Carolinas HealthCare System

Radical Prostatectomy

The surgical removal of the prostate gland and surrounding tissues is the gold-standard treatment for young men with early-stage prostate cancer. This procedure, known as a radical prostatectomy, is highly successful in treating localized prostate cancer. In fact, in men with organ-confined disease that is well to moderately differentiated (Gleason score six or less), the 10-year cancer-free rate after a radical prostatectomy is 95 percent.

While the radical prostatectomy does have a high success rate in treating prostate cancer, it also carries the risk of urinary incontinence and impotence. A qualified, experienced surgeon, however, using advanced, nerve-sparing techniques can minimize these effects.

Patrick Walsh, MD, chairman of the Brady Urological Institute at Johns Hopkins, pioneered the nerve-sparing radical prostatectomy in the early 1980s. In 1987, Chris Teigland, MD, of McKay Urology became the first residency-trained urologist in Charlotte to perform the bilateral nerve-sparing radical prostatectomy. Since then, Dr. Teigland has performed over 1000 radical prostatectomies. When the bilateral, nerve-sparing technique can be performed, two-thirds of Dr Teigland's radical prostatectomy patients regain the ability to achieve an erection adequate for intercourse. In addition, Dr. Teigland's patients experience only a two percent rate of severe incontinence, and only 10 percent pad usage at one year following surgery. Dr. Teigland has extensive experience performing bilateral nerve-sparing radical prostatectomy, and he is committed to the continuous advancement and adaptation of this surgery.

Kris Gaston, MD, joined McKay in 2008 and is one of the only fellowship-trained urologic oncologists in the state of North Carolina and southeastern United States. Dr. Gaston trained at the Brady Urologic Institute under Dr. Patrick Walsh and, after completing residency, went on to complete a fellowship at the University of Texas M.D. Anderson Cancer Center. Dr. Gaston is well trained at open bilateral nerve sparring prostatectomy and additionally is trained at salvage radical surgical after failed radiation therapy for prostate cancer.

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