Robotic-Assisted Laparoscopic (da Vinci) Prostatectomy

Robotic-assisted laparoscopic (da VinciÒ) prostatectomy is a minimally invasive option for definitive treatment of localized prostate cancer.  The benefits of open radical prostatectomy are offered through smaller (1 to 2 cm) incisions with less pain, less trauma, less blood loss, shorter hospital stay, faster recovery and more rapid return to normal activities.  In addition, the magnified 3D high-definition optics of the robotic camera coupled with the increased control and dexterity of the robotic instruments allow for a very precise cancer operation, while also facilitating meticulous preservation of normal tissue, including the nerves that control potency. Furthermore, advances in robotic prostatectomy technique are striving towards better and more rapid return of potency and urinary continence.

HIFU (High Intensity Focused Ultrasound)

HIFU, or High Intensity Focused Ultrasound, is a minimally invasive technique for treatment of localized prostate cancer.  HIFU focuses ultrasound energy and sound waves to a targeted area in the prostate resulting in rapid temperature increases and focal ablation of the treatment zone with great accuracy.  In most cases, HIFU is performed on an outpatient basis in one to four hours depending on the size of the prostate.  The biggest advantage of HIFU is a very low incontinence rate of less than 2% and a post-treatment erectile dysfunction rate of 20 to 30%.  The key to success with HIFU, however, is proper patient selection.