What Are Laparoscopic And Robotic Surgery
Laparoscopic and robotic prostate surgery are minimally invasive techniques for performing surgery. Both these procedures allow surgeons to operate through small ports rather than large incisions, resulting in shorter recovery times, fewer complications and reduced hospital stays. Surgical robotics combines minimally invasive surgery with advanced robotic technology.
Benefits And What To Expect
- Robotic Surgery Benefits
- Leading Robotic Surgical Team
The mission of the GRI is to ensure that our hand-selected team is comprised of the worlds best and brightest medical staff. With that in mind, we have built a team of over 50 professionals who strive to serve our patients and support the surgical teams pursuit of excellence. We have assembled a comprehensive team to deliver the best option to each patient that comes to our Institute. We take a multi-modality and multi-disciplinary approach to patient care, collaborating with experts in radiation oncology, medical oncology and internal medicine to provide the optimal comprehensive approach to urologic cancer to our patients. Surgery is not the best option for all patients therefore, we evaluate each patient individually and assess the potential prostate treatment options of active surveillance, radiation therapy, androgen deprivation and other surgical modalities.
- The Ultimate Facilities and Destination
The state-of-the art facilities at AdventHealth are unparalleled. From the resort inspired facility at Celebration Health to the hub of Central Floridas healthcare at AdventHealth Orlando, patients travel from all over the globe to receive their treatment at our hospital. Fine dining, hotels and entertainment abound in Orlando, and patients and families often extend their stay in Orlando to take advantage of these amenities.
- Prostate Surgery Recovery Time What to Expect
- What to Expect
How Long Does Erectile Dysfunction Last After Prostate Surgery
Is erectile dysfunction a possibility after prostate surgery?
Many patients are concerned about it and prefer other prostate cancer treatments.
However, they should know that most erectile issues are temporary and improve after a while.
These patients usually recover from this problem after a few months.
In this article, we cover sexual function after prostate cancer surgery thoroughly, tell you how long ED can last, and how to cope with erectile problems.
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Help Managing Cancer Treatment Side Effects
The team at Compass Oncology is experienced in helping patients treat prostate cancer and manage the side effects of treatment. If you live in the Portland-Vancouver area, have more questions about the side effects of prostate cancer treatment, or need help managing your side effects, request an appointment at one of our locations that’s convenient for you. We’re here with you every step of the way.
What Are The Patient Criteria For Robotic
The decision to surgically treat prostate cancer involves many considerations. UC Davis urologic surgeons will discuss your treatment options and help you decide the best course of action. Nearly all patients diagnosed with localized prostate cancer will have the option of choosing robotic-assisted surgery. It is the now most commonly selected prostatectomy approach in the United States. Patients with significant abdominal adhesions or obesity, however, may not be appropriate candidates for the this procedure.
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The Morning Of Your Surgery
Instructions for Drinking Before Your Surgery
You can drink a total of 12 ounces of water between midnight and 2 hours before your scheduled arrival time. Do not drink anything else.Do not drink anything starting 2 hours before your scheduled arrival time. This includes water.
Take Your Medications As Instructed
A member of your care team will tell you which medications to take the morning of your surgery. Take only those medications with a sip of water. Depending on what medications you take, this may be all, some, or none of your usual morning medications.
Shower With a 4% CHG Solution Antiseptic Skin Cleanser
Shower with a 4% CHG solution antiseptic skin cleanser before you leave for the hospital. Use it the same way you did the night before.
Do not put on any lotion, cream, deodorant, makeup, powder, perfume, or cologne after your shower.
Things to remember
- Wear something comfortable and loose-fitting.
- If you wear contact lenses, wear your glasses instead. Wearing contact lenses during surgery can damage your eyes.
- Dont wear any metal objects. Remove all jewelry, including body piercings. The equipment used during your surgery can cause burns if it touches metal.
- Dont put on any lotion, cream, deodorant, makeup, powder, perfume, or cologne.
- Leave valuable items at home.
What to bring
Once youre in the hospital
Get dressed for surgery
When its time to change for surgery, youll get a hospital gown, robe, and nonskid socks to wear.
Meet With a Nurse
What Are The Benefits To Patients Who Have Laparoscopic And Robotic Prostate Cancer Surgery
The benefits are similar between robotic and laparoscopic prostate surgery. Patients are usually able to go home the day after prostate surgery, and can return to daily living activities as early as 7-10 days after surgery. Patients undergoing open surgery generally have 4-6 weeks before they can resume routine daily living activities, generally experience less post-operative pain and discomfort and have a faster recovery. They also experience significantly less intraoperative bleeding. Robotic and laparoscopic prostatectomy uses small incisions and is highly precise the risk of incontinence is low and the surgical technique is continuously refined to improve potency.
