Mr Thyer offers specialist management of prostate cancer.
Mr Thyer has a special interest in robotic and laparoscopic surgery for prostate and kidney cancer but also performs surgery for many other urological conditions.
The prostate is a walnut sized organ located just below the bladder that forms the junction between the male reproductive and urinary tracts and secretes fluid that makes up part of the semen.
When cancer is detected in the prostate, a radiation oncologist may recommend treatment with radiotherapy.
SpaceOAR is a hydrogel that solidifies once placed in the body and creates a larger space between the prostate and rectum. The SpaceOAR minimises radiation inadvertently delivered to the rectum and nerves around the prostate. The SpaceOAR will dissolve and be resorbed by the body after 3 months. Fiducial markers are small grains of gold that are placed in the prostate to assist the radiation oncologist to deliver radiation to the prostate more accurately. Your radiation oncologist has requested that Mr Thyer place a SpaceOAR and/or fiducial markers to the prostate.
Ten days prior to the procedure you should notify Mr Thyer’s rooms if you are taking any blood thinning medication. Please ensure that if you are having fiducial markers inserted that these have been collected from the radiation oncologist. These can be brought with you to the hospital on the day of the procedure or you may arrange with your radiation oncologist to deliver them to Mr Thyer’s rooms.
On arrival at hospital you will be given antibiotics to help prevent infection. You will require an enema if your bowels have not moved prior to coming to hospital. You will require a short general anaesthetic. Mr Thyer will introduce an ultrasound probe into the rectum to image the prostate. Local anaesthetic will be introduced around the prostate. If you are having fiducial seeds inserted these will be placed into the prostate under ultrasound guidance. For men having SpaceOAR, this will be inserted via the sterilised perineal skin just below the scrotum. The SpaceOAR will be carefully inserted into the plane between the rectum and prostate and ultrasound performed at the time of insertion will ensure good separation of prostate and rectum. After the procedure the nurse will check you have passed urine then you will be sent home.
Mr Thyer will notify your radiation oncologist the same day the procedure is performed. After the procedure you should rest, minimise heavy lifting and take laxatives for 2 weeks. You will have a telephone follow up appointment at approximately 3 weeks made with Mr Thyer to check on your progress after the procedure.
Following the procedure, you should contact Mr Thyer if you: