Types Of Prostate Cancer Chemotherapy
Our medical oncologists track the latest in prostate cancer chemotherapy treatments, so you get the most advanced therapy possible. There are a few terms to understand about types of chemotherapy:
- Adjuvant chemotherapy: We often administer this treatment after prostate cancer surgery to reduce the risk of cancer returning. This chemotherapy is used to kill any remaining cancer cells that may have spread or were not seen during surgery.
- Neoadjuvant chemotherapy: This treatment takes often place before prostate cancer surgery to shrink large tumors, so less extensive surgery will be required. This type of chemotherapy can decrease the risk of the cancer returning. Also, it can kill cancer cells that are unseen because they have moved away from the original tumor site.
Chemotherapy and You
A resource to help inform and organize you as you go through chemotherapy treatment for your cancer.
What Are The Benefits Of Focal Therapy
For men with early-stage prostate cancer that has not spread to other areas of the body, focal therapies may offer several benefits, such as:
- Lower risk for side effects like urinary incontinence, impotence and decreased bowel function
- No hospital stay focal therapies are outpatient procedures
- Treatment can be repeated in the future
- Focal therapies make it possible to have radiation therapy or surgery later, if necessary
- Faster recovery with most patients able to return to work the next day
Michigan State University Is Building On Its Leadership And History In Cancer Care With Partnerships That Expand Accessible Precision Treatment In The State
At the corner of Michigan Street and Monroe Avenue along the Medical Mile in Grand Rapids, some of the worlds most advanced precision cancer treatments are beginning to take place inside the Michigan State University Grand Rapids Innovation Park.
Within the walls of the Doug Meijer Medical Innovation Building a 205,000-square-foot facility in the innovation park dedicated to biomedical research and public-private partnerships the medical innovation company Bold Advanced Medical Future Health welcomed the arrival of the nations first total-body PET/CT scanner for clinical use on patients. MSUs partnership with BAMF Health accelerates cancer research through a pipeline of advanced clinical research combined with the latest technology.
Together with BAMF Health, Doug Meijer and the Meijer Foundation, we are making this world-leading technology available to the people of Michigan, says Norman Beauchamp Jr., executive vice president for Health Sciences at MSU. This scanner enables the diagnosis of cancer earlier to enable more effective treatment.
In August, the PET/CT scanner was used to diagnose and treat patients with prostate cancer and neuroendocrine tumors. Future uses of the technology will extend to pediatric cancers and eventually heart disease, Alzheimers and Parkinsons disease.
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Customized Chemotherapy Treatment For Prostate Cancer
Chemotherapy is the treatment most commonly associated with cancer, but not every prostate cancer patient will need it. Our medical oncologists specialize in prostate cancer and will work closely with you to customize the most appropriate treatment for your prostate cancer.
Chemotherapy uses drugs to damage or destroy cancer cells. We inject or infuse a combination of medications into the bloodstream to attack cancer cells in the prostate or, if the cancer has spread, in other areas of the body. It may be used alongside treatments such as prostate cancer surgery or radiation therapy.
or request an appointment online.
Icipating In A Prostate Cancer Clinical Trial
To ensure the safety of participants and the usefulness of collected data, eligibility guidelines vary from trial to trial. Not everyone qualifies for a clinical trial.
Your Henry Ford prostate cancer team works with you and your loved ones to determine if you might benefit from a clinical trial and wish to participate. Team members will explain the process further, including the potential risks and benefits.
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Oncological And Functional Outcomes In Patients Undergoing Precision Prostatectomy
All patients were followed for a minimum of 2 years. At 12 months, all patients were continent , with 92% of the patients using 0 pads. The median time to urinary continence was 1 month . Twenty-three of the 25 patients were potent at 12 months. The median SHIM score was 21 at 12 months with 76% of the patients using PDE-5i on an as-needed basis . The median time to sexual potency was 4 months .
