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Mr. Nikolaos A. Kostakopoulos, Urologist-Andrologist Surgeon, Curator of the 1st Urology Clinic of Metropolitan General and Doctor of the University of Athens, EKPA, talks to ygeiamou about the value of Fusion biopsy of the prostate, but also the advantages of robotic prostatectomy
Prostate cancer has reached epidemic proportions in recent years and is the most common cancer in men.
But technological advances in the field of prostate cancer diagnosis and treatment have significantly reduced deaths from the disease, as well as the complications associated with earlier treatments, such as open prostatectomy with an incision.
THE Fusion transperineal biopsy of the prostate, is the most modern, accurate and safest technique for the diagnosis of prostate cancer. With special software, the images of the patient’s multiparametric MRI are combined with the ultrasound of the prostate, in order to identify and map with millimeter precision the suspicious foci, from which biopsies need to be taken.
The technique is performed with a special ultrasound head and mesh through the perineum (the skin between the testicles and the anus) rather than through the rectum, thus minimizing the chances of serious UTI and sepsis that exist with the classic rectal (through the rectal) biopsy. The new technique does not require the patient to stay in the hospital, and he returns home the same day and in its activities.
If prostate cancer is found on biopsy, the patient may be scheduled for robotic prostatectomy. With robotic prostatectomy, prostate cancer is effectively and safely treated with the most modern Da Vinci Xi robotic system, without an incision with small holes and therefore with minimal pain and less chance of hernia after the operation.
At the same time, patients stay in the hospital for far fewer days, the catheter is removed in a shorter time and they return to their activities almost immediately. Urinary continence and erectile function also return faster, and with the robot’s 3D vision and image magnification, as well as the precision of movements that minimize human error, the likelihood of preserving the nerves and vessels that regulate erection increases .
Additionally, with the robotic operation we face in most cases minimal blood loss in contrast to the highly bleeding open surgery. With the modern methods we have in our arsenal, we are able to offer the patient the best possible result in the treatment of prostate cancer, safely and maintaining a good quality of life.