Prostate Cancer Surgery in Colorado
For most men with prostate cancer that has not spread outside of the prostate gland, surgery to remove the prostate is the most common treatment option. This surgery is called a prostatectomy. At Foothills Urology, we work with you closely to help you understand the pros and cons of surgery as well as the prostate cancer surgery options that best fit your specific diagnosis, lifestyle and personal goals.
With advancements in prostate diagnosis, including molecular testing that can help detect whether prostate cancer is slow or fast growing, we carefully consider your specific cancer and recommend watchful waiting or non-surgical treatments first, if appropriate. However, we also keep in mind the latest evidence-based research as well as your lifestyle goals.
For instance, research indicates that patients under the age of 70 with early stage prostate cancer or those with tumors that are poorly differentiated (which could indicate fast spreading cancer) who undergo prostate cancer surgery may have higher long-term survival rates than those who undergo radiation, watchful waiting, or hormone therapy.
At Foothills Urology, we only recommend surgery when we believe it is the best treatment for your prostate cancer while also best for your lifestyle and medical goals.
If prostate surgery is right for you, you can be assured that you have some of the most highly trained and experienced prostate cancer surgeons in Denver on your side. Dr. Derek Zukosky, who is board certified and fellowship trained in urologic surgery, is one of the most experienced daVinci® robotic surgeons in Colorado. He has performed more than 500 robotic prostate surgeries, serves as a robotic prostatectomy trainer in Colorado, and helped St. Anthony Hospital—where he is the chair of urology and medical director of robotic surgery—earn the 2014 Healthgrades Prostate Surgery Excellence Award.
Dr. David Cahn, Dr. Diane Hartman, and Dr. Thomas Facelle also specialize in prostate cancer treatment and together have treated hundreds of patients with prostate cancer. Dr. Cahn specializes in treating advanced prostate cancer. At Foothills Urology in Golden, you can choose which physician best suits you.
Types of Prostate Cancer Surgery
Radical prostatectomy is the most common prostate cancer surgery recommended. During a radical prostatectomy, the entire prostate gland and surrounding tissues are removed. When possible, Foothills Urology recommends minimally invasive robotic prostatectomy surgery that reduces recovery time and helps protect the nerves surrounding the prostate, minimizing the side effects of traditional prostatectomies, including sexual dysfunction and urinary incontinence.
Robotic Prostatectomy to Treat Prostate Cancer
Performing minimally invasive prostate surgery with the daVinci robot has been proven to offer many benefits over traditional surgery including:
- Improved precision in the removal of cancerous tissue [Source: European Urology ]
- Reduced blood loss [Source: BJU International]
- Less need for a transfusion [Source: BJU International]
- Lower risk of complications [Source: Urology]
- Lower risk of wound infection [Source: European Urology ]
- Shorter hospital stay [Source: BJU International]
- Fewer days with catheter [Source: BJU International]
- Faster recovery [Source: Journal of Urology]
- Quicker return to normal activities [Source: Scandinavian Journal of Urology and Nephrology]
Open Radical Prostatectomy
Open radical prostate surgery is rarely recommended and is typically only advised for patients with enlarged prostate glands or those with urinary symptoms. Open surgery removes the prostate through an incision in the lower abdomen (retropubic) or an incision between the scrotum and anus (perineal surgery).
Open Simple Prostatectomy
In rare cases in which the prostate is extremely enlarged or in cases of severe urinary symptoms, an open simple prostatectomy may be performed. During an open simple prostatectomy, only a portion of the prostate is removed.
Foothills Urology’s experienced board certified urologic surgeons perform prostate cancer surgery, including daVinci robotic minimally invasive prostatectomies, at St. Anthony Hospital.