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.
All surgery presents risk, including da Vinci Surgery. Results, including cosmetic results, may vary. Serious complications may occur may occur in any surgery, up to and including death. Examples of serious and life-threatening complications, which may require hospitalization, include injury to tissues or organs; bleeding; infection, and internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Patients should understand that risks of surgery include potential for human error and potential for equipment failure. Risk specific to minimally invasive surgery may include: a longer operative time; the need to convert the procedure to an open approach; or the need for additional or larger incision sites. Converting the procedure to open could mean a longer operative time, long time under anesthesia, and could lead to increased complications. Research suggests that there may be an increased risk of incision-site hernia with single-incision surgery. Patients who bleed easily, have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci Surgery. Other surgical approaches are available. Patients should review the risks associated with all surgical approaches. They should talk to their doctors about their surgical experience and to decide if da Vinci is right for them. For more complete information on surgical risks, safety and indications for use, please refer to http://www.davincisurgery.com/da-vinci-surgery/safety-information.php.
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PN 1002342 Rev B 06/2013