The Prostate Health Podcast

09: Various Approaches to Radical Prostatectomy - William P. Parker, M.D.


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We have urologist, Dr. Will Parker, from the University of Kansas Medical Center, joining us as our guest on today’s podcast. We will be talking about everything you need to know about the various approaches to prostate removal for men with prostate cancer. Stay tuned for more.

Dr. Parker is an expert when it comes to prostate cancer. His training included a Urologic Oncology fellowship at the Mayo Clinic in Rochester, Minnesota. He is currently a practicing urologist at the University of Kansas Health System and an assistant professor at the University of Kansas Medical Center. Dr. Parker is helping lead the way for fellow urologists and trainees in managing prostate cancer, as well as evaluating innovative new techniques for surgery in men with prostate cancer to optimize their quality of life. Be sure to listen in, to hear what Dr. Parker has to say about the different approaches to prostate removal.

Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation.

Show Highlights:

  • Dr. Parker explains what a prostatectomy is and for how long it’s been around.
  • Some of the potential consequences of removing the prostate.
  • Other risks that men need to be aware of when being counseled about the option of prostatectomy for prostate cancer. 
  • Dr. Parker explains why he would never advocate the removal of the prostate for a non-cancerous reason.
  • Some of the more traditional approaches to prostatectomy.
  • Dr. Parker explains what a robot is and why we use them in prostate surgery.
  • What patients can expect with a traditional robotic approach to a transperitoneal prostatectomy.
  • There will be slight lifting restrictions after a transperitoneal prostatectomy.
  • Regaining urinary control after a transperitoneal prostatectomy.
  • Converting from a robotic approach to an open approach to prostatectomy is sometimes necessary.
  • Dr. Parker describes some of the more innovative prostatectomy techniques.
  • How the robotic extraperitoneal prostatectomy differs from the Retzius sparing prostatectomy.
  • Dr. Parker discusses the robotic perineal prostatectomy.
  • Dr. Parker explains how he counsels his patients in terms of the percentage of men who will regain their urinary control, and how long it will take. 
  • The options for men in terms of the preservation of their sexual function. 
  • Dr. Parker explains how the decision is made in terms of offering nerve-sparing, versus doing a wide dissection.
  • How Dr. Parker counsels his patients in terms of the success rate of nerve-sparing.
  • How long it could take for men to start regaining their sexual function.
  • What Dr. Parker recommends for his patients, in terms of penile rehabilitation.
  • How a patient can choose which approach will be best for them.

Links and resources:

Follow Dr. Pohlman on Twitter and Instagram - @gpohlmanmd 

To get your free What To Expect Guide, go to www.prostatehealthpodcast.com/clinic  

Or find the link on our podcast website - www.prostatehealthpodcast.com   

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The Prostate Health PodcastBy Garrett Pohlman, MD

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