![]() “The survival numbers for prostate cancer have improved more in the past 20 years than those of any other major type of cancer,” Walsh said. Walsh, MD, took charge of the Brady Urological Institute at Johns Hopkins University in Baltimore, Maryland, and spent the next few decades refining the radical prostatectomy into a safe, effective, and tolerable procedure, one that has not only extended countless lives but has also preserved quality of life. The vast majority of patients with prostate cancer thus made the understandable choice to forgo surgery in favor of radiation treatments that, at that time, rarely produced cures. Each procedure entailed a frenzied effort to navigate uncharted anatomy and avoid copious bleeding and, following surgery, these men faced a lifetime of virtually certain impotence and probable incontinence. Until the mid-1970s, the radical prostatectomy ranked among the most dreaded of all surgeries in men.
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