Prostate Cancer Treatment
Da Vinci robotic surgery and brachytherapy in Johannesburg — treatment planned around your cancer, your health and your priorities.
Your options, explained honestly
A prostate cancer diagnosis is frightening, but most prostate cancers found early are very treatable. The right treatment depends on the grade and stage of your cancer, your age and health, and what matters most to you. Some men are best served by surgery or radiation; for some low-risk cancers, careful monitoring (active surveillance) is the safest choice. My role is to help you understand your options honestly and choose well.
Diagnosis usually starts with a PSA blood test and examination, followed where indicated by an MRI scan and a targeted biopsy. If you have a raised PSA and don’t know what it means, that is exactly the right time to see a urologist.
Da Vinci Robotic Prostatectomy
Robotic-assisted radical prostatectomy removes the prostate through a few small incisions. I operate from a console that translates my hand movements into precise movements of miniaturised instruments inside the body — the system never operates on its own.
- Magnified 3D high-definition view of the operating field
- Instruments that pivot with greater range than the human wrist — precision that matters when preserving the nerves responsible for continence and erectile function
- Small incisions: less blood loss, less pain, a shorter hospital stay and a faster return to normal activity than open surgery
- A mature, proven platform: more than 20 million patients worldwide have been treated with da Vinci systems (Intuitive, 2026)
As with any prostatectomy, urinary control and erectile function need time to recover, and outcomes depend on the cancer itself. We will discuss realistic expectations for your specific case before you decide. If significant leakage persists long after surgery, I also offer artificial urinary sphincter implantation.
I run a proctorship programme for robotic-assisted radical prostatectomy, training other surgeons in the technique.
Read more about robotic prostatectomy → hospital stay, recovery, continence and erections.
Brachytherapy
Brachytherapy treats prostate cancer from the inside: small radioactive sources are placed directly into the prostate, delivering a high radiation dose to the cancer while sparing the surrounding healthy tissue.
- More targeted than external beam radiation, which passes through healthy tissue to reach the prostate
- Usually a short procedure rather than weeks of daily radiation visits
- Well suited to selected localised cancers — we will assess whether your prostate size, symptoms and cancer profile make you a good candidate
Book a consultation: call 011 794 3549 or email appointment@urology.joburg
This information is general in nature and is not a substitute for a consultation.