Table 3
Incision Of The Dorsal Venous Complex And Urethra
This is the final step of the dissection. Using a 0° lens with 1:3 scaling, the dorsal venous complex is incised tangentially to the prostate to avoid capsular incision. A plane between the urethra and dorsal venous complex is gently developed to expose the anterior urethral wall. The Foley catheter is reinserted and used to identify the anterior surface of the urethra at the urethroprostatic junction. The anterior wall of the urethra is transected with the scissors a few millimeters distal to the apex of the prostate .
The posterior wall of the urethra and the rectourethralis muscle are cut under direct vision. The freed specimen is then examined for adequacy of resection margins and is placed in a specimen-retrieval bag.
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Equipment For Robotic Radical Prostatectomy
Currently, the only available integrated robotic surgical system is the da Vinci Surgical System . This computer-aided system has a basic master-slave design. A second generation of this system is currently available .
The surgeon console
This is the user interface of the robot for the surgeon and consists of the following:
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Display system: The system is a 3-D stereoscopic display for the console surgeon and is generally available for view in 2-D form by assistants and observers.
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Master arms: These are the controls the surgeon uses for making surgical movements. Movements of the master arms translate to real-time movements of the instrument tips and may be scaled for fine movements. The master arms also provide basic force feedback to the surgeon but are limited in their ability to discriminate complex haptic feedback. Camera movements are controlled with a clutch mechanism. In the 4-arm systems, the surgeon can toggle between instruments.
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Control panel: The control panel is used to adjust the surgeon console display and control options. The control panel allows toggling between 2- and 3-D display, adjusting various levels of scaling, and choosing the camera perspectives .
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Central processing unit: This is the computer that controls the system and integrates and translates robot control inputs from the surgeon.
Robotic arms
Well Be Here For You Every Step Of The Way
Its normal to have questions or be concerned after receiving a diagnosis of prostate cancer. But you wont be alone on your journey.
Our team will meet with you to answer all your questions and explain what happens next. We do this for thousands of patients like you every year. Knowing what to expect can help calm your fears and give you a sense of control over your treatment.
or request an appointment online.
- What should I expect from my first appointment?
Its important that you understand your diagnosis and treatment options. This information is crucial to the choices you will make for your care. During your clinic-based appointment, your prostate cancer team will talk you and your loved ones through the process and answer any questions you may have.To feel comfortable and well-prepared for your first visit, we ask that you bring:
- Medical records and images related to your prostate cancer diagnosis on CD, DVD, or other media, if you are new patient to Henry Ford
- Directions for driving and parking
- Sweater and comfortable clothing
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Henry Ford Surgeons Perform Worlds First Precision Prostatectomy With Unique Approach
The procedure requires one small incision and provides the surgeon greater control in narrow surgical spaces.
Henry Ford Health
image: Craig Rogers, M.D., Chair of the Vattikuti Urology Institute at Henry Ford Health System.view more
DETROIT Surgeons at Henry Ford Health SystemsVattikuti Urology Institute performed what is believed to be the first precision prostatectomy through the bladder using a single port robotic surgical system.
Precision prostatectomy is a novel surgical approach that allows removal of the cancer while preserving a portion of the prostate capsule in select men in order to improve functional outcomes, such as erectile function and urinary control, compared to traditional prostatectomy. While previous patients have had surgery with a single port robotic surgical system, surgery through the bladder, or a precision prostatectomy, this marked the first time a patient has received the combination of all three at once.
Precision prostatectomy was developed at Henry Ford by robotic surgery pioneer Mani Menon, M.D., and the VUI team using rigorous clinical trial methodology. The development of the procedure has been published in several journals, including in European Urologyin December 2021, and was presented at the 2021 Annual Meeting of the American Urological Association in September.
To learn more about precision prostatectomy or to request an appointment with a Henry Ford prostate cancer expert, visit henryford.com/prostatecancer.
Journal
Robotic Surgery Technology Helps Difficult Prostate Cancer Operation At Henry Ford
Prostrate surgery with robot can help even the most difficult cases
An avid scuba diver’s scar tissue around his prostrate got a helping hand from a surgical robot at Henry Ford.
