Chapter 11: Discussion of MRI Screenings and Prostate Specimen Removal

Dr. David B. Samadi, Chief of Division of Robotics and Minimal Invasive Surgery for Mount Sinai School of Medicine, discusses MRI screenings. As opposed to other institutions that are proponents of getting all types of tests, Dr. Samadi recommends customizing surgery for individual patients. He shows picture of a large volume of cancer at the left base, and the neurovascular bundle has been invaded by cancer. In this instance, he can’t spare the nerve because the cancer will be left behind. He discusses what happens when the nerve has to be cut, which happens in 10% of his patients. Plastic and orthopedic surgeons take a piece of nerve from an opening in the lower extremity, such as a foot (in picture shown) and replace it where it’s needed right during surgery. Dr. Samadi discusses how a prostate is removed with the use of a plastic bag connected to a string. He shows a photo of completed procedure. The less damage done to side of prostate where the nerves are will result in a better outcome.

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