Prostate cancer is a malignancy that develops from cells of the prostate gland that may eventually spread outside the gland to other parts of the body. The prostate gland is typically the size of a walnut, and is behind the base of the penis and under the bladder. The main function of the prostate is to make fluid that carries sperm.
Prostate cancer is one of the most common types of cancer among American men and is usually found in those older than 65. Each year, approximately 2,000 Arkansans will be told they have prostate cancer. While most prostate cancers grow very slowly; some spread quickly to other areas.
In general, men 50 and older should receive annual prostate cancer screenings. However, African-American men and men with close family members who have had prostate cancer are at greatest risk. These men should begin prostate cancer screenings at age 40.
Symptoms
- Problems passing urine, such as pain, difficulty starting or stopping the stream or dribbling
- Low back pain
- Pain with ejaculation
- Blood in urine or semen
Treatment
Radical Prostatectomy
Traditional radical prostatectomy requires an eight to 10-inch incision. While highly effective, this so-called “open” procedure can result in substantial blood loss and the need for blood transfusions; it also involves substantial risk for both sexual impotence and urinary incontinence, and it may require a lengthy and uncomfortable recovery.
da Vinci® Prostatectomy
Da Vinci Prostatectomy incorporates a state-of-the-art surgical system, complete with robotic technology, that helps your surgeon perform a more precise procedure by providing a clearer view of vital anatomical structures. With the da Vinci Prostatectomy, recovery is much shorter and offers substantially less pain than traditional prostate surgery. Other advantages may include reduced need for blood transfusions, less scarring and less risk of infection. Moreover, recent studies suggest that da Vinci Prostatectomy offers improved cancer control and a lower incidence of impotence and urinary incontinence.
Preventive Tests
- an elevated prostate-specific antigen (PSA) level greater than four
- a negative prior transrectal ultrasound-guided biopsy with continued elevation or rising PSA
- a positive digital rectal examination with negative transrectal ultrasound-guided biopsy