Robotic vs open prostatectomy: Which is right for you?

When facing a prostate cancer diagnosis, many men find themselves weighing the choice between open and robotic-assisted prostatectomy. Both are established surgical methods for removing the prostate gland, yet the technology, recovery time, and long-term outcomes can vary. Recent studies and growing clinical experience have fuelled a lively debate about which option is best. This…

An introduction to Retzius-sparing radical prostatectomy

In this post, I want to talk about a newer modification of radical prostatectomy that I have been practicing for some time. As my patient results have come in – and as other centres have published theirs – it has become clear that this technique, known as Retzius‑sparing radical prostatectomy, is transforming early outcomes for…

Taking Viagra after a prostatectomy

Introduction Unlike taking Viagra before a prostatectomy (where there is little proof of a benefit to erections after a prostatectomy), taking Viagra after a prostatectomy (or other tablets from the same Viagra family) is a key part of the recovery process for men to re-attain their erections. In short, the increased blood flow to the…

Taking Viagra before a prostatectomy

Introduction I often have patients ask if they should be taking Viagra before a prostatectomy to improve their potency after the operation, and if there are any benefits to it. My own experience (which is to be backed up by other scientific research on the matter) is that there is mostly no benefit to taking…

Surgery After HIFU

Introduction Occasionally I have patients coming to see me to enquire about surgery after HIFU treatment has not cured their cancer completely. In some cases, it comes back quite aggressively, so I wanted to write this article to explain what can be done for such patients and what the prognosis can be. How HIFU works…

Exercise After Radical Prostatectomy

Introduction One of the major benefits of keyhole surgery compared to open surgery is a much faster return to normal activities and general exercise. However, radical prostatectomy is still a major operation for a patient to undergo that requires many weeks for the body to fully recover, so it’s important to understand what you should…

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