For free updates in your inbox…subscribe here

PROSTATE SURGERY PREP (PSIP)

The Prostate Surgery Integrative Program (PSIP) to improve your outcomes

 

Surgical removal of your cancerous prostate provides the best chance for disease-free survival. The first step of this journey is to choose a qualified and experienced surgeon. Secondly, you want to optimally prepare your body for the procedure to maximize results: less pain, faster urinary continence, reduced stress going into surgery, stronger immunity and faster recovery. As a service at the NYU Smilow Comprehensive Prostate Cancer Center, we invite you to take advantage of this unique science-based program.

 The PSIP Triad for improved surgical outcomes

  1. Stress reduction and diaphragmatic breathing techniques. These simple stress management techniques have shown to be significantly helpful in strengthening the immune system and reduce the feeling of stress going into prostate surgery in a randomized research trial (Cohen et al. 2011).
  2. Biofeedback Guided Pelvic Floor Muscle Training (PFMT). Biofeedback / PMFT is a technique that allows the patient to identify and exercise the correct urinary muscles to improve urinary continence. Studies have demonstrated that PFMT prior to surgery (Lilli et al. 2003) and 1 to 2 weeks after surgery (Pannek & Konig, 2005) can significantly reduce the duration of urinary incontinence in men after prostate surgery.
  3. Smart Nutrition. A nutritional protocol that helps boost immunity, reduce inflammatory markers and enhance wound healing can be helpful in improving surgical outcomes (Chen da W et al. 2005). For example, foods or supplementation with the amino acid arginine can stimulate immune cells and enhance wound healing (Moskovitz et al. 2004). Other supplements have ingredients that have blood-thinning properties (e.g. fish oil, garlic, etc) and should be avoided one-week prior to surgery. We will identify the best nutritional approach to strengthen your body before your surgical date.

 

Visit information

  • PRE-OP VISIT: Dr. Geo will meet with you 10 to 14 days before your surgery to help you  learn and apply the PSIP Triad program.
  • You will be able to ask Dr. Geo any clarification questions over email or skype up to your surgical date at NO ADDITIONAL COST.

Investment for the PSIP service

  • $195

Will my health insurance plan pay for this service?

Medicare and most health insurance companies will not cover these services at this time. If you have a flex spending account you may use those funds. Also, speak to your accountant and ask if these services are tax deductible as they may with a medical letter I can write on your behalf.

Does my surgeon need to be from NYU for me to benefit from this service?

No. In fact, about 50% of patients coming for this service undergo prostate surgery by surgeons outside NYU medical.

Where to call to set up an appointment?

You can set up an appointment with your physician’s practice manager or call Marie Munar at 646-744-1515. You may also email her at marie.munar@nyumc.org OR Samantha at samantha.caceres@nyumc.org

 

References:

  • Cohen L, Parker PA, Vence L, Savary C, Kentor D, Pettaway C, Babaian R, Pisters L, Miles B, Wei Q, Wiltz L, Patel T, Radvanyi L. Presurgical stress management improves postoperative immune function in men with prostate cancer undergoing radical prostatectomy. Psychosom Med. 2011 Apr;73(3):218-25.
  • Chen da W, Wei Fei Z, et al. Role of enteral immunonutrition in patients with gastric carcinoma undergoing major surgery. Asian J Surg. 2005 Apr;28(2):121–4.
  • Bales GT, Gerber GS, Minor TX, Mhoon DA, McFarland JM, Kim HL et al (2000) Effect of preoperative biofeedback/pelvic floor training on continence in men undergoing radical prostatectomy. Urology 56(4):627–630
  • Lilli P, Mercuriali M, Fiori M, Hanitzsch H, Gunelli R, Bercovich E (2006) Impact of preoperative biofeedback on incontinence in cancer patients undergoing radical prostatectomy. Arch Ital Urol Androl 78(3):92–96
  • Overgard M, Angelsen A, Lydersen S, Mørkved S (2008) Does physiotherapist-guided pelvic floor muscle training reduce urinary incontinence after radical prostatectomy? A randomized controlled trial. Eur Urol 54(2):438–448
  • Pannek J, König JE (2005) Clinical usefulness of pelvic floor reeducation for men undergoing radical prostatectomy. Urol Int 74(1):38–43
  • Moskovitz DN, Kim YI. Does perioperative immunonutrition reduce postoperative complications in patients with gastrointestinal cancer undergoing operations? Nutr Rev. 2004 Nov;62(11):443–7.