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And more -- house call now and a new type of surgery that's gaining a lot of attention among doctors treating patients with prostate cancer.
You may have heard of it it's called cyber knife robotics radio surgery.
But it turns out it's not robotic at all doctor -- UN doctor -- wanted to clarify what this is so it's not confusing.
While there has been a lot of ads and has really confused a lot of -- about this robotic radio surgery called cyber night.
And it's also very -- for people to know that this is not surgery it's only radiation it's a new type of radiation.
It's been around for maybe four to five years and there's really not a lot of data and information.
About cyber -- I want the patients to know when they -- -- -- -- bought it radio surgery they are not getting surgery there's no tissue removed.
It's the same radiation.
But they're giving it in a shorter period at the -- told us -- this is robot what you see right now this is my operating room where we are doing robotic surgery which involves removal of the prostate so why is this important.
You really will find out how much -- you have in your prostate cancer is gone you get tremendous and very accurate way of staging.
What type of prostate cancer -- have where it is live knows that's really important.
PSA which is a test that we use after this should always be zero after surgery so you will always being -- -- -- life.
You can tell me my kids say zero I'm cured.
If the cats ever comes back.
Then you can always get a low dose radiation after surgery so you always have the options.
And the other way around is not correct if you get radiation today you lock up that -- an inside view.
And yes we can do -- -- but that would be very challenging very difficult so you.
Are you saying both review agreeing that cyber -- is not first.
Round of what you should do because it's difficult then to go back and do the robotic doctor Siegel I'm -- -- in agreement with that I want to emphasize a point David just made the prostate is a very hard -- -- To that stage which until you get in there now -- the lungs cat skins a beautiful for telling me how far cancer is gone.
Prostate I can't really tell when David does have a biopsy exactly how far it's gone I can tell after he's operated.
So I want to tell people out there the conversation has changed in my office it used to be.
Ten years ago people would come -- they say what do I do should I have seen should have radiation should have surgery there wasn't a clear answer.
The answer is clearer now because now there -- better surgeons out there using advanced techniques.
And the art of medicine comes into play but I want to say something really important here it's not one technique vs another -- say that I send people for robotic prostate surgery.
It's because I know at least one great robotic prostate surgeon.
Who's extremely well trained and I can send the patient took it's the art of medicine you -- it's not just about comparing techniques it's about experience how many cases as the person done.
What are their training.
That always is involved in the conversation.
With less blood in the field with -- side effects with quicker recovery is now.
Who is more in the direction of prostate surgery -- I guess I'll add to what both of you are saying if you're diagnosed with prostate cancer and you're told to do cyber -- get a consultation at least on whether robot act.
Is right for you.
That's what I'm hearing from the expert.
Yes it's always important to talk to two or three people I really find out what's best for you.
The other thing that we've done over the last few years is that we have probably put it is superb techniques something called -- Smart technique.
Whereas -- set -- taking the nerves from the prostate.
Now I leave everything alone and we're removing the -- away from the nerves that has improved this sexual function that has really brought the confidence in 97%.
The quality of life is there get the -- out and keep all the options open.
I've talked to your expert.
And it's called Smart surgery we wouldn't want that over.
-- surgery so -- so much -- very important topic.
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