Entries by EmmaFreebody

Robotic Perineal Prostatectomy – A First

Robotic perineal prostatectomy performed in the UK

The first robotic perineal prostatectomy performed in the UK
 
The robotic prostatectomy continues to evolve with Mr Christopher Ogden and his team at The Royal Marsden Hospital who performed the first robotic assisted perineal prostatectomy in the UK. This approach was first pioneered by a Urological Professor from Cleveland, USA, who visited the team at The Royal Marsden to help and share his expertise.

The successful operation was performed on a 65 year old patient with prostate cancer, Gleason 3+4 in 11/28 cores. During the operation he experienced minimal bleeding and no bowel handling. He was fit for discharged the following day with minimal pain and two weeks later he had a successful trial without catheter. The histopathology confirmed the cancer was organ confined and with negative surgical margins – a very successful operation.

Compared with the more traditional retropubic approach, the perineal prostatectomy will allow patients who have had extensive abdominal surgery to undergo the operation as it avoids the abdomen altogether. It also allows the surgeon to maximise the urethral length which aids post prostatectomy continence.
 
Perineal surgery was previously suitable for the open approach only but following the success of this robotic perineal prostatectomy we will hopefully see a revival using the robot and our future surgeons will be trained in this approach too.
 
Please click here for the full article which appeared in Urology News on 1st January 2019.

Great British Menu 2018

“There are no robots in that kitchen”… “Maybe one day.”

The Great British Menu 2018 is almost certainly not the most obvious place to look for a urologist specialising in robotic surgery but, despite his huge workload Chris Ogden was able to make an appearance on the judges panel on the BBC programme the Great British Menu.

Programme Name: Great British Menu - TX: n/a - Episode: Finals Week - Fish Course (No. Finals Week - Fish Course) - Picture Shows: Oliver Peyton, Chris Ogden, Andi Oliver, Matthew Fort - (C) Optomen TV - Photographer: Andrew Hayes-Watkins - © BBC

Raising awareness for prostate cancer and robotic surgery, Chris Ogden was invited as a guest judge in this year’s fish final. The winners of this year’s competition receive the honour of cooking for the heroes of the NHS at the banquet.

Great British Menu 2018 - Act Fast & Watch Below

The episode is available to watch on BBC iPlayer until mid-November 

A revolutionary pioneer of robotic surgery specialising in prostate cancer and the     the most prolific prostate robotic surgeon at London’s Royal Marsden”, Chris Ogden discussed the evolvement of prostate cancer surgery and in particular the use of the da Vinci robotic device “which was initially researched and pioneered by NASA and enhances the use of key hole instruments which are manipulated remotely through a console which the surgeon sits [at] to carry out the procedure.”

He continues on how this safe, successful surgery has “empowered [men] to be diagnosed and treated early and therefore the outcomes are much better for men.”

For more information on robotic surgery and prostate cancer please visit our website www.roboticprostatesurgery.co.uk

great british menu 2018

Programme Name: Great British Menu - TX: n/a - Episode: Finals Week - Fish Course (No. Finals Week - Fish Course) - Picture Shows: Chris Ogden, Oliver Peyton, Andi Oliver, Matthew Fort - (C) Optomen TV - Photographer: Andrew Hayes-Watkins - © BBC

"It depends how special the chef is"

Ellis Barrie, representing the North West, scored a perfect 4 "tens". Each of the four judges found his food to be faultless and clearly worthy of inclusion in the banquet.

Before the dish was served, Matthew Fort posed a question about Ellis's dish:

"Chris, is mackerel special enough for a banquet?"  

Chris's response "It depends how special the chef is!" turned out to be a great prophecy.

Ellis was duly selected as the winner of the fish course final. The quality of his cooking was outstanding but most importantly the way his "Bun In The Oven" met the brief of the competition was also greatly admired.

Bun In The Oven

Steamed squid ink bun, torched mackerel, dill emulsion, shallot variations and cashew crunch served with mackerel tartare and kohlrabi tagliatelle, buttermilk and horseradish dressing, dill oil

In summary although the dish sounds simple enough take a look at the full ingredients and method here to understand how complex this creation really is.

