Prostate cancer //
Prostate cancer is the most common cancer in men in the UK, with over 40,000 new cases diagnosed every year. Some prostate cancers develop slowly, so there may be no signs that you have it for many years, whilst others grow more rapidly. Prostate cancer remains a common cause of death in the UK. Prompt and careful evaluation in my specialist clinic will allow us to identify dangerous cancer if it is present so that it can be dealt with . Reassuringly, most prostate cancer is confined to the prostate at the time of diagnosis meaning that an attempt to cure it can be made. Symptoms often only become apparent when your prostate gland is large enough to affect the urethra (the tube that carries urine from the bladder to the penis). When this happens, you may notice things like an increased need to urinate, straining while urinating and a feeling that your bladder has not fully emptied. Although these symptoms shouldn’t be ignored, they do not mean that you definitely have prostate cancer. It is more likely that they are caused by something else, such as benign prostatic hyperplasia (also known as BPH or prostate enlargement). Please click here for a recent review article on prostate cancer.
On those occasions where a dangerous prostate cancer is found to be the cause of a raised PSA or LUTs, I have expertise in the treatment of prostate cancer and perform robotic surgery to remove the cancerous prostate where this is required. I also have experience of active surveillance to manage prostate cancer when surgery is not required. Robotic surgery is a form of keyhole surgery where the surgeon controls mini surgical instruments to undertake the procedure within the patient. Patients benefit from the precision of robotic surgery through a reduced recovery time, reduced pain following the procedure and from far less visible scarring.
I am a member of the specialist multidisciplinary team (SMDT) at UCLH which was recently evaluated by peer review as the best performing SMDT in the UK. The MDTs specialists are experts in the full range of NICE recommended prostate cancer treatments. I use advanced surgical techniques including the use of the DaVinci robotic system to perform precision surgery giving patients the best chance of cure, with minimum side effects, and allowing patients to return to normal activity as quickly as possible. I offer the NeuroSAFE technique to maximise continence and potency after radical prostatectomy. I accept referrals for patients with prostate cancer from across London, nationally and internationally.
Keyhole (or laparascopic) surgery using robotic assistance (Da Vinci robot) is used to remove the prostate.
The nerves which control a mans erections run in the outer coverings of the prostate. During a robotic prostatectomy the outer coverings can be peeled off to spare the nervous tissue and promote sexual potency after the operation.
The NeuroSAFE technique was developed in Germany. It is a way of checking that nerve sparing has not uncovered the cancer whilst the patient is still asleep on the operating table so that if it has, this can be remedied.
Active surveillance involves careful monitoring of men whose cancer appears to be harmless at diagnosis. Active surveillance means that if the cancer changes its behaviour, as some do, this will be detected, so that timely treatment can be given. It allows side effects to be avoided in men who don't need treatment.
Book an appointment //
For further advice on prostate problems including cancer, please call +44 02079359720 to book an appointment, with Mr. Greg Shaw at his private clinic in London. Alternatively, contact us online.