FOX 2 – Donnel Hollister loves to scuba dive, but when prostate screenings identified high PSA levels, he began to wonder if his adventure-seeking days would be sidelined. He was diagnosed with prostate cancer.
“I was thinking the worst, ok, – am I going to die,” he said.
Doctors performed surgery to remove the prostate but during the procedure encountered a roadblock of scar tissue, left behind from one of Hollisters previous surgeries. In most cases like this, doctors are unable to remove the cancer through surgery and they have to rely on radiation.
But thanks to a newer surgical robot used by Henry Ford Hospitals urology team, Dr. Wooju Jeong could still offer Hollister a surgical option for prostate cancer treatment despite the scarred tissue. The robot allowed the doctor another avenue to reach the prostate
“I decided to go through the bladder,” said Dr. Wooju Jeong. “Were going to make a small incision, we can get in there and we can do a procedure with multiple arms.
“Because of this technology we are able to reach the prostate gland through the bladder gently and get the surgery done.”
Hollister had his surgery just last month and his recovery is going well.
“Were here to help them – any time, any problem, come to us I will try to meet their goals,” said Dr. Jeong.
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Why Should I Trust Henry Ford For My Robotic Prostatectomy
At Henry Ford, we are leaders in the field of minimally invasive prostate cancer surgery, offering our patients:
- A team with unmatched experience: Our surgeons are pioneers in innovative and minimally invasive techniques for treating prostate cancer, and have performed more than 16,000 robotic prostatectomies.
- Preserved sexual function: Our doctors developed the Precision Prostatectomy, a technique that has been demonstrated to improve the return of sexual function after surgery.
- Fewer problems with urinary incontinence: In a study of more than 2,700 of our patients who had a robotic prostatectomy, 93 percent reported continence within three weeks, and more than 95 percent were continent one year after surgery.
Types Of Focal Therapies
We offer several types of focal therapies for small, localized prostate cancer that has not spread to other areas of the body, including:
- Cryotherapy: This treatment involves freezing cancerous and abnormal tissue in the prostate gland. Using ultrasound for guidance, needles are inserted into the prostate. Then the needles deliver a freezing gas to destroy the prostate tissue.
- Precision prostatectomy: This is localized, organ-preserving robotic surgery technique was developed by Henry Ford. It has been shown to improve return of sexual function and bladder control after surgery.
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What Types Of Prostate Cancer Radiation Therapy Are Available
Henry Ford is a world leader in new approaches to radiation therapy and the fast-developing field of radiosurgery, a type of radiation that uses precise, advanced technology to deliver higher doses of radiation in fewer sessions.
We will tailor your radiation treatment plan to your specific prostate cancer diagnosis. Our radiation oncologists offer the latest prostate cancer treatment therapies, including:
Advanced radiation technology combined with real-time tumor imaging delivers accurate, precise treatment that is tailored to each patient.
Acute Stroke Care At Henry Ford: Why Choose Us
All Henry Ford locations have expert stroke teams. We treat a high volume of cases, so you can count on us for timely care that meets your needs.
Highlights of our program include:
- National recognition: Henry Ford Hospital is a Comprehensive Stroke Center, The Joint Commissions highest designation for stroke programs. This prestigious recognition reflects our commitment to delivering world-class services, including specialized therapies for complex stroke.
- Exceptional outcomes: More of our patients achieve results that exceed national standards after procedures to remove blood clots . Most stroke survivors go home instead of to another facility after hospital discharge. Explore our stroke volumes and outcomes.
- Research: Our experts helped write the book on acute stroke care. We led groundbreaking clinical trials testing tissue plasminogen activator . This clot-busting drug is now the primary lifesaving treatment used around the world for stroke due to blocked arteries. Explore stroke innovation and research.
- Innovative care: Our experts use catheters to remove brain clots that were previously considered untreatable.
- Coordination: Advanced therapies, including mechanical thrombectomy, are only available at specific Henry Ford locations. If necessary, we transfer you to these facilities for the care you need as quickly as possible. We use advanced technology including artificial intelligence to make this happen quickly. Find out more about our locations.
