Positive Quality of Life After Prostate Cancer Treatment

11 July 2011

I’ve written before about the positive results my patients are experiencing post-prostatectomy, but in light of a new study released this month I’d like to remind patients of my position. It’s no secret that once men learn of their prostate cancer and its treatment, their immediate thoughts are of how it will affect their quality of life. The Internet is rich with research providing accounts of those recovering from prostate cancer and the negative affects it can have on continence and erectile function. But as my statistics indicate, this does not have to be the case. As new research continues to pour from institutions across the world, the findings must be interpreted carefully.

The study recently published in the August 2011 Journal of Urology reveals that of 152 men surveyed one year post-surgery, only 36 percent indicated that their initial expectation for urinary function matched their true results, and only 40 percent said so of sexual function. At first glance, these numbers are less than stellar, but read on. While about half of those surveyed expected urinary and sexual function to return to normal, a surprising 17 percent expected improved sexual function.

Unfortunately, the survey report lacks details about the type of surgery performed – laparoscopic or robotic. Additionally, pre-surgery counseling was provided, but the researchers do not indicate the type or depth of the counseling. In questioning the findings of this study I am not discounting the fact that continence and sexual function can be negatively impacted by prostatectomy. Therefore, the choices you make regarding your treatment and your surgeon are critical. Saving the lives of those affected by prostate cancer is my charge in life, but that does not make me a miracle worker per se.

My SMART (Samadi Modified Advanced Robotic Technology) surgery provides enhanced vision and more precise angles of dissection during surgery allowing me, in most cases, to remove the prostate while sparing the nerves surrounding it. This reduces the risk of damaged nerve bundles and arteries critical to blood flow. As a result, 96 percent of my patients regain urinary control and 87 percent regain sexual potency within 12 to 24 months.

I realize that, for most of you, success is not measured in cure alone. Prostate cancer treatment will always be determined on an individual basis, but I believe my vast experience coupled with my robotic technology expertise can lead patients to a promising post operative recovery and fulfilling life.

One Response to ' Positive Quality of Life After Prostate Cancer Treatment '

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  1. Keith Cass said,

    on August 10th, 2011 at 5:01 pm

    David I have been following your tweets and articles for some time now and I am impressed by the success you achieve from your SMART system.

    I would like to ask three questions to help me better understand so that I can add to my own knowledge for when i speak to other men their families and carers.

    1/ What criteria do you use before deciding to remove a mans prostate? (PSA,DRE, Gleason, Age, Health, other).

    2/ I have always been confused by nerve and artery sparing.
    Is it always possible and if not why not?

    We men need more men such as yourself if we are ever going to have any chance of reducing the deathrate from prostate cancer.


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