St. Alphonsus Regional Medical Center
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Prostatectomy

About Prostate Cancer

Prostate cancer is a disease in which malignant (cancer) cells form in the tissues of the prostate. The prostate is a gland in the male reproductive system located just below the bladder and in front of the rectum. It is about the size of a walnut and surrounds the urethra (the tube that empties urine from the bladder). The prostate gland produces fluid that is one of the components of semen.

Statistics

Prostate cancer is the most common non-skin malignancy in men and is responsible for more deaths than any other cancer, except for lung cancer. However, microscopic evidence of (prostate?) cancer is found at autopsy in many if not most men. The American Cancer Society (ACS) estimated that about 218,890 new cases of prostate cancer were diagnosed in the United States during 2007. About 1 man in 6 will be diagnosed with prostate cancer during his lifetime, but only 1 man in 34 will die of it. A little over 1.8 million men in the United States are survivors of prostate cancer.3

Prognosis & Treatment

Treatment options and prognosis depend on the stage of the cancer, the Gleason score4, and the patient’s age and general health. With greater public awareness, early detection is on the rise and mortality rates are declining. Additionally, new advances in medical technology are enabling cancer patients to return to active and productive lives after their treatment.

About the Prostate

The prostate gland, a key part of the male reproductive system, is linked closely with the urinary system. It is a small gland that secretes much of the liquid portion of semen, the milky fluid that transports sperm through the penis during ejaculation.1
 
The prostate is located just beneath the bladder, where urine is stored, and in front of the rectum. It encircles, like a donut, a section of the urethra. The urethra is the tube that carries urine from the bladder out through the penis. During ejaculation, semen is secreted by the prostate through small pores of the urethra's walls.

The prostate is made up of three lobes encased in an outer covering, or capsule. It is flanked on either side by the seminal vesicles, a pair of pouch-like glands that contribute secretions to the semen. Next to the seminal vesicles run the two vas deferens, tubes that carry sperm from the testicles. The testicles, in addition to manufacturing sperm, produce testosterone, a male sex hormone that controls the prostate's growth and function.

Male hormones cause the prostate gland to develop in the fetus. The prostate continues to grow as a boy progresses to manhood. If male hormone levels are low, the prostate gland will not grow to full size. In older men, the part of the prostate around the urethra often persists in growing. This causes BPH (benign prostatic hyperplasia), which can result in urination problems.

Prostate Cancer Symptoms

Early prostate cancer usually causes no symptoms and is found by a PSA (prostate-specific antigen) test and/or DRE (digital rectal exam). Some advanced prostate cancers can slow or weaken your urinary stream or make you need to urinate more often. Non-cancerous diseases of the prostate, such as BPH (benign prostatic hyperplasia) often cause these symptoms also.1
If the prostate cancer is advanced, you might also develop hematuria (blood in your urine) or impotence (difficulty having an erection). Pain in your pelvic bone, spine, hips or ribs is also possible, as advanced prostate cancer commonly spreads to the bones. Other diseases , however, can also cause these same symptoms.

When symptoms do occur, they may include:

  • Frequent urination, especially at night
  • Inability to urinate
  • Trouble starting or holding back urination
  • A weak or interrupted flow of urine
  • Painful or burning urination
  • Blood in the urine or semen
  • Painful ejaculation
  • Frequent pain in the lower back,hips or upper thighs2

Effective Treatment for Prostate Cancer

When you or a loved one is diagnosed with prostate cancer, the most important thing you can do is learn everything you can about available treatment options.

The good news is that prostate cancer is one of the most treatable cancers. The prognosis for curing the cancer and long term survival is excellent when the cancer is caught early and treated effectively.

About one third of American men will have microscopic traces of prostate cancer by age 50. Half to three-quarters of all men will have some cancerous changes in their prostate glands by age 75. More than half of all men will have some cancer in their prostate by age 80. Every patient’s prostate cancer should be treated based on their individual situation, including whether to actively treat the cancer and what method to use.

Active treatment usually begins a few weeks to months after diagnosis. During this time, you should meet with various doctors to learn about your treatment options. It's also a good idea to include your spouse or partner in your decision-making process. After all, a diagnosis of cancer and the treatment choices you make affect both of you.

What is daVinci Robotic Surgery?

The sophisticated technology of the daVinci® system allows surgeons to work more precisely than in conventional surgery.  This highly advanced system, allows for much finer movements, eliminating the natural tremor of even the steadiest of human hands.  A special 3D high definition endoscope provides a highly magnified view of the surgical site inside the patient, allowing surgeons to see the surgical site up to 12-times more closely than human vision allows.

Prostate Surgery

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 and precisely separated from the prostate before its removal. Surgeons use the precision, vision and control provided by daVinci® to assist them in removal of the cancerous prostate while preserving important nerves and blood vessels.

In terms of cancer control, in several large published studies, daVinci® Prostatectomy has shown equal or lower rates of positive surgical margins (meaning margins with cancer cells left behind) than large studies of other forms of surgery.

Studies show patients who undergo a daVinci® Prostatectomy may experience a faster return of urinary continence and sexual function.

da Vinci Surgery is the #1 treatment choice for prostate cancer

No one is going to tell you that beating prostate cancer is easy. But today, da Vinci® Prostatectomy offers many patients effective cancer control, faster return of urinary continence and sexual function, less pain, shorter hospital stay and a quicker recovery than traditional surgery. How is this possible? It’s because da Vinci technology allows surgeons to operate
with better vision and more precision, through just a few tiny incisions. 

To learn more about how daVinci robotic surgery could benefit you call 208-367-DOCS.

©

 2014  

Saint Alphonsus Regional Medical Center  |  1055 N. Curtis Road  |  Boise, Idaho 83706  |  208-367-2121

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