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A 21-year-old member asked:

how is surgery used in the treatment of prostate cancer?

3 doctor answers9 doctors weighed in
Dr. Moez Khorsandi
Urology 27 years experience
Removal of prostate: Surgery for prostate cancer is called a radical prostatectomy. This includes entirely removing the prostate gland with its surrounding structures and then reconstructing the bladder to the urethra again. After surgery, no ostomy or external permanent bag is neccessary. Pelvic lymph nodes may or may not be removed at the same time depending on the clinical findings.
Dr. Andrew McCullough
Urology 43 years experience
CUT TO CURE!!!: It is important to realize that the aim of surgery it to remove the cancerous prostate. There is no good evidence that robotic removal is superior to nonrobotic removal in terms of prostate cancer cure, erectile function or incontinence. In the hands of a good surgeon both techniques are comparable but most surgeons are best at one technique or the other, rarely both.
Dr. Natarajan Raman
Radiation Oncology 33 years experience
Prostate removal : There are 3 kinds of surgery for prostate cancer: radical prostatectomy nerve sparing prostatectomy & robotic prostatectomy all 3 procedures remove the prostate gland and have special refinements in the process. Surgery is used for cancer that can be surgically removed.

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A male asked:

Is the medical profession being overrun w/mediocrity? I just went to a new pcp was referred to a urologist for the prostate exam. Why waste my time?

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Dr. Luis Villaplana
Internal Medicine 35 years experience
In my opinion: And my opinion only, our profession is overrun with bureaucracy, over regulation, administrative burdens and oversight that leads to the frustration i pick up in your statement. Also, seems everybody has an opinion, whether well educated or not. Tell you what, if hippa would allow, you should spend a day with a doctor. After you do, it may be easier for you to understand the crap we put up with.
A 81-year-old member asked:

Is provenge (sipuleucel-t) the leading treatment of prostate cancer?

4 doctor answers8 doctors weighed in
Dr. Anthony Back
Medical Oncology 37 years experience
It's only for some: Provenge (sipuleucel-t) is used in a very specific clinical situation with prostate cancer--definitely not indicated for everyone. The best treatment depends on the stage and grade of the cancer.
Dr. William A Biermann
Medical Oncology 46 years experience
It is a complicated and very expensive treatment that has a small benefit for a very small group of patients. Most oncologist nationally use it very infrequently
May 18, 2013

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