August 29, 2017
Policy issues identified after my experience with prostate surgery
I’ll pursue these after I’m better:
- There needs to be an independent body that tracks progress of continence and erectile function of surgeons. [“The NHS – who make surgeons report their success rates these days – regard success after RP as using 1 pad or less per day by 12 months post-op.” – Source]
2. Patients need to be given a copy of the video after robotic prostate surgery. It is clear that doctors get a copy of their surgery video record: “I asked my doctor if he understands why some people have more severe incontinence problems and he said there is some correlation with age and fitness but that he’s reviewed the videos and records from his past surgeries and tried to correlate them with the outcomes but he still doesn’t understand the variations in outcome.” [Source]. This does imply, thought, that providing the video to an untrained patient might not do the patient any good. If even experts can’t use the videos to predict continence outcomes then it is unlikely that giving the videos to the patients will help.