Focal Therapies in the Treatment of Prostate Cancer
The end goal of any cancer treatment is to control or cure the disease with minimal complications and side effects. To do this, the number of years of life gained…
Urethrovaginal Fistula Repair
Preoperative Preparation and Planning Diagnosis of urethrovaginal fistula is based on a complete evaluation, including a thorough history, and a full physical examination, including a speculum examination. Cystourethroscopy can be…
Pelvic Lymph Node Dissection
Pelvic lymph node dissection (PLND) is an important component of the surgical management of prostate cancer, particularly for patients with high-risk features ( ). At the time of radical prostatectomy…
Laparoscopic and Robotic Simple Prostatectomy
Mirandolino in 2002 originally described the laparoscopic technique as trans-vesico-capsular prostatectomy. Since then, different descriptions of this technique (such as the Millin technique) that replicate known open surgery techniques have…
Brachytherapy
Patient Selection Permanent prostate brachytherapy (PPB) is an excellent treatment option for prostate cancer patients, demonstrating durable cancer control rates with relatively low morbidity ( , , , ). Patient…
Radical Retropubic Prostatectomy
Instruments Include a basic set, genitourinary (GU) long and GU vascular sets, prostatectomy specials including a McDougal clamp, medium and large clip appliers, long forceps, Russian forceps, long Allis and…
Robotic Urinary Diversion
Radical cystectomy is the gold standard for the management of muscle invasive bladder cancer (MIBC) as well as high-risk nonmuscle invasive bladder cancer (NMIBC). The use of robotics for radical…
Prostate Biopsy With MR Fusion
Biopsy of the prostate gland has evolved significantly over the past 4 decades. Initially, urologists performed prostate biopsy using digital guidance alone, which obviously was suboptimal. In the late 1980s…
Cryotherapy
Cryosurgery or cryoablation is a recognized therapeutic option for prostate cancer. This chapter will deal primarily with whole gland ablation. Except for information pertaining to specific cryogenic machines or systems,…
Retropubic Prostatectomy
The retropubic prostatectomy approach uses a transverse capsular incision through the prostatic capsule, allowing better control of the prostatic vessels at the bladder neck after enucleation of the adenoma. This…
