At Cleveland Clinic Florida, doctors are experts in diagnosing, staging and treating prostate cancer. Treatment options depend on many variables including the type, stage and aggressiveness of the cancer as well as the age of the patient. Our multidisciplinary team of doctors collaborate with each other and develop a treatment plan based what is appropriate and best for each patient.
Among the options offered to patients is robotic prostatectomy in Cleveland Clinic Florida’s new, state-of-the-art operating room equipped with magnified 3D video projection. The operating room is the first in Florida and the second in the nation to combine state-of-the-art magnified video projection with a 3-D robotic surgical system.
HealthGrades Recognitions - 2013
- Recipient of the HealthGrades Prostatectomy Excellence Award™ for 4 Years in a Row (2010-2013)
- Ranked Among the Top 10% in the Nation for Prostatectomy for 4 Years in a Row (2010-2013)
- Ranked Among the Top 10 in FL for Prostatectomy in 2013 (Ranked 8 in 2013)
- Five-Star Recipient for Prostatectomy for 5 Years in a Row (2009-2013)
- Ranked #8 in FL for Prostatectomy in 2013
Physicians at Cleveland Clinic Florida screen patients for prostate cancer by performing a digital rectal exam, in which physicians feel the prostate for abnormal areas, and by performing a blood test to evaluate the level of Prostate-Specific Antigen (PSA). PSA is a protein produced by the prostate gland and secreted into the blood. An elevated level could indicate that cancer is present; although other benign conditions such as enlarged or inflamed prostate also may cause elevated levels of PSA.
If cancer is suspected following these tests, a biopsy will likely be performed. A tissue sample is taken with a small needle and examined under a microscope so doctors can confirm or rule out a cancer diagnosis.
Brachytherapy is a form of radiation therapy in which radioactive seeds, each the size of a grain of rice, are placed into the prostate either temporarily or permanently. The seeds emit radiation and target the tumor while reducing exposure to surrounding tissues.
External Beam Radiation
External beam radiation therapy is a form of radiation therapy in which high energy X-ray beams are directed at the tumor from a machine outside of the body. The radiation treatment lasts a few minutes and is usually given several times a week for a set period of time.
This minimally invasive procedure takes advantage of Cleveland Clinic Florida’s newly equipped operating room for 3-D robotic surgery. The surgeon uses a 3D robotic system combined with state-of-the-art magnified video projection. Two large 110 inch stereoscopic displays provide accurate depth perception allowing the surgical team to operate with better precision and clarity.
This traditional form of surgery for removing the prostate gland is done under general anesthesia. The surgeon makes a cut from below the navel to the pubic bone to access the prostate. The surgery may require several days in the hospital and recovery takes several weeks.
Chemotherapy is the use of any one or combination of drugs that are aimed at killing cancer cells. Chemotherapy is typically reserved for advanced prostate cancer and prostate cancer that has not responded to other treatments.
Cryotherapy involves freezing the prostate gland to temperatures the cancer cannot withstand. It is a minimally invasive procedure that is conducted as an outpatient procedure and occasionally requires an overnight in the hospital. Four to eight small needle-shaped temperature-monitoring probes are inserted into the prostate. Recovery takes a couple of days and there are minimal after effects.
- Alok Shrivastava, MD
Head, Section of Robotic and Urologic Oncology
- Lawrence Hakim, MD
Chairman, Department of Urology and Head, Section of Sexual Dysfunction
- Barbara Ercole, MD
- Richard J. Macchia, MD
- Nicolas Muruve, MD
Urologist, Fellowship Program Director, Urologic Oncology
Support & Rehabilitation
Cleveland Clinic Florida provides several programs for patients and families coping with the physical, emotional and social aspects of prostate cancer.
Man to Man
This is a forum for men to provide group support and education on Prostate Cancer. The group meets the second Thursday of every month at 6:30 p.m. in the Jagelman Conference Center at Cleveland Clinic Florida.
For more information, call locally at 954.389.2496.
4th Angel: Patient Mentor Program
This program is sponsored by the Scott Hamilton Cares Initiative and provides a one-on-one telephone support service to all cancer patients. A caregiver support program is also available.
For more information, call locally at 954.659.5604 or toll-free 800.440.4140 ext. 58734.
Look Good Feel Better
This is a free program that teaches people in active cancer treatment ways to deal with appearance-related side effects. It is offered by the American Cancer Society and the National Cosmetology Association. Meetings are held on the third Monday of the month at 3 p.m. in the Jagelman Conference Center at Cleveland Clinic Florida.
For more information, call toll-free 800.227.2345.
Rehabilitation and wellness are keys to recovery. Targeted rehabilitative services, such as for erectile function, or system-wide services, such as yoga and dietary counseling help patients manage side effects of treatment and where possible, maintain their urinary and sexual functions.