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Diagnostic Center for Disease: Robotic Prostatectomy - A Race to Failure?
Date:6/24/2008

e of cure for all other radical, curative treatments. What is truly alarming is that the effort to find more cancers by more than doubling the rate of biopsy, will only serve to increase the devastation that exists today. Ironically, increasing number of insignificant cancers included for treatment, will only serve to (falsely) indicate better cure rates for robotic prostatectomies. Of course, this will only incentivize urologists to treat even more cancers. Also of concern is the trend is to treat more aggressive cancers, Gleason 8 and above. In far too many cases, it is not confirmed prior to actual surgery that the cancer is organ-confined. The number of failures, exceeding 1,000,000 men, could easily double within the next few years. What of these men and these families? The only reasonable conclusion is to discontinue curative treatments such as robotic prostatectomy, for the majority of positively diagnosed men until proof exists that these treatments can successfully cure prostate cancer. There is a real concern that the cure may become more dangerous than the disease. To read the full article, "Robotic Prostatectomy - A Race to Failure?," go to http://www.mrisusa.com.

Reference

1. Minimally Invasive Surgery in Urology, Current Opinion in Urology. 18(2):173-179, March 2008, Box, Geoffrey N; Ahlering, Thomas E

2. Robot-Assisted Prostate Surgery Has Possible Benefits, Higher Costs, By Lisa Esposito, Editor, Health Behavior News Service, August 29, 2005

3. Clinically Insignificant T1 Stage Tumors Of The Prostate, Konstantinos Stamatiou, Vassilissa Karanassiou, Kavouras Nikolaos, Makris Vasilios, Lebren Fred, Emmanuel Agapitos: Clinically Insignificant T1 Stage Tumors Of The Prostate. The Internet Journal of Urology. 2007. Volume 4 Number 2.


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