The outcomes of robotic radical prostatectomy are highly dependent on the surgeon’s technique and most important, experience.1-5 Sexual and urinary function outcomes, as well as cancer-specific results (particularly positive surgical margins) have a strong association with the case volume and individual surgeon.6
Potency (sexual function) recovery rates have further improved with the use of a novel HYPOTHERMAL NERVE PRESERVATION TECHNIQUE through tissue cooling during surgery. There are still many surgeons using thermal energy during nerve preservation which has been shown to significantly impair sexual function recovery.
Communication and Compassion
The Vanguard Weiss Memorial Hospital team takes the time to address all aspects of prostate cancer management during counseling. We are patient, thorough in our explanations and willing to dedicate the time necessary during all visits to provide a comprehensive summary of your care. We believe the key components to optimal outcomes are surgical expertise, bed-side manner and effective patient communication (explanation of all aspects of care).
In challenging cases with high grade prostate cancer features (PSA elevations >10-20ng/mL, high Gleason grade >8), we collaborate with a multidisciplinary prostate cancer team to ensure that state-of-the-art medical care is available to the patient.
1. Wilt TJ, Shamliyan TA, Taylor BC, Macdonald R, Kane RL. Association Between Hospital and Surgeon Radical Prostatectomy Volume and Patient Outcomes: A Systematic Review. J Urol 2008; in press.
2. Joudi FN, Konety BR. The volume/outcome relationship in urologic cancer surgery. Support Cancer Ther 2004; 2:42-46.
3. Denberg TD, Flanigan RC, Kim FJ, Hoffman RM, Steiner JF. Self-reported volume of radical prostatectomies among urologists in the USA. BJU Int 2007; 99:339-343.
4. Chun FK, Briganti A, Antebi E, Graefen M et al. Surgical volume is related to the rate of positive surgical margins at radical prostatectomy in European patients. BJU Int 2006; 98:1204-1209.
5. Klein EA, Bianco FJ, Serio AM, Eastham JA, Kattan MW, Pontes JE, Vickers AJ, Scardino PT. Surgeon experience is strongly associated with biochemical recurrence after radical prostatectomy for all preoperative risk categories. J Urol 2008; 179:2212-2216.
6. Bianco FR et al, AUA 2006.