PSMA PET scanning is a relatively new diagnostic technology that greatly assists in localising the extent of prostate cancer. It can do this not only in the area of the prostate but also in the lymph glands and bones. As a result, therapy can be targeted more appropriately. PSMA PET/CT scanning is much more accurate […]
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Recent developments in magnetic resonance imaging (MRI) have improved the ability of MRI to detect tumours, stage cancer and help in management decisions. They are also helping to more accurately target biopsies. What has changed in MRI imaging to make it so accurate? MRI has advanced recently so that not only can we look at
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Cystoscopy is an endoscopic procedure where a tube is inserted into the urethra through the opening at the end of the penis. It allows me to visually examine the complete length of the urethra and the bladder for polyps, strictures, abnormal growths and other problems. Why is the test is performed? How does the test
Recently we reviewed a group of patients that I had treated between 1998 and 2000. We followed the patients up for a minimum of 10 years and compared it to a similar surgical series. Results were outstanding and in truth out-performed my surgical results in the very high-risk population by about 20% ( these results
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I continue to perform open radical prostatectomy in several situations. Firstly, where robotic prostatectomy is difficult to perform, such as a patient who has extensive adhesions. Robotic is also not the best option where the cancer is extremely extensive and tactile sensation is beneficial. Having performed over 4,000 open radical prostatectomies I have noticed that,
Open Surgery Results Read More »
Experience I have performed over 2800 robot-assisted radical prostatectomies which is the most in the state of New South Wales and the second most in Australia. I perform approximately 200 cases per year. In addition to this, I performed over 4000 open radical prostatectomies. I have had no major complications from my technique of robotic
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Advocacy As an author of educational documents my main objectives have been to highlight the prevalence of prostate cancer, the importance of early detection and the available treatment options. Awareness initiatives such as the original Movember fundraiser through to the Prostate Cancer Foundation of Australia’s, ‘Be a Man’ campaign are an important part of the fight
Active surveillance involves the careful monitoring of prostate cancer progression in patients with less aggressive tumours. An increasing proportion of patients with Gleason 6 cancers, particularly in the older age group, are having their tumours monitored. Monitoring involves four-monthly prostate specific antigen (PSA) testing, a repeat biopsy every 12 to18 months and then ongoing monitoring
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HDR High dose rate (HDR) brachytherapy involves the placement of wires into the prostate to deliver high doses of radiation directly into the prostate. Three treatments are given over a 36-hour period and are intended for patients with advanced prostate cancer. By delivering a higher dose it is more likely to cure more aggressive cancers
Robotic Surgery Robot assisted laparoscopic prostatectomy is typically performed in less than two hours, there is minimal blood loss and the procedure is done through tiny incisions leading to a quicker recovery. Many patients are up and walking the same day and home within two days.The aim with this surgery is to achieve complete removal
The aim of the surgery is to cure the cancer and reduce the risk of incontinency and impotence. Having performed over 4,000 open surgery cases to date, the most in the Southern Hemisphere, I have been able to refine this technique to ensure exceptional outcomes in terms of cure, continency and minimal complications. A nerve sparing technique,
Today with a lot of experience and a lot of skill it is possible to preserve both neurovascular bundles, the nerve supply to the penis, in most men depending on the extent of the cancer. With improved surgical techniques and the availability of Viagra like tablets, most men less than 65 years of age are
There are many treatment options for localised or locally advanced prostate cancer making it very difficult for patients to choose. Newly diagnosed patients must consider a myriad of factors including the risk of potential side effects, recommendations from physicians, family and friends, economic circumstances, prior medical care experiences, emotional feelings about a cancer diagnosis as
Choosing Treatment Read More »
