Understanding Localized Prostate Cancer Treatment Options
US tradition
2/2/2026, 19:45:14
The Role of PSA Testing in Diagnosis
Prostate Specific Antigen (PSA) blood testing remains the primary screening tool for detecting localized prostate cancer, with elevated levels prompting further diagnostic investigation. According to the American Cancer Society, early detection through PSA testing contributes to a 98% 5-year survival rate for localized cases.
Surgical Approaches: Laparoscopic vs. Robotic
Urologist Dr. Manel Castells of Vall d’Hebron University Hospital explains: “For eligible patients with organ-confined disease, we consider two minimally invasive approaches – traditional laparoscopic surgery and robotic-assisted procedures. Both techniques utilize small abdominal incisions but differ significantly in technological capabilities.”
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Advantages of Robotic Surgery
Robotic systems like the da Vinci Surgical Platform provide surgeons with:
- 10-12x magnified 3D visualization
- Wristed instruments with 540-degree articulation
- Tremor filtration technology
“These capabilities translate to superior nerve preservation,” notes Dr. Castells. “A 2025 European Urology study showed robotic procedures reduce positive margin rates by 18% compared to laparoscopic approaches.”
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Reducing Surgical Complications
Robotic assistance helps mitigate common prostatectomy risks:
| Complication | Reduction Rate |
|---|---|
| Blood loss | 50-60% less than open surgery |
| Urinary incontinence (1-year) | 35% improvement |
| Erectile dysfunction | 28% better recovery |
Data sourced from NCCN Clinical Practice Guidelines (v3.2025)
HISTORICAL MILESTONE
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Patient Selection Considerations
While robotic surgery offers advantages, Dr. Castells emphasizes: “Treatment decisions must consider tumor characteristics, patient anatomy, and surgeon experience. Our multidisciplinary team follows EAU guidelines to determine optimal approaches for each case.”
Patients are encouraged to discuss all options with their urologist, weighing benefits against individual health factors. Ongoing advancements in imaging and surgical technology continue to improve outcomes for prostate cancer patients worldwide.
Source: Original article on Diario de Mallorca
Images Credit: www.diariodemallorca.es