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EP248: Robotic cure for prostate cancer | PUTTING DR G ON THE SPOT
The Star
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11/17/2024
Consultant urologist Dr George Lee Eng Geap, or a.k.a Dr G, puts things into perspective for a reader who enquires about the options he has for treating his prostate cancer.
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00:00
This week, we hope that somebody, if we unfortunately get diagnosis of prostate cancer, we diagnose
00:07
it early, when it is stage 1 or stage 2, the cancer can be eliminated and cured completely.
00:19
Sadly, one statistic that you need to be aware of, that two-thirds of prostate cancer in
00:24
Malaysia are detected too late. It's either stage 3 or stage 4 and therefore are not eligible
00:31
for curing intervention. So the most notable curing intervention actually is radical surgery.
00:41
And this operation can be done several ways. The old traditional way is an open operation
00:46
to remove the prostate itself. The second way actually is laparoscopic or keyhole surgery.
00:53
But perhaps the most advanced way of radical prostatectomy is using a robotic assistant.
01:00
The robot itself will have the absolute advantage of looking at the tumour in different angles
01:07
and also have a minimal invasiveness. Such precision medicine will also have the advantage
01:15
of complete cancer clearance and also reducing of the complications. The two most horrified
01:24
complications that men may undergo or may face are incontinence of urine and also the
01:31
problems of erectile dysfunction after radical surgery. The robotic surgery is minimizing
01:39
the risk of radical problems that is related to incontinence and also erectile dysfunction.
01:47
So apart from robotic surgery, what else is available? There are other treatments such
01:53
as brachytherapy or even cryotherapy. However, we are sometimes not encouraging patients
02:00
to do that because number one, the experience of such intervention may not be as big as
02:06
radical prostatectomy using robot. And also number two is that such treatment may leave
02:13
behind the tissue that may suddenly turn into cancers in the future. Another type of treatment
02:20
is radical radiotherapy. These are external beam radiotherapy. We usually reserve these
02:29
treatment for patients who are perhaps not fit for operation or declining the radical
02:36
robotic surgery. So now you know there are several ways to cure prostate cancer and therefore
02:43
the best thing to do is get the cancer detected early and elimination is completely possible.
02:49
For the following week, which is the final installation of putting Dr. G on the spot,
02:54
we focus on men unfortunately presented with prostate cancer in the late stages. So if
03:00
you are interested, stay tuned for next week's Putting Dr. G on the Spot.
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