Chris Ogden at the Great British Menu 2018

Programme Name: Great British Menu - TX: n/a - Episode: Finals Week - Fish Course (No. Finals Week - Fish Course) - Picture Shows: Chris Ogden - (C) Optomen TV - Photographer: Andrew Hayes-Watkins - © BBC

Prostate Cancer Symptoms

Prostate Cancer Symptoms – Three Signs You Should Never Ignore

Are you worried that something may not be quite right?

Prostate cancer symptoms usually develop slowly over time but there are early signs that the size of your prostate is increasing and putting pressure on the bladder and urethra and affecting how you urinate.

The three symptoms you may notice:
1.  increased frequency to urinate,
2.  difficulty or straining to urinate and
3.  incomplete bladder emptying or a feeling after urinating that your bladder is not empty.
 
Another common symptom is increased nocturia, the need to get up during the night to urinate and a weak flow.  An enlarged prostate can be an entirely benign condition known as benign prostatic hyperplasia (BPH) and does not increase your risk of getting prostate cancer but if you are suddenly presenting these symptoms it is worth a visit to your urologist for a prostate examination.
 
Simple lifestyle changes can help with BPH such as reducing your alcohol intake, limiting intake of artificial sweeteners, exercising regularly and drinking less in the evening.  For severe symptoms a urologist can prescribe you medication that will reduce the size of your prostate gland and help relax the bladder.  Surgery is only recommended for those that fail to respond to medication.

It is important not to delay getting checked out - it may be nothing to worry about at all and seeking early reassurance will reduce your stress levels. And if there is something that requires further investigation the sooner you talk to a specialist who will provide an expert opinion, the higher the chances of successful treatment. In many instances, surgery is not appropriate but delays in diagnosis could potentially reduce the option of alternative treatment.

Book an appointment today to see one of our London Urologists and see NHS prostate cancer webpage for more information. 

Symptoms Of Prostate Cancer

Symptoms of Prostate Cancer Worrying You?

There are many potential symptoms of prostate cancer. You should be aware of these as early intervention can radically reduce the longer term risks and in many cases prevent you from worrying unnecessarily.

If you are experiencing any of the following signs you don't need to be alarmed but you most certainly should see you GP as soon as possible to investigate the cause

10 Symptoms of Prostate Cancer

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    Difficulty starting or stopping the urine flow

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    Urgency of needing to urinate

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    Frequent need to urinate, particularly at night

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    Loss of bladder control

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    Weak flow

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    Pain or burning sensation during urination

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    Difficulty having an erection

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    Pain at ejaculation

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    Blood in urine or semen

You can find more details on the Cancer Research website

Your GP will carry out some basic tests, depending on your own personal symptoms, which will include a blood test to check your PSA level and potentially a referral to a specialist urologist for more detailed investigation.

In the worst case, should cancer be diagnosed, there are now even greater chances of successful treatment with the advent of more advanced medical technology.

Symptoms of Prostate Cancer - Could Be Non Cancerous

Prostate cancer is often slow-growing and symptoms may not be evident for many years. Generally the signs only occur when the cancer is large enough to put pressure on the urethra. However, the good news is that the prostate can also become enlarged due to a non-cancerous condition called benign prostatic hyperplasia (BPH).

If you are concerned about any of these signs, or you know a man who is, seek guidance from a GP as soon as possible.

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Erectile Dysfunction Following Radical Robotic Prostatectomy

Erectile Dysfunction Following Radical Robotic Prostatectomy:    Erectile dysfunction following radical robotic prostatectomy is a significant side effect. Impairment of erections is due to the unavoidable nerve damage (20-50% of men with good pre-operative sexual function) however, with the introduction of nerve-sparing which is the technique used at the time of surgery, most men should expect […]

Surgical Robots – The Evolution of Robotic Surgery

Share0 Share0 Share +10 Tweet0The Evoloution of Robotic Surgery Mr Christopher Ogden, Consultant Urologist, explores the evolution of robots and how surgical robots are used in revolutionary ways in the treatment of prostate cancer including:  da Vinci radical robotic prostatectomy, CyberKnife and High Intensity Focused Ultrasound. CLICK HERE for the full article. History of the Robot The […]

Medical Robots – Are They The Future?

Medical robots – can it really be true The Times reported on 5th May 2016 that medical robots (or a fully automated surgeon) successfully stitched up four Yorkshire piglets after an operation.   CLICK HERE for the full report. Device to be used on people Whilst the paediatric surgeon, Peter Kim, who led the work […]