Radical prostatectomy
Removing the entire prostate gland and seminal vesicles for localised prostate cancer, now almost always with a robot.
One of three options for localised disease alongside radiotherapy and active surveillance; ProtecT showed identical 15-year prostate cancer mortality (~3%) across all three. Robot-assisted laparoscopic prostatectomy dominates in high-income countries with nerve-sparing techniques to reduce erectile dysfunction, but incontinence (5-20%) and impotence (30-70%) remain the main harms. PSA should become undetectable; a rise afterwards (biochemical recurrence) is imaged with PSMA PET and treated with salvage radiotherapy.
Pages like this
not linked directly; found by shared links- TermActive surveillance and observation
Shares ProtecT, Gleason score and Grade Group, Active surveillance, Prostate cancer.
- TermLaparoscopy (keyhole surgery)
Shares Minimally invasive surgery (laparoscopic, robotic, VATS), Robotic & minimally invasive surgery.
- TermOrchiectomy
- TermGleason score / Grade Group
Shares Active surveillance, Prostate cancer.
- TermLobectomy
Shares Minimally invasive surgery (laparoscopic, robotic, VATS), Robotic & minimally invasive surgery.
- ProductDegarelix
- TermNephrectomy
Shares Active surveillance, Robotic & minimally invasive surgery.
- TermTumour differentiation (well / moderately / poorly differentiated)