Prostate Cancer

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Prostate Cancer


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Progressive Treatment Options


New technologies such as robotic-assisted, laparoscopic prostatectomy and brachytherapy have created new treatments available for prostate cancer. The number one goal of all of prostate treatments is to preserve function and fertility. Sperm harvesting can be completed prior to surgery.

Our team of prostate cancer specialists consists of urologists, radiation oncologists, medical oncologists, surgical oncologists and nurses. They work together to create an individualized treatment plan for each patient.

It’s our belief that cancer treatment is not simply a matter of giving the right medicine for the right illness. We understand it’s the entire person who is going through this difficult time and we strive to help you physically, psychologically and spiritually. Every patient is unique, every family's history is diverse and every cancer is different.

 

Our specialized cancer team addresses this by customizing a treatment plan that meets your needs and goals. Your treatment plan may involve surgery, chemotherapy and radiation either alone or in combination with additional treatment methods.

After undergoing surgery, many patients receive radiation therapy to stop the growth of undetected cancer cells. Radiation reduces the chance of recurrence. This combination of surgery and radiation therapy has long been considered a safe and effective alternative to complete removal of an organ. Hormone therapy stops the cancer growth hormone supply thus slowing or halting the growth of prostate cancer.

Surgical Options


Our surgical team is dedicated to providing our patients with a complete range of options best suited to their individual needs. After undergoing surgery many patients receive radiation therapy to stop the growth of undetected cancer cells.

  • Nerve-sparing Laparoscopic Radical Prostatectomy
    This is a minimally invasive alternative to open radical prostatectomy. During laparoscopic surgery, surgeons perform the entire procedure through five small incisions in the abdomen. The surgeon visualizes the interior of the abdomen with a laparoscope, and the removal of the prostate is accomplished without the surgeon’s hands ever entering the body.

Laparoscopic radical prostatectomies typically last between three and four hours, depending on the size and body mass of the patient. Patients typically have less need for pain medication, shorter hospital stays, quicker return to regular diet and activities, earlier removal of urethral catheters, and a quicker recovery.

  • Nerve-sparing Open Radical Prostatectomy
    Radical prostatectomy surgery is primarily utilized for patients in the early, local stage of prostate cancer. In this surgical procedure, physicians use one of two incision site -- either at the belly button or the perineum -- to gain access to the prostate. The prostate is then removed from the patient, along with some surrounding tissue. The belly button is the most common type of radical prostatectomy procedure.

Both procedures last from one and a half to four hours and have an average three day hospital stay.

da Vinci robotic-assisted laparoscopic surgery offers the latest surgical advance for prostatectomy (removal of the prostate). Through tiny, 1-2 cm incisions, surgeons using the da Vinci System can operate with greater precision and control, minimizing the pain and risk associated with large incisions, while increasing the likelihood of a fast recovery and excellent clinical outcomes.

This approach to prostatectomy provides access to the internal anatomy through five small incisions. The da Vinci procedure has been credited with reduced blood loss, infection risk and need for pain medication, shorter hospital stays and a decrease in incontinence for patients versus the traditional prostatectomy. By integrating computer-enhanced technology with surgeons' technical skills, the system enables surgeons to perform better surgery in a manner never before experienced.

The da Vinci Surgical System seamlessly and directly translates the surgeon's natural hand, wrist and finger movements on instrument controls at the surgeon's console outside the patient's body. Through magnification 15 times that of the human eye and seven degrees of motion that go beyond the limits of the human hand, these micro-movements then correspond to the instrument tips positioned inside the patient through small puncture incisions, or ports.

Sural Nerve Graft
This surgery is generally performed on patients who are not eligible for nerve-sparing, but had normal erections before surgery.


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Northridge Hospital Medical Center
18300 Roscoe Blvd
Northridge, CA 91328
(818) 885-8500