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Patient information

 

Info Leaflets

 

Active Surveillance

Bladder training

Brachytherapy

Hormone therapy

Laser enucleation of prostate (HoLEP)

PSA test

PSA tests during follow-up

Pelvic floor training

Robotic prostatectomy (DaVinci)

Radiotherapy

Transrectal prostate biopsy (TRUS)

Transperineal prostate biopsy (TP)

Medication for impotence

 

Video Clips

 

About the Prostate

MRI fusion biopsies

Brachytherapy

DaVinci Robotic Prostatectomy

Introduction

What Happens Next

What Can I Do For Myself?

Just Before The Operation

Pelvic Lymph Node Sampling

Vesicourethral Anastomosis

After The Operation

Returning Home

Finding Out The Results Of The Surgery

Follow Up Visits

What Happens If I Need More Treatment

 

Links

 

Maggie’s Wallace

Offers support for patients during the period of making a decision of treatment, during and after treatment and returning back into their normal life.

Macmillan

Information on prostate cancer, including how it is diagnosed, treatments you might have, possible side effects and how to get further support.

 

Cancer Research UK

All about prostate cancer, including symptoms and causes, tests to diagnose cancer of the prostate, treatment including surgery, hormone therapy, chemotherapy, HIFU (high intensity focused ultrasound) and current research, including abiraterone and cabazitaxel. Living with prostate cancer covers coping with your diagnosis, urinary problems and your sex life.

 

NICE guidance on prostate cancer (PDF)

This guideline offers best practice advice on the care of men with prostate cancer.

 

The Prostate Cancer Foundation

The Prostate Cancer Foundation funds research into prostate cancer and has information about prostate cancer.

 

Orchid

Orchid exists to save men’s lives from testicular, prostate and penile cancers through pioneering research and promoting awareness.

 

Prostate Cancer UK

Prostate Cancer UK are the leading UK charity for men with prostate cancer and prostate problems.

 

Testimonials

 

MRI Fusion transperineal prostate biopsies & Brachytherapy

I was impressed with the prompt, efficient and caring hospital treatment provided.

Mr BT, age 65

 

11 months after my “radical prostatectomy” robotic assisted op performed by Mr Shah, I would like to express my gratitude for their professionalism and genuine concern. It is always a pleasure to return to see them! Thanks to them I now feel that I can look forward to a healthy life ahead! They deserve the highest praise for the valuable work they do. Thank you so much!

Mr DR, age 63

 

Further to my Robotic radical prostatectomy on 9/9/10, I would like to express my grateful thanks to you and your team. It is very reassuring to find people who are not only very professional, but kind and understanding as well.

Mr CB, age 62, Hertforshire

 

I have just returned from my visit to my local Consultant Urologist at Ayr hospital who has given me a clean bill of health following my recent robotic-assisted radical prostatectomy at Addenbrookes Hospital. I was continent almost immediately following catheter extraction, and back at work three weeks after the procedure (I am self employed, so I can’t afford to hang around!). I am writing to sincerely thank you and all your colleagues and care staff for the kindness, professionalism and care afforded to me during my stay.

JD, age 61, Kilmarnock

 

Dear Nimish: It is amazing how quickly time has passed by since I met up with you and your team for my prostate operation. My sincere thanks to you, Vishal Patil and everyone in your team for the way you looked after me during my stay at Addenbrookes. Even though I had read all your literature and spoken to friends who had been through the same treatment as myself, I have to say I was very concerned about the whole operation prior to me coming in. I can now honestly say apart from the few hours in recovery I was delighted with how everything went and how I have felt during the two weeks particularly after the catheter was removed. Please pass on my thanks to everyone in the team they were all truly wonderful in helping me through such a traumatic ordeal.

AD, age 70, Cambridge

 

I want to say a very big thank you to you and your team for my recent treatment for radical prostatectomy. I was impressed with the prompt, efficient, and caring hospital treatment provided. I particularly appreciated the time and trouble that you and everyone took to explain what was happening. That includes the outpatient staff, the operating team, and the ward nurses and sisters. The hospital stay was amazingly short – admitted at 8pm on Friday, operation 8am on Saturday; home in time for tea on Sunday! And whilst I felt fairly tender early in the week, I would much prefer to be recuperating at home than in hospital. I now feel that I am healing properly and improving day by day. Once again, thank you very much for all you have done. Please pass my sincere thanks to everyone in your team.

