Radical prostatectomy
Removing the entire prostate gland and seminal vesicles for localised prostate cancer, now almost always with a robot.
Overview
One of three options for localised disease alongside radiotherapy and active surveillance; ProtecT showed identical 15-year prostate cancer mortality (~3%) across all three. Robot-assisted laparoscopic prostatectomy dominates in high-income countries with nerve-sparing techniques to reduce erectile dysfunction, but incontinence (5-20%) and impotence (30-70%) remain the main harms. PSA should become undetectable; a rise afterwards (biochemical recurrence) is imaged with PSMA PET and treated with salvage radiotherapy.
- Detector ring
- PSMA ligand
- 511 keV photon pair
Showing the technology this term belongs to: PSMA PET.
Similar pages
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