New laser technology may reduce prostate surgery’s sexual side effectsAugust 6th, 2010 - 11:33 am ICT by ANI
Washington, Aug 6 (ANI): Surgeons at NewYork-Presbyterian Hospital/Columbia University Medical Center have come up with a new laser technology that may reduce prostate surgery’s sexual side effects.
One of the challenges of the surgery is removing the cancer-affected gland without side effects. The procedure is estimated to cause long-term sexual dysfunction in half of men.
However, the latest study suggests that the new laser technology used with robotic prostate cancer surgery may reduce the risk of damaging the crucial nerves necessary for erections and urinary continence.
The pilot study is the first to evaluate the CO2 laser for prostate cancer.
“The precision of movement available through robotic surgery is already helping reduce the risk of sexual side effects, and the early evidence is that CO2 lasers will help us be even more accurate — especially when preserving the sensitive nerve areas necessary for sexual function and urinary continence,” said Dr. Ketan Badani, director of robotic urologic surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center and assistant professor of urology at Columbia University College of Physicians and Surgeons.
CO2 lasers are widely used to treat cancer in the head and neck. A new, flexible, fiber-based delivery system is now making the treatment approach possible with robotic prostate cancer surgery.
In the procedure, Dr. Badani uses the robotic instrumentation to remove the patient’s prostate. This process is aided by the laser, which is used to dissect the plane between the nerves and the prostate, freeing the nerves and preserving them.
“Traditionally, we cut, clip or cauterize the tissue around the prostate nerves. However, these techniques can cause irreversible damage due to traction or heat injury. The CO2 laser may reduce this risk because it is low-heat and doesn’t require much manipulation of the nerves,” said Dr. Badani
The new study describes the use of the laser in 10 cases. It reports that the technology is easy to manipulate and very accurate. Patients experienced a return of urinary continence better than the norm, something the researchers found “extremely encouraging.”
Future research will determine if the technology can improve outcomes with regard to the ability of men to sustain an erection, and its long-term ability to prevent cancer recurrence.
The laser technology, known as BeamPath, was provided by OmniGuide of Cambridge, Mass. OmniGuide BeamPath CO2 laser fibers are cleared for use by the FDA across a variety of open, endoscopic and laparoscopic soft-tissue cutting applications, including urology.
The study has been published in the July online issue of the Journal of Endourology and was also presented recently at the American Urological Association annual meeting in San Francisco. (ANI)
- Mumbai's Kokilaben hospital unveils robotic arm for surgeries (Lead) (With Image) - Jun 10, 2012
- New method detects aggressive prostate cancer - Aug 09, 2012
- Surgeons harness robotic surgery for kidney cancer - Jul 29, 2008
- AIIMS robot performs rare cancer surgery - Apr 19, 2010
- Laser technology treats man with enlarged prostate - Jun 15, 2011
- Herbal therapeutic Zyflamend shows promise in treatment of men at prostate cancer risk - May 23, 2009
- Delhi hospital conducts life-saving robotic surgeries - Apr 20, 2012
- India to get first robotic training centre for doctors - Jan 14, 2012
- Robot-assisted surgery to remove cancerous prostate glands is safe - Mar 24, 2011
- Bulging waist damages sexual, urinary functions - Aug 01, 2012
- Now, a robotic way to hassle-free surgeries - May 21, 2012
- Robotic surgery extends benefits to bladder cancer patients - Jul 31, 2008
- Gujarat hospital becomes first to acquire latest robot for urological surgeries - Sep 27, 2010
- Indian-origin scientist's technique for better urinary continence after prostatectomy - Sep 04, 2009
- Kokilaben hospital in Mumbai gets robotic arm for surgeries - Jun 10, 2012
Tags: badani, co2 laser, co2 lasers, college of physicians, columbia university college, columbia university college of physicians and surgeons, columbia university medical, heat injury, ketan, physicians and surgeons, pilot study, presbyterian hospital, prostate cancer surgery, prostate surgery, robotic surgery, sensitive nerve, sexual side effects, university medical center, urinary continence, urologic surgery