ROBOT OR NOT?
WHICH TYPE OF SURGERY IS BEST FOR REMOVING THE PROSTATE? ELIZABETH TRACEY REPORTS
Open surgery to remove a man’s prostate gland may offer the best chance for freedom from recurrence of prostate cancer, a study in the Journal of the American Medical Association found. Ballantine Carter, a prostate cancer expert at Johns Hopkins, describes the study results.
CARTER: In men who undergo minimally invasive surgery, which includes robotic surgery, there were shorter lengths of stay and lower rates of blood transfusions but in outcomes that are of most interest to patients, which are incontinence and erectile dysfunction, are actually higher in men who underwent minimally invasive surgery so what the investigators found was that incontinence was 30% more likely and erectile dysfunction 40% more likely in men who underwent the minimally invasive surgery when compared to the open surgery. :33
Carter says one interesting aspect to the study was that more highly educated men tended to select robotic-assisted surgery. At Johns Hopkins, I’m Elizabeth Tracey.