The radical robotic prostatectomy is but a treatment philosophy that has never been scientifically proven to be safe, effective or, save significant numbers of lives. In fact, the idea of “cutting out” a prostate cancer simply capitalizes on the public’s misconception that such a process is reasonable.
The rot in the prostate cancer story began with the report, “The Early Diagnosis and Radical Cure of Carcinoma of the Prostate” by H. H. Young at Johns Hopkins Baltimore where, despite providing zero evidence for early diagnosis and cure, Young concluded that the radical prostatectomy resulted in “remarkably satisfactory functional results furnished”. Even worse than these bare-faced lies, his first two patients died (one postoperative and the other after being treated for a complication common to this procedure) while the remaining two men were left with debilitating urinary issues. Shockingly, these complications and others are still all too common today and, leave most men with severe regret for having been talked into surgery.
Even the FDA “approved” label for the radical (robotic) prostatectomy is a vile distortion of medical truth. The robotic prostatectomy was never scientifically proven to be safe or effective through evidence-based clinical studies. It was only through harassment that urologists had the nation’s watchdog agency recklessly rubber-stamp its approval by way of the misguided 510(k) process. Not surprisingly, this shortsighted approval has brought about just another public health disaster.
List of Complications Associated With Radical Robotic Prostatectomy
The radical robotic prostatectomy is associated with an incredible list of complications. In addition to most men being left “limp and leaking”, other horror stories can be found by googling prostatectomy complications as well as searching the FDA MAUDE site. Furthermore, in addition to some 40% or so of men being left with a positive margin or, cancer left behind after their misguided procedure, manipulation of the tumor during the operation causes the well documented spread of cancer cells into the circulation and bone marrow. Also making nonsense of urologists attempts to support their unproven surgery are the unconscionable head games with patients attempting to sway them towards surgery with claims that a salvage radical prostatectomy may be impossible after radiation treatment should a high-grade cancer recur. In reality, the radical robotic prostatectomy has never been scientifically validated as a treatment for any prostate cancer of any stage except, through herd mentality and consensus medicine.
It has been well known for several years now that the very common Gleason 3+3=6 prostate cancer is a bogus cancer which needs neither detection nor radical or focal treatment (Klotz and others). Shamefully, those men who were badgered into getting unneeded evaluation or treatment because of a gaming of the cancer label have not only been medically abused but, fooled into thinking they were survivors. Only the 15% or so of high-risk prostate cancers are potentially lethal and, only these require detection and treatment.
PSA-Based Screening and Prostate Exams
Since PSA-based screening of healthy men and prostate exams are highly suspect and, the so-called “standard”, risky needle biopsy of the prostate samples randomly only 0.1-0.3% of the prostate, current approaches to detect only the important high-risk prostate cancers consider several abnormal levels or trends of the PSA, PSA derivatives and PSA density. Although not fool-proof, if these values are of concern, an mp-MRI of the prostate by a recognized expert is appropriate since, unlike the unreliable needle biopsy, the MRI examines the whole of the prostate. In the right hands, this imaging study is able to detect the PIRADS 4 and 5 areas which suggest potentially lethal high-risk disease and, ignore the non-lethal Gleason 6 pseudo-cancer. These high-risk areas can then be targeted for a needle biopsy during the MRI which is far more accurate than using the in vogue fusion techniques. Validated high-risk, pathology maybe treated with focal therapy such as cryo, laser or hifu (although scientifically unproven) if the cancer is ideally located within the prostate and, is of small volume. Generally though, high-grade disease is best treated with a combination androgen deprivation therapy for a period of months along with radiation or proton beam.
For the most part, healthcare information represents a toxic dump of misinformation. Just as the players in the various food industries have advanced their own cause by heavily sponsoring dietary and nutrition healthcare organizations with endless dollars to twist the truth and create doubt at the public’s expense, so too have the biotech and drug industries used the same strong-arm tactics to influence healthcare organizations with pseudoscience for self-serving reasons at patient expense. The bogus Gleason 3+3=6 cancer and the unsafe radical robotic prostatectomy are representative of the insufferable volume of junk science and quackery prescribed to extort endless dollars from the medically illiterate and, these so-called remedies simply underscore the many medical crimes against humanity.
Supporting links to this report can be found in the articles below:
Bert Vorstman MD, MS, FAAP, FRACS, FACS