New techniques and management options for localized prostate cancer

Abstract

Prostate cancer is diagnosed in younger men who want treatment that does not compromise their quality of life, take time away from work, or cause worrisome side effects. Laparoscopic radical prostatectomy, robot-assisted laparoscopic radical prostatectomy, and third-generation cryotherapy are modifications of previously used techniques in the treatment of prostate cancer and are presented in this article. Although some or all of the outcomes might be expected to change in the future, the urologic surgeon is left to select an approach, presumably on the basis of the experience, level of training, and care pathways at his or her institution.

Figure 1

Freedom from biochemical (prostate-specific antigen, PSA) failure according to treatment type. RT, radiotherapy; PPI, permanent prostate seed implantation. Data from Kupelian et al and Sylvester et al.