Prostate cancer

Diagnosis and treatment

Early diagnosis using tests such as PSA, which is measured in a simple blood test, the specialist can establish the value of this protein synthesised by the prostate, whose index increases when a tumour is present. It should be borne in mind that prostate cancer only causes symptoms when it is in advanced stages, hence the importance of PSA, which allows early detection of this disease in asymptomatic patients. The symptoms are generally due to the benign growth of the prostate (hyperplasia) that causes obstruction in the urine output, and secondly through changes that occur in the bladder muscle affecting its storage.

Surgery types

The surgical approach to prostate cancer is minimally invasive and is performed by laparoscopic methods through small incisions that are used to introduce special and long surgical instruments to remove the prostate. The surgeon relies on a control panel to precisely move the instruments. This way of performing prostatectomy has become frequent in recent years as it has advantages such as less bleeding, less hospital stay and less post-surgical pain.

Laparoscopic oncological surgery:

  • Radical prostatectomy for prostate cancer
  • Kidney tumour surgery with kidney sparing or radical surgery
  • Laparoscopic nephroureterectomy in upper urothelial tumour

Surgery of large renal and retroperitoneal masses for renal carcinoma, sarcomas or residual post-chemotherapy masses in testicular cancer, Radical cystoprostatectomy and orthotopic bladder replacement in infiltrating bladder tumours.

Urinary tract tumours:

  • Diagnostic and/or surgical ureteroscopy.
  • Endoscopic surgery of upper urinary tract tumours
  • Urological tumour disease
  • Prostate screening
  • Diagnosis, treatment, and follow-up of urologic tumours