Introduction The introduction of the prostate-specific antigen (PSA) test led to an unprecedented increase in the number of men diagnosed with prostate cancer. With that rise in rate of diagnosis came a rise in men found to have localized disease.…
Introduction Robot-assisted radical prostatectomy (RARP) has become a common approach to surgical management of prostate cancer (PCa). By some reports, this approach has become more common than open radical prostatectomy (RP) over the last several years. As a result of…
Introduction The following chapter will describe the evolution of radical prostatectomy with a special concentration on the technique of robotic-assisted radical prostatectomy (RARP) that was developed and established at the Vattikuti Urology Institute at Henry Ford Hospital in Detroit, Michigan.…
Introduction Prostate cancer is the most common solid malignancy among men in the United States and the second most common cause of death, with an estimated 233,000 new cases and 29,480 deaths in 2014. The “gold standard” for surgical management…
Introduction With the adoption of widespread prostate-specific antigen (PSA) screening, prostate cancer (PCa) is increasingly diagnosed at a younger age and at an earlier stage of the disease. For patients managed with radical prostatectomy (RP), the opportunity to perform pathologic…
Introduction There was an estimated 233,000 new cases of prostate cancer in the United States in 2014 and many of these men would have been treated with radical prostatectomy. Incontinence is a well-documented complication of this procedure and, regardless of…
Radiotherapy for prostate cancer Radiation therapy (RT) for the treatment of prostate cancer (PCa) has been utilized in the United States and Canada since 1915. The first radiotherapy devices used radium applicators that were positioned adjacent to the prostate gland.…
Introduction The concept of removal of the entire prostate to treat prostate cancer was first introduced by Irish urologist Dr Terence Millin in the late 1940s. The procedure did not develop widespread popularity until Dr Patrick Walsh performed detailed studies…
Anatomical principles underpin optimal oncological and functional outcomes in the surgical management of prostate cancer. Therefore, an in-depth understanding of pelvic anatomy is prerequisite for all prostate cancer surgeons. Recent technology development, such as the advent of 10-times magnification, high-definition…
Introduction The introduction of prostate-specific antigen (PSA) screening during the 1990s has decreased the incidence of prostate cancer lymph node metastasis in contemporary surgical series. This observed stage migration coupled with improvements in axial imaging has largely obviated the need…