So here is an interesting tale of a clinical development that could, perhaps, be truly revolutionary for surgeons … if the actual implementation is as good as the early results.
According to a story on the Medscape web site,, a research team working in England and Hungary has developed an “intelligent” electrosurgical scalpel (which they have dubbed the “iKnife”) that integrates electrosurgery with a form of mass spectrometry to be able to carry out very rapid analysis of the precise type of tissue that the knife is cutting through. (Click here for the abstract of the original paper by Balog et al. in Science Translational Medicine.)
That is pretty cool, but I doubt that any electrosurgical scalpel -- intelligent or otherwise -- will ever have a role in nerve sparing
An emerging technology that I think is
very promising for prostatectomy is: Color-coded surgery
fascinating, but it's also going to make an already costly operation even more expensive...raising the importance that urologists/surgeons screen out the men with favorable risk PC for active surveillance programs so as to reduce the economic burden of unnecessary surgeries.
I for one hope that we never get to the point that doctors are making that decision for men and denying treatment to some who, understanding the pros and cons of all options, would prefer non-deferred treatment. Whether to treat or do AS needs to remain an individual decision.