with certainty you indeed have prostate cancer , and to characterise the aggressiveness ( grade ) of the prostate cancer .
Are there different ways of doing prostate biopsies Prostate biopsy can be done through the rectum using Trans rectal ultrasound guide , or Transperineally through the skin in the perineum .
Biopsy also can be done using ultrasound alone or combining the MRI images with the ultrasound called the MRI fusion biopsy .
Biopsy system using trans perineal , MRI guided fusion , using robotic arm are also available .
What is the advantage of using a robotic Transperineally MRI guided fusion biopsy system such as Mona Lisa Biobot . The robotic fusion biopsy combines the MRI imaging with real-time ultrasound images , allowing for more accurate targeting of suspicious areas detected on MRI .
The robotic arm places the biopsy needle precisely at the area in which biopsy need to be taken with accuracy and precision .
The suitability of what treatment is the best of each patient depends on the staging of the disease , patient morbidity and the expected side effects of each option .
If surgery is chosen , what modalities are available for radical prostate surgery for prostate cancer Radical Prostatectomy can be done through the conventional open surgical method or using minimally invasive techniques such as laparoscopic or robotic assisted radical prostatectomy such as using the Da Vinci robot .
What is the advantage of Robot assisted radical prostatectomy ( RARP )? This is a minimally invasive surgical procedure where a surgeon uses a robotic system to remove the prostate gland . The robotic system provides enhanced precision , dexterity , and visualization compared to traditional open surgery .
Because RARP is minimally invasive , it typically results in smaller incisions , less blood loss , and reduced trauma to surrounding tissues compared to traditional open surgery . This often translates to shorter hospital stays , faster recovery times , and less postoperative pain for patients .
Biopsy also can be done using ultrasound alone or combining the MRI images with the ultrasound called the MRI fusion biopsy .
After a biopsy confirms prostate cancer , what is next The extent of the prostate cancer needs to be confirmed which is done by imaging such as an MRI scan , Bone scans or increasingly PSMA PET scans . Based on the staging , a treatment strategy which is appropriate is planned out for the patient .
Treatments available for prostate cancer can be divided broadly to medical treatment with hormonal therapy , radical prostatectomy surgery , radiotherapy or focal treatment such as using high intensity focal ultrasound ( HIFU ).
Mr S . Sritharan Senior Consultant Urologist
B . Med . Sc MD ( UKM ), MMed ( Surg ) ( S ’ pore ), FRCS ( Edin ), Fellowship in Urology ( Aus ), AM
Specialty : Urology
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