Treatment Comparison

Prostate Cancer Treatment Comparison

Confidence in Knowing Your Status


For localized prostate cancer removing the prostate through radical prostatectomy has traditionally been considered the definitive way to treat the cancer.1

Removing the cancerous prostate lets your doctor see the extent and nature of the cancer. This step can be critical: In clinical studies,up to 35% of tumors are undergraded; in other words, they are more aggressive than the pre-surgery assessment and biopsy results indicated.2

Margin status refers to whether or not there is cancer present at the very edge (the margin) of the removed prostate gland. A negative margin means that all edges of the prostate are free from cancer cells. A negative margin is a good indicator that all of the cancer has been removed.

This guide was designed to provide patients with information on the surgical treatment of prostate cancer, which can be performed in a very precise, minimally invasive manner using the da Vinci® Surgical System.

Surgery: Preserving Your Options


Choosing surgery over radiation can make it easier for your doctor to detect a cancer recurrence, through careful PSA* monitoring, after a radical prostatectomy than after radiation therapy.3 It can also help preserve your radiation treatment options if your cancer returns. After radiation therapy, there may be damage to the tissue surrounding the prostate. If you have tissue damage, nerve-sparing surgery may no longer be an option should your cancer recur. However, radiation usually remains an option for patients who have had surgery to treat their prostate cancer.4

*PSA= Prostate-Specific Antigen, a protein that may indicate the presence of cancer.

1Prostate cancer clinical guideline update panel. Guideline for the management of clinically localized prostate cancer: 2007 update. Linthicum (MD): American Urological Association Education and Research, Inc. 2007; 82.
2King CR, Patterns of prostate cancer biopsy grading: trends and clinical implications. Int J. Cancer (Radiat. Oncol. Invest.) 2000; 90,305-311.
3Di Blasio, C. J., A. C. Rhee, et al. Predicting clinical end points: treatment nomograms in prostate cancer. Semin Oncol. 2005; 30(5):567-86.
4Carlucci JR, Nabizada-Pace F, Samadi DB. Organ-confined prostate cancer and the emergence of robotic prostatectomy: What primary care physicians and geriatricians need to know. Geriatrics. 2009; 64(2):8-14.

 

 

Detailed Treatment Comparison

Find out how the clinical outcomes of da Vinci Surgery and prostatectomy compare with radiation therapy and open surgery.

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