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The prostate is a male sex accessory gland located within the pelvis and below the bladder that encircles the urethra. The role of the prostate is to secrete fluid into the ejaculate that accompanies sperm and seminal vesicle fluid to make up the semen. The prostate continues to grow (hyperplasia) with age and may cause voiding dysfunction. The prostate may also undergo cancerous transformation. Prostate cancer is the most common solid organ cancer in men and is currently the second leading cause of cancer death in men after lung cancer. While there are no symptoms with early stages of prostate cancer, early detection has played a key role in decreasing prostate cancer mortality. The serum PSA test and the digital rectal exam are complimentary tests that, along with other significant variables including age, family history and patient ethnicity should be utilized when deciding whether or not to proceed with a biopsy. Prostate cancer most often occurs in the peripheral zone of the prostate, which is closest to the rectum. Prostate cancer is diagnosed by prostate biopsy in patients with either an abnormal digital rectal examination and/or abnormal PSA. The majority of patients who are diagnosed today have early stage and potentially curable disease.
The optimal treatment modality for prostate cancer is dependent on the aggressiveness of the cancer, the clinical stage of the cancer and the age, health and expectations of the patient. Treatment options include active surveillance, hormonal therapy, radiation therapy, surgical removal of the prostate, and chemotherapy and immunotherapy for advanced stages. The prognosis for most patients with early stage disease is quite good. There is no uniform “right ” treatment for the typical patient diagnosed with prostate cancer. Rather, an in-depth discussion with an urologist as well as potential staging studies and/or tumor genetic analysis should guide the patient in making the “right” decision for himself.
Robotic Prostate Surgery
Benign Prostatic Hypertrophy (BPH)
Robotic Kidney Surgery
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