Frank went the whole night without waking up to pee . . .
Dr Pras Sivam FRACS (Urol)
Urologist, Uro-Oncologist and Robotic Surgeon
Dr Pras Sivam (Prassannah Satasivam) is a Fellow of the Royal Australasian College of Surgeons and Member of the Society of Urologic Oncology.
Pras grew up in Melbourne and graduated from Haileybury College as Dux of the School in 1998. He joined the University of Melbourne Medical School with a tertiary entrance rank of 99.95. After completing his postgraduate surgical training in Victoria, he accepted a prestigious Fellowship in Urologic Oncology at Memorial Sloan-Kettering Cancer Center in New York. This gave him formal training under some of the best urologists in the world. Click here to learn more …
Melbourne Urologist Robotic Prostatectomy Prostate Cancer
Please click here to access detailed descriptions of our more common operations, including robotic prostatectomy, prostate biopsy, vasectomy, stone surgery, TURP and surgery for bladder cancer.
A unique approach
Dr Pras Sivam’s unique approach to robotic prostatectomy combines elements of both the traditional “anterior” and newer “posterior” techniques. This allows his patients recover continence earlier whilst maintaining excellent cancer control.
Early continence recovery
In a recent audit, we found that 39% of our patients achieved continence (0 pads or 1 security pad) within 2 weeks of surgery, and 65 % within 2 months. Few studies have looked at continence this early after surgery, however one large systematic review reported 3-month continence rates ranging from 25% to 90% (1).
Excellent cancer control
In a recent audit, we achieved superior cancer control rates with a positive margin rate of 0% for organ-confined cancer (stage pT2) and 17% for locally-advanced cancer (stage pT3). For comparison, in one large systematic review the average positive margin rate was 9% for pT2 (range: 4–23%) and 37% for pT3 cancers (range: 29–50%) (2).
(1) Ficarra et al. European Urology, Volume 62 Issue 3, September 2012, Pages 405-417.
(2) Novara et al. European Urology, Volume 62 Issue 3, September 2012, Pages 382-404.