Jones Institute at West Penn Allegheny Health System

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Radical Prostatectomy
da Vinci Prostatectomy
External Beam Radiation
Radioactive Seed Implantation
Hormonal Ablation Therapy

We are part of the The Western Pennsylvania Hospital.

Pros and Cons:
Radical Prostatectomy

Pros: Cons:
Widely considered to be the gold standard (the standard by which other treatments are judged) It is still a major operation with considerable discomfort and time away from normal activities
Long term cure rates are well proven and compare favorably to other treatments Many patients are not good candidates for surgery for a variety of reasons
The surgery has improved dramatically over the past 15 to 20 years:
  • Faster
  • Less blood loss
  • Less invasive
  • Shorter hospitalization
  • Less risk of impotence and incontinence
The quality of results is dependent upon the patient, the surgeon, and the institution where the surgery is performed
PSA is usually 0 after surgery which makes follow up easier and less anxiety provoking The chance of long term urinary incontinence is the highest of all the major treatments
Urination is usually very comfortable, even improved, after surgery As with other treatments, there is no guarantee of cure
  Some patients are not pleased with the results, for a variety of reasons

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