This post was under newer surgical procedures meant for the newly diagnosed who will be pursuing the surgical approach. It was not meant to disparage past treatment procedures nor to change patients with surgery imminent or just around the corner with their surgeries set.

Minimal side effects , quick recovery and no cancer. Boiled down to a nutshell is what everyone wants from surgery . Minimal side effects mean no or minimal leaking and continued sexually activity if currently active, and yes of course being cancer free is the goal of the surgery. Everyone is free to pursue those goals with the Surgeon they choose best meeting the degree to what they want. Everyone should just be aware that ports and things do matter. If the single port , Retzius sparing, anterior fascia sparing, Fascial -preserving approach and real time surgical pathology are avenues that give you opportunities that you might not have for better continence, less ED and higher degree that the cancer is gone, why not pursue those avenues or at least look into them. None of those will matter without surgical competence though. The literature and NIH studies are about reflect these advances.

I am glad this conversation got started because before it did many patients had no knowledge their was anything but a generic robotic laparoscopic radical prostatectomy. Before single, there was multiple and before multiple there was open. The literature and studies are their regarding the advantages of the new single port or their would be no new single port. Many now are aware that their are differences in robotic surgery and how those considerations might shape their surgical decision.