Ask for their clinical metrics
Choosing a robotic surgeon for prostate cancer involves several layers of evaluation.
High-Volume Surgeons
Experience correlates with proficiency, making high-volume surgeons preferable for better outcomes. The British Association of Urological Surgeons (BAUS) registry provides valuable data in this context.
A center that does one prostate gland removal per week is a low-volume center. Ask your urologist how many prostate surgery they perform per week.
Continence Rates
High continence rates post-surgery indicate a skilled surgeon. NHS Trusts sometimes publish this data, with rates as high as 89% at 1 year following robotic-assisted laparoscopic prostatectomy.
Positive Surgical Margins
Low rates of positive surgical margins suggest surgical precision.
Rates can vary but remain an important metric.
One UK study reported a positive margin rate of about 20% to 26% in robotic prostatectomy.
How many young consultants have they trained in robotic surgery
A skilled prostate doctor would have trained many young robotic surgeons. Training people in performing the surgery is a sign of experience and knowledge.
A SURGEON WHO SHOWS YOU THEIR DATA MEANS THEY CARE ABOUT THE RESULTS. NEVER TRUST A SURGEON THAT DOES NOT SHOW YOU THE REAL NUMBERS
Interpersonal Skills
Bedside Manner
The ability of a surgeon to communicate effectively and show empathy can significantly impact the patient's experience and satisfaction.
Patient Reviews
Reviews provide insight into a surgeon's interpersonal skills and overall patient care. In the UK, websites like Doctify and Top Doctors are reliable sources.
Healthcare Facility Attributes
Multidisciplinary Team
Best outcomes are often achieved when a surgeon works as part of a multidisciplinary team that includes medical oncologists, radiation oncologists, and other specialists. Many leading hospitals in the UK offer this comprehensive approach.
Treatment Options
Facilities offering a wide range of treatment options, including radiation therapy, focal therapy (HIFU, Cryotherapy and NanoKnife), hormone therapy, and surgical options, provide a more holistic care approach.
The availability of options allows for more personalized treatment plans.
A Balanced Approach
When selecting the best robotic surgeon for prostate cancer, a balanced evaluation involving clinical metrics, interpersonal skills, and healthcare facility attributes is vital.
Given that one in eight men in the UK will be diagnosed with prostate cancer during their lifetime, making an informed decision is crucial for optimal treatment outcomes.