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Mechanical Thrombectomy For Complex Stroke
Mechanical thrombectomy gives patients with complex stroke more options for healing. This minimally invasive procedure restores blood flow by removing clots that do not respond to tPA alone.
Our team includes one of the worlds first interventional neurologists. This specialty treats brain diseases like stroke with procedures using long tubes and sophisticated instruments.
Our commitment to mechanical thrombectomy excellence has earned our program recognition from The Joint Commission. Both the Comprehensive Stroke Center at Henry Ford Hospital and the Thrombectomy-Capable Stroke Center at Henry Ford West Bloomfield Hospital perform thrombectomy. Our West Bloomfield location is only the second Michigan facility with this certification.
Rise Of Robotic Radical Prostatectomy
Menon et al from the Vattikuti Urology Institute at Henry Ford Hospital in Detroit, Michigan, are responsible for the development and popularization of robotic radical prostatectomy. This technique has been gaining widespread acceptance in the United States and Europe and is increasing in penetration worldwide. Robotic radical prostatectomy offers the advantages of the minimally invasive laparoscopic approach but shortens the learning curve, facilitating and hastening mastery of the procedure.
Although solid basic laparoscopic skills are required for access and assistance, the console surgeon role requires less laparoscopic skill. Therefore, the procedure is accessible to experienced open-procedure surgeons with minimal or no laparoscopic experience. In a published report, Badani et al have performed more than 2700 robotic prostatectomies and have reported a mean operative time of 154 minutes, a mean blood loss of 100 mL, and hospital stays of less than 24 hours in 96.7% of patients.
The following image provides a portion of a minimally invasive radical prostatectomy.
Go to Prostate Cancer and Laparoscopic Pelvic Lymph Node Dissection in Prostate Cancer for more information on these topics.
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Types Of Prostate Cancer Surgery
The type of prostate cancer surgery that is right for you will depend on your unique needs and goals. At Henry Ford, we use the most advanced techniques, approaches and technologies available. With our minimally invasive robotic surgery techniques, our patients experience faster recovery times, and less discomfort, blood loss and scarring.
Robotic radical prostatectomy: This surgical technique involves your doctor using a robot-assisted surgical system. The system provides a three-dimensional view of the surgical area and increases your doctors precision and control.
Precision prostatectomy: This is a novel, organ-preserving robotic surgery technique developed by Henry Ford that has been shown to improve return of sexual function and bladder control after surgery. This technique can now be performed as a single-port robotic procedure so many patients will experience less pain and may be able to be discharged the same day as the surgery, versus staying overnight at the hospital.
Your Prostate Cancer Treatment Plan
At Henry Ford, we are leaders in the field of prostate cancer therapies and prostate tumor surgery, offering:
- Unmatched experience in innovative and minimally invasive prostate cancer surgery, including single-port robotic surgery for greater precision and shorter recovery times
- World-first MRI-guided radiation therapy that combines advanced technology with real-time tumor imaging to deliver accurate, precise treatment
- Non-invasive prostate cancer treatment, including cryotherapy, for men with localized prostate cancer
- Customized chemotherapy and hormone therapy treatments
- Clinical trial opportunities for patients with all stages of prostate cancer
Our team will work with you to create a personalized prostate cancer treatment plan based on your cancer diagnosis, your health needs, and your concerns.
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Overview Of Minimally Invasive Radical Prostatectomy
The basic technique for performing minimally invasive radical prostatectomy is the same regardless of the technology used. Candidates for this approach include patients in whom the diagnosis and staging support organ-confined prostate cancer and in whom the appropriate metastatic workup results are negative.
The goal of minimally invasive radical prostatectomy is to laparoscopically resect the prostate and its capsule, along with the seminal vesicles. The procedure can be performed either extraperitoneally or, more commonly, transperitoneally. The 2 most reported techniques for performing minimally invasive radical prostatectomy are robotic and laparoscopic .