Long-term Survival: Localized Prostate Cancer Treatment Comparison
With any cancer treatment, survival is the first priority. A recent study suggests patients who have surgery have a greater chance of long-term survival compared to those who have other treatments.1
10-Year Risk of Death is Lower with
Radical Prostatectomy vs. Radiation & Hormone Therapy1
*CSM, (Cancer-Specific Mortality) refers to death that occurs as a direct result of cancer
**A Kattan score is a combination of the patient’s PSA, clinical stage of cancer and Gleason score. It is used as way of predicting whether the cancer will return.
In this large study of patients receiving treatment for prostate cancer, those who had radiation and hormone therapy were two and three times more likely to die of cancer respectively, than those who had surgery.1
In a previous study that included watching waiting, patients who had radical prostatectomy had a higher prostate cancer survival rate than men having other treatments.2
Risks & Considerations Related to Prostatectomy & da Vinci Surgery
Potential risks of any prostatectomy procedure include:
- Urinary and/or sexual dysfunction due to nerve damage3
- Rectal or bowel injury4
- Blocked artery in the lung4
- Blocked bowel4
da Vinci Treatment Options for Prostate Cancer
- Cooperberg MR, Vickers AJ, Broering JM, Carroll PR. Comparative risk-adjusted mortality outcomes after primary surgery, radiotherapy, or androgen-deprivation therapy for localized prostate cancer. Cancer. 2010 Nov 15;116(22):5226-34. doi: 10.1002/cncr.25456.
- Merglen A, Schmidlin F, Fioretta G, Verkooijen HM, Rapiti E, Zanetti R, Miralbell R, Bouchardy C. Short- and long-term mortality with localized prostate cancer. Arch Intern Med. 2007 Oct 8;167(18):1944-50.
- Trinh QD, Sammon J, Sun M, Ravi P, Ghani KR, Bianchi M, Jeong W, Shariat SF, Hansen J, Schmitges J, Jeldres C, Rogers CG, Peabody JO, Montorsi F, Menon M, Karakiewicz PI. Perioperative outcomes of robot-assisted radical prostatectomy compared with open radical prostatectomy: results from the nationwide inpatient sample. Eur Urol. 2012 Apr;61(4):679-85. Epub 2011 Dec 22
- Tewari A, Sooriakumaran P, Bloch DA, Seshadri-Kreaden U, Hebert AE, Wiklund P. Positive Surgical Margin and Perioperative Complication Rates of Primary Surgical Treatments for Prostate Cancer: A Systematic Review and Meta-Analysis Comparing Retropubic, Laparoscopic, and Robotic Prostatectomy. Eur Urol. 2012 Feb 24.
PN 1002342 Rev C 08/2013
Serious complications may occur in any surgery, including da Vinci® Surgery, up to and including death. Examples of serious or life-threatening complications, which may require prolonged and/or unexpected hospitalization and/or reoperation, include but are not limited to, one or more of the following: injury to tissues/organs, bleeding, infection and internal scarring that can cause long-lasting dysfunction/pain. Risks of surgery also include the potential for equipment failure and/or human error. Individual surgical results may vary.
Risks specific to minimally invasive surgery, including da Vinci ® Surgery, include but are not limited to, one or more of the following: temporary pain/nerve injury associated with positioning; temporary pain/discomfort from the use of air or gas in the procedure; a longer operation and time under anesthesia and conversion to another surgical technique. If your doctor needs to convert the surgery to another surgical technique, this could result in a longer operative time, additional time under anesthesia, additional or larger incisions and/or increased complications.
Patients who are not candidates for non-robotic minimally invasive surgery are also not candidates for da Vinci® Surgery. Patients should talk to their doctor to decide if da Vinci ® Surgery is right for them. Patients and doctors should review all available information on non-surgical and surgical options in order to make an informed decision. For Important Safety Information, including surgical risks, indications, and considerations and contraindications for use, please also refer to www.davincisurgery.com/safety and www.intuitivesurgical.com/safety. Unless otherwise noted, all people depicted are models.
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