Prostate Cancer Surgery WITHOUT incontinence IS possible! Retzius Sparing Prostatectomy

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  • Опубліковано 17 гру 2024

КОМЕНТАРІ • 24

  • @JeffNoel-c3p
    @JeffNoel-c3p 15 днів тому

    Thanks!Dr Ahdoot is amazing and as a prostate cancer patient I appreciate him very very much and hope he continues to work. Thank you Dr.

  • @todayslanding2961
    @todayslanding2961 16 днів тому +1

    You go through a paper from a journal club level to clear facts for the general public. Excellent summary on the Retzius approach; great video, as always.

    • @cancerbetter
      @cancerbetter  15 днів тому +1

      Thank you! I’m happy I can help people by sharing

  • @jenniferwee7506
    @jenniferwee7506 12 днів тому

    Thanks

  • @JeffNoel-c3p
    @JeffNoel-c3p 15 днів тому

    Dear Doctor Ahdoot you are simply amazing. I appreciate your videos very much and only wish I could be your patient because you are so dedicated to the.cause of PC. Since being diagnosed, I have watched a lot of videos and tried to gather all the information I can and you are truly one of the best out there. Thank you very much. And the incontinence is one of my biggest concerns because I am about to have the surgery very soon Jeff Noel

  • @sammschmitz
    @sammschmitz 15 днів тому

    I greatly appreciate Dr Ahdoot's efforts in explaining complicated issues. I would like to point out that the ongoing PACE-A trial(surgery vs SBRT) at 2 years shows a 47% incontinence rate with surgery. Numbers are low and the definition of incontinence is different.

    • @cancerbetter
      @cancerbetter  13 днів тому

      Love that people are reading clinical trials. I have not reviewed the interim results of this study to validate this finding but I love that you are looking to source information

  • @DavidFoy-i3x
    @DavidFoy-i3x 8 днів тому

    Thanks Dr. Great video and information. I am 53 and was diagnosed with prostate cancer in August. Gleason 10. Did the PMSA Pet scan (saw your video on it as well) as recommended by my urologist - found it has metastasized at least into 1 lymph node and seminal vesicles. I decided to do the prostatectomy and have a robotic surgery scheduled in Austin, TX at the end of December. Can the RS-RARP be done if cancer is present outside of the prostate? Thank you

    • @cancerbetter
      @cancerbetter  8 днів тому +1

      Yes it can but it’s more difficult so not too many people are doing it yet. If cancer is growing into the urinary sphincters getting the cancer out can affect continence outcomes. Finally people with cancer in the nodes are likely to get radiation in addition to surgery in hopes of eliminating the cancer.

  • @barneyclancy4312
    @barneyclancy4312 16 днів тому +1

    Like your videos, 10 percent worth the chance your more normal

    • @cancerbetter
      @cancerbetter  15 днів тому

      Everyone has a different perception of risk which is why I want people to know the data so they can make informed decisions. Great example is hearing your opinion. Thank you for sharing

  • @T.Z.M4N
    @T.Z.M4N 16 днів тому

    I had a prostatectomy in 2015 and am still incontinence free after the first 4 weeks with maybe a dribble every now and then.

  • @barneyclancy4312
    @barneyclancy4312 16 днів тому

    Where do you make incision and if there is nerve invasion would this work on him?

    • @cancerbetter
      @cancerbetter  15 днів тому

      Yes you can still do retzius sparing when there is growth of the cancer into the nerves. It’s a bit more challenging so some doctors will not be comfortable with this but I have done it many times as have colleagues I know who do retzius sparing.

  • @talltimbot
    @talltimbot 13 днів тому +1

    Stanford Med School brain, on display for the masses

  • @Sobovt
    @Sobovt 11 днів тому

    I had I had surgery 4 years ago and I still use 6 pads a day

    • @cancerbetter
      @cancerbetter  11 днів тому +1

      I’m very sorry to hear that. Just so you are aware there is an implantable device called an artificial urinary sphincter which can give you back full continence. Have you considered that to be pad free.

    • @schmingusss
      @schmingusss 4 дні тому

      That's awful :(

  • @io3010
    @io3010 13 днів тому

    Yes, there is a way to not have incontinence with prostate cancer treatments today. Have EBRT treatments with a brachytherapy boost. No incontinence for me! Modern radiation is as effective if not more effective than Prostatectomy today.

    • @cancerbetter
      @cancerbetter  13 днів тому +1

      Awesome to hear you are doing well!!! I’ll make some more videos about radiation in the future to try to convey more about the modern outcomes with radiation therapy. Brachy boost is a particularly interesting topic as the cancer control rates are improved but the urethral stricture risk also rises. Nonetheless, the majority of people who get surgery or radiation have a mostly positive outcome