PS, age 60, Peterborough

 

Thank you for your letter. Your kindness in advising the good news so promptly was typical of the close contact and caring attention I have received from you and your staff since our first contact. Although you fairly pointed out the various risks involved in the procedure you never the less succeeded in filling me with the necessary confidence to prepare myself for the ordeal, and for recovery, and for this I shall always be grateful. Thank you also for the tremendous skill and dedication employed in your work. It is obvious that the staff at Addenbrookes hold you in great professional regards, and I can fully understand why.

KM, age 68, Cheshire

 

Dear Mr Shah, I would like to thank you and your team for the care and attention I received from the outset of the robotic prostatectomy including my hospital stay and aftercare. Following the operation I was surprised how quickly I was up and about, with very little discomfort internally and the small external wounds only taking a couple of weeks to heal. I was able to return to work just four weeks after the operation, (most helpful as I am self-employed). But I think that the best thing other than the obvious removal of the cancer is the speed with which my waterworks have recovered. Once again I would like to thank you for taking my case, and for a very satisfactory outcome of the operation.

Mr PG

 

For forty-six years I had strived to keep myself reasonably fit, indeed, it was a demand of my career. I had fallen foul of the odd ailment over the years, most cured with a couple of paracetamol or simply a good rest. Then in late 2009 I began to experience the occasional lower abdominal pain. A few tests later and still no answers, save one. My PSA was a little high for my age. It was in early 2010 that I was referred to a Specialist and from there to my first set of biopsies. The result of these was not conclusive and so a second set of biopsies followed. On an afternoon in the middle of March I sat down in a small consulting room to be told that a small cancer had been found in my prostate. I think I stopped listening at that point, or at least stopped taking in what was being said. Fortunately my wife was with me and she listens well. Everything had been done in such a caring way, something I reflected on later that same day as I sat in the bath. However, I still had cancer. It was time to make some decisions. What I had to consider was should I leave it and have it monitored? Have a course of brachytherapy? Or surgery? Many discussions would follow along with caring, knowledgeable and sympathetic professionals. I was also made aware of all the possible consequences and side-effects of each option. I have always been one for dealing with decisions head-on but this one needed careful thought and above all, time. The discussions I had were very helpful and finally a decision was made, it was to be surgery. In my mind, if my prostate was gone then so was the cancer. Believe it or not the one that concerned me most was the possibility of incontinence. The way forward was to stick rigidly to my pelvic floor exercises. My visits to Addenbrooke’s served to re-assure my choice of the way ahead and I was supplied with ample information about what would happen. It was the first time I had come across ‘Robotic Surgery’, save for the odd reference in an episode of an hospital drama. In early June I was admitted to the hospital and prepared for surgery the next day. There is not really much I can say about the surgery, I was obviously asleep. However, I do recall waking up in the recovery room and seeing a few tubes and things and a very caring nurse sitting beside me. I’m sure she missed her lunch break while sitting next to me. She was fantastic as were all the staff in the recovery room; total professionalism with the odd injection of humour, just what I needed at that time. I felt a mixture of emotions after the operation although the one thing that stood out for me was that I had nowhere near the pain or discomfort that I had expected and no big scar. The care that followed on the ward was just great, a constant striving to make me comfortable and just a day later, a successful walk down the ward and home. I took it easy at home, as directed, and made what I considered to be a reasonably quick recovery. I am fortunate that my work is not overly manual and as such I made a gradual return after just four weeks. As for the incontinence; after the removal of my catheter, I waited for it but it wasn’t happening, well perhaps a little if I sneezed or laughed too much. I did wear pads for a couple of weeks simply to gain confidence. In mid July I returned to Addenbrooke’s for a follow-up appointment and heard the words I had longed for, “I don’t need to see you anymore”. The robotic surgery had been a success and I was certainly healing well. Without a doubt, with the choices I faced in the light of my diagnosis, robotic surgery was the right decision for me. Life’s journey continues thanks to some incredible technology and some extremely skilled hands.

J, age 46, Rutland