When they arrived in Brazil ten years ago, three the robots used in operations There was a rate for cardiological procedures. Over the years, they have grown – now 45 – and to the end with greater popularity in the urological field, especially when prostate cancer.
According to doctors, robots help the patient to treat the treatment: because they are more precise, they reduce hospitalization time and side effects, such as erectile dysfunction and urinary incontinence.
"Patient has better surgical treatment [com robô] and although the risks are not zero, they are small, "says José Roberto Colombo Júnior, a urologist and specialist in the toy's urological surgery in Israel at the Albert Einstein Hospital. According to the doctor, the risk of incontinence after a robot surgery varies from 2% to 3 Traditionally it is 5 %
In relation to erectile dysfunction, they are influenced by factors such as the very function of the erectile function before surgery, age and health status – in obese patients and diabetes is more likely. "With robot operation, ability to save [a função] and 80%. "
According to Flavio Trigo, president of the U.S. U.S.A.S.A., robotic surgery in the country has risen especially during the last two years. Instead, the doctor keeps tweezers, takes "holes" and directs the tumor, it's a robot that moves. "Recovery is faster and the hospitalization time is halved – one or two days in a hospital."
Sao Paulo is the country with the most equipment. According to H. Strattner's information specializing in minimally invasive surgery and responsible for the distribution of robots in the country, there are devices in Rio, Minas Gerais, Rio Grande do Sul, Paraná, Brasília, Pernambuco, Ceará and Pará. Brazilian robots must carry out 8500 operations this year, which is 5,000 urological and 90% prostate.
This technology is available in private and public networks such as the State Cancer Institute in San Jose (Icesp), the Hospital de Amor (formerly Barrett Cancer Hospital) and the Hospital of the Federal University of Porto Alegre from Rio Grande do Sul.
After hearing a diagnosis of prostate cancer in one of my brothers and sisters, in 2011, Administrator Jorge Miguel Rebane Net, 54, decided to take a periodic exam. He was 47 years old and was seen since he was 45 years old because his father had a disease, but this year he was late in returning to a doctor. It was your happiness. "I also had prostate cancer."
On Rebane Net, on Monday, he was undergoing surgery while he was on his way, and on Tuesday he left the hospital, "I went to surgery in November and I returned in February. I was only surprised and 100% satisfied with my satisfaction," reports the administrator.
In addition to the robot operation in the country, the use of genetic screening, indicated by relatives of patients with aggressive forms of illness, is growing. "Even if there is no family history, finding a genetic mutation can reach 11% for men with very high PSA and metastasis," says Oncogenetics Department's Oncologist Maria Nirvana Formiga from Cancer Center ACCamargo.
Following a spinal surgery to remove a prostate in 2012, a 68-year-old pensioner, Francisco Lobianco, was screened. The test also showed a trigger for pancreatic, gastric and skin cancer. "I was much more careful, the gastritis appeared in the exam, and I went for an immediate treatment, and I cared for the skin carefully."
About the Gland: What is a Prostate?
Located between the bladder and the urethra, the prostate is a gland whose function is to obtain a large amount of seed fluid that feeds the semen.
It can be affected by two diseases: benign prostatic hyperplasia (enlargement of the gland that may occur as a result of aging) and cancer (uncommon).
Prophylactic examinations (PSA and rectum test) should be performed from the age of 50 years. In the case of family history, surveillance starts early in the past 45 years. "Early diagnosis has 90% chance of treatment," says Flavio Trigo, President of the Brazilian Urology Society.
If the cancer is detected, the doctor will decide on the treatment to be taken. Not all tumors should be removed immediately. "We do not have to deal with each case. Blood tests and biopsies are done to monitor the tumor," explains José Roberto Colombo Júnior, Urologist of the Israeli Hospital Albert Einstein.
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