Cover Story
TECHNOLOGY SHINES A LIGHT ON BETTER UROLOGICAL CANCER TREATMENT
The surgeon sits at a console and controls robotic arms that replicate their movements to perform the procedure . The robot arms are attached to a surgical system that provides a threedimensional view of the inside of the patient ’ s body .
Prostate cancer is the second most common type of cancer , but it isn ’ t the deadliest . One can do nothing after a diagnosis , live life as usual and perhaps just a little tweaking in their daily lifestyle and that ’ s just fine . With early detection , 10 years of bliss , isn ’ t impossible .
The cancer doesn ’ t kill immediately and it can stay in an individual for years , without any treatment or surgery .
Prostate cancer aren ’ t usually visible and get picked up only during a proper abdominal screening . Blood or urine tests doesn ’ t indicate the presence of a prostate or bladder cancer . The diagnosis between prostate and bladder are presented differently , often confused but easily detected from scans and imaging .
After the age 50 years , the risk of developing prostate cancer increases dramatically , and prostate cancer is diagnosed most frequently in patients aged 65 to 74 years . It is also not unusual for a prostate cancer patient or survivor to be diagnosed with bladder cancer years after their treatment .
Dr Colin Teo
Bladder Cancer Men are four times more likely than women to develop bladder cancer ( 35.8 / 100,000 vs . 8.7 / 100,000 ). Across all age groups , per 100,000 bladder cancer cases , more men than women died ( 7.7 vs . 2.2 ), but among patients aged > 75 years , more women died . The risk of developing bladder cancer in one ’ s lifetime is 1 in 26 in men and 1 in 90 in women .
The rate of bladder cancer in patients with prostate cancer is 18 times higher ( p < 0.01 ) and the rate of prostate cancer in those with bladder cancer is 19 times higher ( p < 0.01 ) than expected . These rates do not include cases involving diagnostic bias .
A number of studies report a high frequency of double primary cancers of the bladder and prostate . The coincidence was as high as 70 % for prostate cancers in patients with bladder cancer , and 3.4 % for bladder cancers in patients with prostate cancer
These cancers may share a common carcinogenic process or that these patients are particularly susceptible to both cancers . Because of the association between these cancers , patients who are diagnosed with prostate or bladder cancer should be followed closely for the detection of the second urologic malignancy .
Robotic Surgery The surgeon sits at a console and controls robotic arms that replicate their movements to perform the procedure . The robot arms are attached to a surgical system that provides a three-dimensional view of the inside of the patient ’ s body . That ’ s typically how robotic surgery works , and highly used by surgeons of all field .
Urology has been at the forefront of robotic surgery since its inception . Radical prostatectomy is one of the most commonly performed robotic procedures , and robotic surgery has been proven as an alternative to open and laparoscopic radical prostatectomy . There has been an expansion of urological procedures that are being performed using robotic equipment , with the visualization and ease of suturing in the limited space of the pelvis , proving a specific advantage .
“ Technology has allowed doctors to make a lot of diagnosis without invasive treatment . It sees things , areas and abnormality that expert eyes couldn ’ t see . Laser surgery , ultrasound , shockwave therapy etc has always been at the forefront in urology treatment . Most surgeries are endoscopically driven and , robotic surgery , especially on prostate cancer has been very successful ”
26 ISSUE 5 | 2024 GlobalHealthAsiaPacific . com