Salvage robotic-assisted laparoscopic radical prostatectomy following failed primary high-intensity focussed ultrasound treatment for localised prostate cancer.
AuthorMurphy, DG; Pedersen, J; Costello, AJ
Source TitleJournal of Robotic Surgery
PublisherSpringer Science and Business Media LLC
AffiliationSurgery - Royal Melbourne Hospital
Document TypeJournal Article
CitationsMurphy, D. G., Pedersen, J. & Costello, A. J. (2008). Salvage robotic-assisted laparoscopic radical prostatectomy following failed primary high-intensity focussed ultrasound treatment for localised prostate cancer.. J Robot Surg, 2 (3), pp.201-203. https://doi.org/10.1007/s11701-008-0097-3.
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We report the first case of salvage robotic-assisted laparoscopic radical prostatectomy (RALP) following failed primary high-intensity focussed ultrasound (HIFU) for localised carcinoma of the prostate. A 66-year-old male with a presenting prostate-specific antigen (PSA) of 5 ng/ml was diagnosed with T1c Gleason 3 + 4 prostate cancer. He underwent transurethral resection of the prostate and HIFU. His PSA dropped to 2.0 ng/ml and repeat biopsy revealed upgrading of his prostate cancer to Gleason 4 + 3. He was referred to us for a second opinion and, following discussion of his options, he underwent RALP. The total operative time was 159 min. There were no intra- or postoperative complications. He was discharged on postoperative day two and was fully continent 10 days following removal of his catheter. His PSA remained undetectable 6 months postoperatively. Salvage RALP was feasible in this case with good functional and short-term oncological outcomes for the patient.
KeywordsArtificial Intelligence and Image Processing
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