Robotic Prostate Surgery | Q&A

Robotic Prostate Surgery | Q&A


[MUSIC] Prostate cancer is the number
one cancer that afflicts men, so it’s a malignancy. And while nobody really
knows how it develops, we know that certain populations
are at an increased risk of it. So it is thought to be a disease
of aging men, although young men can still get it and can have
aggressive forms of it as well. There are other populations
like African-American men and then men who have a first degree
relative with prostate cancer. So prostate cancer is usually
diagnosed through a blood test called the prostate specific
antigen, commonly known as PSA. It can also be diagnosed through a digital rectal exam
that’s done by a physician. Not everybody who
has an elevated PSA has prostate cancer. And there’s really not
a very good cut off for a PSA level that
would alarm someone. Sometimes it’s just an overall
elevation in the number. Sometimes it’s the rate
of change of the PSA. And different individuals can
have different levels of PSA, say, based on their age or based
on the size of the prostate. So it’s really a nuanced
discussion with your physician when you do have a PSA test to
then uncover the cancer, which is ultimately diagnosed through
a procedure called a biopsy. [MUSIC] So there’s a multitude of treatment options
of prostate cancer. The standard treatment options
would be active surveillance, and this would be usually for
an early cancer, usually for a cancer that we believe is not
likely to affect you during your lifetime. An active surveillance would
mean that we would watch the cancer closely,
not forget about it. And if there’s any
signs of progression, we can then intervene. And this way we balance
the risk of the cancer, which is hopefully minimal
if we’re watching it, versus the risk of any
complications from treatment. The other two treatments
that we would talk about would be radiation
therapy and surgery, which is removal of the prostate, also
known as radical prostatectomy. [MUSIC] Radical prostatectomy can be
performed using a robotic tool. So it could be a robotic
prostatectomy, or it can be the conventional
open prostatectomy. Open prostatectomy is done
via an open incision or an incision that goes
below the patients navel. Whereas the robotic approach
is performed through multiple tiny incisions. And the robotic instruments go
through those incisions and are still controlled by
the surgeon to perform the operation. [MUSIC] There are many good reasons
to come to Johns Hopkins for your robotic
prostatectomy procedure. I think to step back. You should come to Johns Hopkins
for prostate cancer because we are really a center of
excellence for prostate cancer, and we’ve been a center of
excellence for many, many years. Many of the seminal discoveries
in the world of prostatectomy happened here. The first radical prostatectomy
happened at Johns Hopkins in 1904. And in the 1980s, Dr. Patrick
Wallace was the Johns Hopkins urologist and the director of
urology at that time discover the neuro-vascular bundles
which are the nerve bundles and everybody aims to spare
during surgery to protect erectile function
after the procedure. Beyond the history, however,
we’ve been able to refine our knowledge of prostatectomy and
perfect it, and we have a well versed and experienced team
that has performed thousands of radical prostatectomies that
will take care of you here. [MUSIC] So, the Care Team for our
prostate cancer patient would depend on the stage
of the disease. So, for somebody with
more aggressive cancer, we may include
a Radiation Oncologist and a Medical Oncologist. But, for somebody with
the average prostate cancer, who is having erratical
prostatectomy, our carotene would include
an anesthesiologist who is experienced with
robotic surgery. There are some nuances
to the anesthesia, that needs to be
taken into account. We also have a dedicated
nursing team that is really very experienced
in robotic surgery. And has taught other teams,
really, how to be adept at
the robotic surgery. And of course,
there is the surgeon, as well. We also work with a nurse
navigator who helps the patient navigate through the system to
get to the radical prostatectomy and help optimize
their recovery. [MUSIC] So recovery after prostatectomy, most patients are in
the hospital for one night and you will have a catheter that
sits on the bladder that sits there for
about seven to ten days. The catheter’s there to bridge
the new connection between the urethra and the bladder
where the prostate used to be. That catheter comes out and then you start on
the way to recovery. Some patients will go back
to work immediately after the catheter’s removed, and
some will wait anywhere between one to two weeks after that to
regain their full strength. That sometimes depends on
baseline health characteristics and the type of
disease that they had. [MUSIC] Yes, my recommendations for
anyone diagnosed with prostate cancer is number one
take a deep, deep breath. Things are gonna be fine. Luckily, we’ve come a long
way in prostate cancer care. And the first is to have
a positive outlook. I think that for most patients
luckily today that is true. Number two is to do
your research and go to a place to get care where
the institution is renowned for prostate cancer and the individual doctors are also
renowned for prostate cancer. And ask a lot of questions. [MUSIC]

2 Replies to “Robotic Prostate Surgery | Q&A”

  1. PSA test is not accurate. This is confirmed by Doctors on this YouTube website. People's lives are damaged by these surgeons through their prostatectomy. After 3 years I'm still struggle with urinary and have developed urge urination

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