provider and the hospital system. The researchers recommended that each man should know that the type of surgery he chooses is not as important as his surgeon's experience with that particular procedure..."

The report didn't compare the short-term recovery times comparing robotic and open surgeries.

In the long-term, it doesn't sound like there are any good choices between the two types of surgery. Finding the right surgeon might be the answer.

9 comments:

Alternative cancer treatments said...

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Randy's said...

Early detection is key in curing cancer of the prostate.

-the need to urinate frequently, particularly at night

-painful urination

-an urgent need to urinate (regularly - not one time)

-the inability to urinate

-a decrease in the stream of urine or interrupted stream

-the feeling that the bladder has not emptied after urination

-blood in the urine

-blood in semen

-ejaculation that is painful

If you have any of these prostate cancer symptoms, speak to your doctor about testing. Presence of these symptoms does not mean you have cancer of the prostate - these symptoms can also arise with other health problems as well, but should still be addressed as soon as possible.

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kaney said...

Prostate cancer is the most common cancer in men and breast cancer is the most common form of cancer found in women. Almost a quarter of a million men annually in the United States are diagnosed for prostate cancer.

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