Main Entry: tri·fec·ta
Pronunciation: \trī-ˈfek-tə, ˈtrī-ˌ\
tri- + perfecta
: a variation of the perfecta in which a bettor wins by selecting the first three finishers of a race in
the correct order of finish.
This is a relatively new term to me. I have seen reference to it as it regards to
prostate cancer in increasing frequency over the last several months. It is not a bad analogy. It refers to the three most
important aspects of determining the outcome for the treatment chosen by the male to treat his cancer. It pertains to continence,
potency and cure. The reason I like it and its use is that it very nicely clarifies the issues regarding "The Decision."
If a trifecta is your goal of treatment, each of these issues is a long term issue and at this point in time there is no benefit
of the robotic prostatectomy over the traditional open method. As I have said in the book,"I'd rather have my prostate
removed by an experienced robotic surgeon than an inexperienced open surgeon, and as important, vice versa." The advantages
of the robotic method at this time, as it concerns the trifecta, offers no benefit to the patient. I am not condoning one
method over the other, just that the "decision" is made for the right reasons and with appropriate expectations.