A big shift is recently apparent on the value of surgery in more advanced prostate cancer where surgery can be “an extremely effective intervention”, Dr. Murphy addresses. Multimodal treatment does consist of upfront prostatectomy and extended nodal dissection. Followed by radiotherapy and androgen ablation where needed. Robotic prostatectomy does become economically effective at 140-150 cases on a yearly basis. Men should be informed on the option of surgery for more advanced prostate cancer and robotic prostatectomy may form a nice alternative to more the more classical open procedure.
