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When I arrived in Brazil ten years ago, the three robots used for surgery were betting on cardiology procedures. Over the years, they have expanded to 45, and in the case of prostate cancer, they have gained more prominence in the urology area. According to the doctor, the robot helps the patient to adjust to the treatment. Because it is accurate, side effects such as hospitalization time, erectile dysfunction and urinary incontinence are reduced.
Patients are more receptive to surgical treatment. (With robots) The risk is not zero, but they are smaller. "José Roberto Colombo Júnior, a urologist at the Albert Einstein Hospital in Israel, says that erectile function, erectile function and age and health status in relation to erectile dysfunction are 80% is. "
According to Flavio Trigo, president of the Brazilian Urological Society (SBU), robot surgery has increased throughout the country, especially in the last two years. Instead, the doctor grabs the tweezers and grabs the "hole" and pulls the tumor. The robot moves and moves. "The recovery is fast and the length of hospital stay has been cut in half. It took 1-2 days in the hospital."
Sírio-Libanês Hospital, a specialist in genitourinary surgery and an operating room specialist, said the surgery was beneficial, but other techniques were successful. "Robotic surgery is perfect for surgery, but it's the same as the conventional or laparoscopic approach, and people with inaccessibility can be treated." According to Miter, surgery is one of the most important remedies for treatment and gives the best results.
Sao Paulo is the country with the highest number of equipment. Harty Strattner says that Rio de Janeiro, Minas Gerais, Rio Grande do Sul, Parana, Brasilia, Pernambuco, Ceara and Pardo have devices. The robot in operation in Brazil needs 5,000 surgeries this year, 5,000 urinary surgery and 90% prostate surgery.
This technology is available at institutions such as the private and public networks, the São Paulo Cancer Institute (Icesp), the Amor Hospital (formerly the Barretos Cancer Hospital) and the hospital at the University of Porto Alegre at the University of Rio Grande do Sul.
After hearing of one of his brothers diagnosed with prostate cancer, Jorge Miguel Rebane Neto, 54, an administrator in 2011, decided to undergo routine testing. He was 47 years old and monitored his father at the age of 45 because he was sick, but he delayed his return to the doctor that year. It was your luck. "I also got prostate cancer."
Rebane Neto received surgery on Sunday. He was walking and left the hospital on Tuesday. "I got an operation in November and came back in February, I just got marveled and my satisfaction is 100%," he reports to the manager.
Genetic testing
In addition to robotic surgery, genetic testing is widely used for relatives of patients suffering from aggressive forms of disease. "Even if you do not have a family history, the probability of finding genetic mutations can reach 11% in men with very high PSA and metastasis." Oncogenetics ACCAMARGO Cancer Center, oncologist Maria Nirvana Formiga
Francisco Lobianco, 68, who retired after robot surgery to remove the prostate in 2012, was asked to screen a prostate. In this test, the pancreas, stomach, and skin were found to be cancerous. His daughter was tested and tested negative. He is collecting money for his son. "I carefully looked at the test for gastritis, went to the treatment immediately and looked at the skin better."
What is
The prostate located between the bladder and the urethra is an artery that functions to produce most of the sperm-raising semen.
disease
Two diseases, benign prostate hyperplasia (enlargement of the line that can occur with aging) and cancer (rare) can affect it.
exam
Prevention test (PSA And Work touch) Must be from 50 years old. If you have family history, monitoring should begin before age 45. "With early diagnosis, the opportunity for treatment is 90%," says Flavio Trigo, president of the Urological Association of Brazil.
• cure
If cancer is found, the doctor will define the treatment to be adopted. Not all tumors need to be removed immediately. "We do not need to treat all cases," said José Roberto Colombo Júnior, an urologist at Albert Einstein, an Israeli hospital. "We do blood tests and biopsies to track the tumor," explains José Roberto Colombo Júnior. did.
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