Ricardo Dario Gonzalez, M.D. Urologist

What is Radical Prostatectomy (Surgery) for Prostate Cancer? Radical prostatectomy is surgical removal of the prostate gland and the seminal vesicles (little organs attached to the prostate which make semen). The goal of prostate removal is to cure a man of prostate cancer by removing the diseased organ from his body. It is a validated, safe treatment option with high cure rates and high patient satisfaction reports. You will need general anesthesia and a short hospital stay (usually one night). As with all surgery, there is risk for bleeding, infection and pain in the short term. Erectile dysfunction and urinary incontinence may also be of concern. In general, smoking, older age, diabetes and obesity increase risks for these problems. Robotic Assisted Laparoscopic Radical Prostatectomy (RALP) Robotic Assisted Laparoscopic Radical Prostatectomy (RALP) is the most common type of prostate surgery today. The surgeon is assisted with a roboti...

OVERACTIVE BLADDER   OAB is a symptom complex not a disease.  It should be treated only as a means of improving quality of life.  If treatment does not improve quality of life then no treatment is an acceptable option. Patients may be seeking an evaluation of their symptoms in order to rule out a life-threatening condition.  Once the appropriate evaluation is complete they may not be interested in treatment for mild or moderate OAB symptoms.  First Line Treatments:   First line  treatments for OAB are behavioral therapies that should be offered to all patients alone or in combination with other modalities as they can be highly effective in improving OAB symptoms have limited or no side effects. Behavioral therapies include ;  fluid management ,  bladder training ,  bladder control strategies ,  urgency suppression and pelvic floor muscle training and all can be supplemented with biofeedback techniques . ...