Robot assisted simple prostatectomy
Hi there,
Hs anyone had RASP? If so, what was your experience?
Thank you,
Hi
. I'm not personally familiar with RASP. Would the treatment be for prostate cancer or for benign prostatic hyperplasia (BPH)? I ask because RASP is not considered a treatment for prostate cancer. The overview page from Brown University Health goes into more detail: https://www.brownhealth.org/centers-services/minimally-invasive-urology-institute/robot-assisted-prostatectomy. Hopefully anyone who has experience with this will chime in. Best, Richard (Team Member) Hi
. I was unfamiliar with this, but did find this paper on the benefits of RASP before radiation for those with Prostate Cancer and Prostatomegaly: https://www.urotoday.com/conference-highlights/wcet-2024/154137-wcet-2024-robotic-simple-prostatectomy-followed-by-radiation-therapy-versus-robotic-radical-prostatectomy-propensity-matched-analysis-of-a-treatment-pathway-for-men-with-prostate-cancer-and-prostatomegaly.html.
Concerning RASP v. HOLEP, I found these studies that had better results with RASP for the enlarged prostate: https://wjmh.org/DOIx.php?id=10.5534/wjmh.230054 and https://pmc.ncbi.nlm.nih.gov/articles/PMC10357823/.
I found one study on HOLEP and cancer treatment that concluded that "HoLEP is beneficial in debulking large prostate in PCa patients with bothersome LUTS on active surveillance or before radiotherapy. HoLEP reduces the contribution of large adenoma to PSA level, thus reflecting PSA level better and helping reduce overtreatment:" https://pubmed.ncbi.nlm.nih.gov/36463424/. Note that this was not comparing to RASP for the cancer treatment. I didn't find any direct comparisons for the cancer treatments. I hope this information is helpful and please feel free to keep us posted and to ask additional questions. Best, Richard (Team Member)thank you so much for these articles. My husband is scheduled for RASP on January 12th. These articles solidified his decision that RASP is the best plan of action for him. We are so grateful for this information you have shared with us.
Thank you!!!
I had the procedure last January and my PSA is still increasing..doubling in 8 months. I was told I should have asked to have a different procedure.
I have more tests in January to determine the next course if treatment. We are hoping the numbers will stabilize and can be monitored only. I wish you the best. Please keep us posted as to how you are doing.
Hi Guys,
Can anyone shed light on this information:
Case Request Operating Room:
LAPAROSCOPY, SURGICAL PROSTATECTOMY, SIMPLE SUBTOTAL (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, MEATOTOMY, URETHRAL CALIBRATION AND/OR DILATION, AND INTERNAL
URETHROTOMY), CYSTOLITHOTOMY,
CYSTOTOMY WITH R... for Prostate cancer
What does this all mean? I looked up the terminology, but still, what the heck?
Why would vasectomy be mentioned? Unless it is something to be aware of during the surgery? Hubby had vasectomy 45 years ago. Is this common during prostate surgery?
Thank you…Hi
. Your concerns about terminology are certainly understandable, especially when a word shows up for a procedure your husband already had. I do need to note that we are not medical professionals and for you and your husband's protection cannot provide any diagnostic explanations. It is important to ask the doctor for an explanation (get the answer from the horses mouth, so to speak). When you do find out more it would be interesting to hear about the explanation. Best, Richard (Team Member)
Thank you, Richard. I’m sending the doctor a message today. I’ll post as soon as I hear back. Could be a day or two…
