02 8382 6980 | Raji.Kooner@svha.org.au
St Vincent's Private Hospital | Mater Hospital, North Sydney | Bowral Office Staff Portal
Urology NSW
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Prostate Cancer

Explore our prostate cancer information below.

Read the short version

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Considering Your Options

Is the prostate cancer surgery you have chosen correct for you?

Dr Raji Kooner is in a unique position - he can offer patients the option of open, laparoscopic or robotic surgery.

Dr Kooner pioneered the Robotic Prostate Cancer Surgical Programme, performing the first case in NSW and 75% of all robotic radical prostatectomies in that first year. To date, he has performed over 3,000 robotic procedures.

3,000+
Robotic Procedures
>90%
Discharged Day 2-3
80 ml
Avg. Blood Loss (vs >600 ml open)
0
Transfusions Required

Results are equivalent to published overseas10, 11, 12 series with excellent cancer control, urinary continence and erectile function. Patients benefit from more accurate, precise, minimally invasive surgery with exceptionally few complications.

Key Features of Dr Kooner's Experience

  • Performed the first robot-assisted radical prostatectomy in NSW, completing over 75% of cases in the first year
  • Completed over 3,000 robotic, minimally invasive prostate cancer surgeries to date
  • One of very few surgeons in NSW who does not select patients - operates on all cases, including difficult prostates, larger patients, and those with previous surgery
  • First Australian surgeon to perform a robot-assisted retrograde nerve-sparing prostatectomy, and the first to perform posterior reconstruction of the pelvic floor with the robot in Australia
  • The only robotic surgeon to routinely use intraoperative frozen sections - allowing real-time modifications if unexpected cancer is found beyond the prostate, significantly improving outcomes13
  • In over 3,000 radical robot-assisted prostatectomies, not a single patient has required a transfusion
  • Personally mentored by, and regularly visits, the major pioneers in robotic and laparoscopic surgery worldwide (see panel)
  • Mentors surgeons in robotic surgery both overseas and in Australia
  • Regularly presents at international conferences; actively involved in prostate cancer research
  • Continually reviews his operative data and outcomes
Featured in
“Health Spirit” - St Vincent's & Mater Health Staff Magazine St Vincent's & Mater Health 2010/11 Annual Review

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PSA Testing Diagnosis Community Diagnosis Multiparametric MRI Biopsy Transperineal Biopsy Biopsy Grading Staging Dealing With Diagnosis Management Nomograms Active Surveillance Surgery Options Robotic Prostatectomy NanoKnife Radiotherapy Seed Radiotherapy Brachytherapy Hormone Treatment Chemotherapy Experimental Treatments Sexual Rehabilitation Diet & Prevention

Prostate Cancer

Prostate cancer is a very common condition; it was the most commonly diagnosed cancer in Australia in 2018.14 In 2022, it is estimated that a male has a 1 in 6 (or 17%) risk of being diagnosed with prostate cancer by the age of 85.14 For a large majority of these men, treatment for prostate cancer results in positive outcomes15 and a return to good health.

With greater awareness of the high incidence of the disease, it is now being found earlier and mortality rates are declining14. This fact, coupled with new medical treatment options, provide new promise for victims of prostate cancer. Your urologist will explain the range of options available to you to treat the disease.

da Vinci Prostatectomy
If your urologist recommends surgery to treat your prostate cancer, you may be a candidate for a less invasive approach to surgery called da Vinci Prostatectomy. This approach to prostatectomy provides access to the internal anatomy through five small incisions. The surgeon is empowered to perform a very precise, nerve-sparing operation with the da Vinci Surgical System17. For the patient, da Vinci Prostatectomy may result in more complete eradication of cancer, retention of bladder control and potency.18

Welcome
This site provides an overall picture of a rapidly changing and highly important area of men's health prostate cancer and its effective treatment. A wide variety of information has been assembled here to aid patients, their families and their friends to quickly access vitally needed perspectives on the care of the prostate, including breakthroughs in minimally invasive approaches to prostate surgery.

If you would like Dr Raji Kooner to offer an opinion, complete the second opinion form. We will respond with advice about the choice of therapy for your prostate cancer. For a complete evaluation and a comprehensive treatment schedule, an appointment will be necessary. To organise a meeting, call our friendly staff on 02 8382 6980.

Urology NSW is dedicated to increasing awareness of prostate cancer in the community - offering information on reducing your risk, and surgery options for men already diagnosed. If you know of anyone that could benefit from this information, please pass it on.

Dr Kooner's strength is his surgical expertise and technical ability, particularly in minimally invasive surgery. He has extensive experience in open radical prostatectomy - this data has been presented at multiple conferences including the World Urology Conference (SIU 2004). He was heavily involved in laparoscopic prostatectomy and organised a major conference on the subject with the world expert, Dr Guilloneau, in 2004, and has presented his data at the NSW Urology Conference (2006) and the Australasian Urology Society Meeting (2007).

Data on his robot-assisted surgeries has been presented at the European Association Urology Conference 2009, the World Urology Conference SIU 2007, and the Australian Urology Conferences 2008 and 2009.

From Dr Kooner

Hi, I'm Raji Kooner, a senior consultant urologist at Urology NSW. 

I've created this website to ensure that my patients and their families are better informed about the nature of their condition and the specific treatments available. 

Here at Urology NSW my team is committed to providing technologically advanced, state of art care for all urological conditions and in particular, prostate disease. 

I performed the largest series of holmium laser treatments for benign prostatic enlargement in Australia. 

I performed the first robot assisted radical prostatectomy in New South Wales and 70% of the cases in the first year. 

To date I have successfully completed over 3000 robotic procedures and my results have been presented nationally and internationally. 

Please feel free to use this website to better understand how myself and my team can provide the highest standard of care for your condition. 

To anyone who has a raised PSA or a diagnosis of prostate cancer I'm happy to provide a second opinion. 

My team are committed to delivering this opinion within one week. 

Again thank you very much for your interest and I hope you find this website useful.

Prostate Cancer Patient Information Brochures

Advice to patients requesting PSA measurement PDF Active surveillance for low to intermediate grade prostate cancer PDF Radical laparoscopic (robot-assisted) prostatectomy PDF Radical retropubic prostatectomy PDF Brachytherapy treatment for prostate cancer (permanent seed brachytherapy) PDF

References

  1. Google Scholar - Raji Kooner
  2. George EI, Brand TC, LaPorta A, et al. Origins of robotic surgery: From skepticism to standard of care. JSLS. 2018;22(4). e2018.00039
  3. Guillaume Ploussard, Annabelle Grabia, Eric Barret - Same-day-discharge Robot-assisted Radical Prostatectomy: An Annual Countrywide Analysis - Eur Urol Open Sci. 2022 Feb; 36: 23-25 - doi: 10.1016/j.euros.2021.12.002
  4. Felix Preisser, Lena Theissen, Peter Wild - Implementation of Intraoperative Frozen Section During Radical Prostatectomy: Short-term Results from a German Tertiary-care Center - European Urology Focus, Volume 7, Issue 1, January 2021, Pages 95-101
  5. Cancer Australia
  6. AIHW
  7. Prostate Cancer Foundation of Australia
  8. Patrick Probs - A Review of the Role of Robotics in Surgery - Mo Med. 2023 Sep-Oct; 120(5): 389-396
  9. Gabriele Cozzi, Elisa De Lorenzis, Carlotta Palumbo, et al - Robotic prostatectomy: an update on functional and oncologic outcomes - https://doi.org/10.3332/ecancer.2013.355