Who should have robot-assisted radical prostatectomy?

There are many ways to treat prostate cancer that is localized (only in the prostate) including radiation, surgery and observation. All patients with prostate cancer who come to Roswell Park for the first time are discussed at a conference every other week that includes multiple specialists including radiation oncologists and urologists.

Certain characteristics of patients are looked at to determine if they are eligible for robot-assisted surgery.

Medical history

Medical history is important when considering surgery. Anesthesiologists use the “ASA” score to classify patients prior to surgery based on medical history. This is an overall estimation of your physical health, based in part on whether or not there is systemic disease (problems with one of the body’s main systems). ASA scores are given in Roman numerals:

ASA I: a normal, healthy patient

ASA II: a patient with mild systemic disease, such as someone with well-controlled high blood pressure

ASA III: someone with severe systemic disease that interferes with their normal functioning

ASA IV: someone whose disease puts them at constant risk: for example, a person with a combination of serious illnesses

Among the patients from Roswell Park who have had robot-assisted radical prostatectomy, most were ASA II (86%).