Dr. Sanjay Addla is a Consultant Urologist for Apollo Hospital, Jubilee Hills, Hyderabad. The full title is: How Risky is High-Risk Prostate Cancer? Lessons Learnt From 575 Robotic Radical Prostatectomies. Dr. Addla talks about the typical prostate cancer patient, who ends up dieing a painful death after various treatments, not including surgery. “I am not going to say that by doing surgery, you will alter the natural history dramatically, but one thing for sure- he would not die a miserable death.,” Addla claims.
He defines high-risk disease: PSA over 20, Gleason 8-110, and cancer more than or equal to T2c. He compares low- medium- and high-risk patient statistics, telling the Robotic Surgeons Council of India that one-third of patients in the high-risk category still have cancer which is “organ-confined, curable disease.”
Ten years after undergoing a robotic radical prostatectomy, he cites Mayo Clinic statistics showing that 55% of the high-risk RARP patients are cured by surgery (at 10 years) and more than 90% never have lower urinary tract obstructions.