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👉 View more at https://drgeo.com/ What if prostate cancer surgery meant fewer incisions, faster recovery, and more precise cancer control? Robotic prostatectomy has transformed prostate cancer care—fewer incisions, faster recovery, and improved cancer control. In this episode of the Dr. Geo Prostate Podcast, Dr. Michael Stiffleman, Chair of Urology at Hackensack University Medical Center and pioneer of 4,000+ robotic procedures, explains how single-port robotic surgery, real-time margin assessment (Histo Scan), and AI-driven analytics are redefining outcomes. Learn when to choose surgery vs. radiation, how active surveillance and genomics shape decisions, and why lifestyle and microenvironment optimization remain critical for long-term success. Whether you’re a patient, caregiver, or healthcare professional, this deep dive helps you make informed choices about prostate cancer treatment in 2025. 🔑 Key Takeaways • Robotic surgery’s evolution: why it outperformed open prostatectomy • Single-port techniques: gentler surgery and faster return of erections • Surgery vs. radiation for Gleason 8–9 and salvage options after failure • Active surveillance, genomics, and preserving urinary continence & function • Future tech: intra-op cancer detection, AI analytics, and remote robotic surgery ⏱️ CHAPTERS 00:00 – Why fewer incisions + faster recovery are now real in prostate surgery 05:40 – Work–life changes that improved health (sleep, exercise, biking) 09:10 – Open vs. robotic: why reproducibility (teachability) matters 11:05 – Robotics adoption curve: from early resistance to mainstream 19:05 – Outcomes today: continence and erections after modern surgery 20:10 – “Yes, I’m a surgeon—and here’s my bias.” Radical honesty with patients 22:05 – Offering the full menu: surveillance, focal (HIFU/cryotherapy), surgery, SBRT, proton 25:40 – High-risk (Gleason 8–9): why surgery-first can preserve options & avoid long ADT 34:00 – Dexterity & visualization: why robots spare nerves with less trauma 35:10 – Real-time margin assessment during surgery to reduce positives 40:00 – The “trifecta” (cancer control, continence, erections) and patient priorities 42:10 – Genomics to risk-stratify Gleason 7 and guide surveillance vs. treatment 45:00 – Future: nerve activation mapping & fluorescence to “light up” cancer 46:10 – Single-port prostatectomy: smaller access, faster return of function (select patients) 49:00 – Quantifying surgery with analytics; tele-mentoring & remote console potential 52:30 – How to find Dr. Stiffleman & closing advice 👉 View complete episode show notes, resources, and transcript at DrGeo.com ___________________________________ 🌱 Partner Offers ProLon 5-Day Fasting Mimicking Diet — Enjoy fasting benefits with food. Supports cellular renewal, metabolic health, and fat loss. Special offer for our listeners: Get the ProLon kit for $148 → https://bit.ly/3TVehAx AG1 by Athletic Greens — 75 high-quality vitamins, minerals, probiotics, and adaptogens in one daily scoop. Supports gut health, immunity, energy, and focus. Try it here → https://bit.ly/3mA2tVV ___________________________________ 💪 Exclusive Membership Want deeper insights? Join The Dr. Geo Prostate Podcast Exclusive Membership for curated transcripts, detailed show notes, expert resources, and member perks. → https://drgeo.com/membership ___________________________________ 📌 Follow and Connect 📺 YouTube → Dr. Geo Prostate Podcast — / @drgeoprostatepodcast 🎧 All Episodes → Captivate.fm Archive — https://dr-geo-prostate-podcast.capti... 📸 Instagram → https://bit.ly/DRGEO-INSTA-YT 📘 Facebook → https://bit.ly/POD-FB-DrGeo 💼 LinkedIn → https://bit.ly/DRGEO-LINKEDIN-YT 🛒 Supplements → XY Wellness https://bit.ly/3uJPC7Z | Mr. Happy https://bit.ly/3TE7tWE 🌐 DrGeo.com Website → https://bit.ly/43khht0 ___________________________________ 📣 Hashtags #DrGeoProstatePodcast #ProstateHealth #ProstateCancer #MensHealth #IntegrativeUrology #Urology #DrGeoProstatePodcast #ProstateCancer #ProstateHealth #MensHealth #IntegrativeUrology #RoboticProstatectomy #SinglePortSurgery #Urology #Prostatectomy #RadiationTherapy #ActiveSurveillance #ErectileFunction #UrinaryContinence #HistoScan #SBRT ___________________________________ ⚠️ Disclaimer This podcast is for educational purposes only and not medical advice. The views expressed are Dr. Geo’s and not those of his employer(s) or affiliated organizations. Use of this content is at your own risk. Geovanni Espinosa, N.D., assumes no liability for direct or indirect consequences, including economic loss, injury, illness, or death.