A Change In Patient Perception
Screening for prostate cancer has led to increased public awareness and early detection, as well as a decline in mortality rates. Robotic radical prostatectomy is also a contributing factor to these encouraging trends. This state-of-the-art surgical procedure can offer the best chance for complete recovery. Wristed instrumentation, tremor filtration and 3D magnification aid the surgeon in performing one of the most demanding aspects of the procedure nerve-sparing for preservation of post-operative sexual function and urinary control. Along with cancer control, these are key elements in follow-up for patients undergoing treatment.
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What Makes The Robotic Prostatectomy A Superior Prostate Cancer Treatment
The da Vinci robotic prostate cancer surgery system is able to provide superior clinical prostate cancer treatment results when compared to non-robotic traditional and scope-assisted procedures.
This is because the da Vinci systems Surgeon Console is equipped to provide the surgeon with a revolutionary, three-dimensional, multi-level magnification spectrum.
More traditional scope-assisted surgery typically provides a much lower resolution image, and a far more limited field of vision. Furthermore, the da Vinci systems sensitive electronics and one-centimeter diameter surgical arms allow the surgeon to make highly precise movements inside the incision during robotic prostate cancer surgery. This means that the malignant tissue can be removed with efficiency and ease unheard of prior to the era of robotic surgery. This greater precision reduces the likelihood of relapse due to missed cancerous tissue.
The precision of the da Vinci system also allows the prostate surgeon to avoid damaging healthy prostate tissue, which improves clinical results, reduces scar tissue build-up, and contributes to an overall shorter recovery period after robotic prostatectomy.
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Prostate Cancer Treatment Begins With Your Primary Physician
In most cases once youve been diagnosed with prostate cancer, your primary care physician and/or urologist will assist you with the necessary tests required before prostate surgery. This should be done approximately four weeks before surgery. If you have any questions regarding pre-operative tests please email us or call at .
What To Expect After Radical Prostatectomy
Most men stay in the hospital for one to three days after radical prostatectomy. A urinary catheter is inserted during the surgery, and some men may need to wear the catheter home for a few days to a few weeks. Another catheter inserted through the skin also may need to stay in place for a few days after returning home.
Pain after radical prostatectomy can generally be controlled with prescription pain medicines. It can take weeks or months for urinary and sexual function to return to their maximum levels.
After radical prostatectomy, regular follow-up is essential to make sure prostate cancer does not return.
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What To Know About Bph
BPH describes theenlargement of the prostate gland that sits beneath your bladder. This enlargement is common in men as they get older.
The urethra, the tube that channels urine from your bladder and out of your body, passes through the center of the prostate. When the prostate becomes swollen or enlarged, it can press on the urethra and block the flow of urine.
This pressure can lead to persistent discomfort and symptoms like:
- Difficulty urinating
- Sudden or frequent urge to urinate
- Frequent urinary tract infections
You might also notice you have to urinate more often during the night.
In addition to aging, BPH can be the result of diabetes, heart disease, or obesity. If you have a family history of BPH, you might be at increased risk for having the condition, too.
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Why Is Radical Prostatectomy Done
Radical prostatectomy is a treatment for prostate cancer that prevents cancer from spreading outside the prostate gland. It may cure prostate cancer by removing it completely.
For patients diagnosed with prostate cancer, additional tests may be needed to determine the how far the cancer has spread. These tests help your provider decide if you are a candidate for radical prostatectomy:
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Urinary Control After Robotic Prostatectomy
Following proper prostatectomy recovery guidelines, patients who experienced normal continence prior to surgery should regain function within 12-13 months.
Loss of bladder control, or urinary incontinence, is a potential side effect of prostate removal surgery. Because the prostate sits just below the bladder and encircles the urethra, the urinary tract can be damaged during a radical prostatectomy. In the hands of an experienced robotic surgeon like Dr. Samadi, preservation of the urinary sphincter and competent rebuilding of the urinary tract can eliminate the risk of long-term incontinence. Uniquely, Dr. Samadi does not sever the endopelvic fascia and cuts the bladder neck very narrowly during robotic prostatectomy.
Urinary incontinence is far more common after open prostatectomy, as is risk of infection.
Prostate Cancer Can Change The Way You Feel About Yourself
Itâs OK to talk about challenges youâre facing, including sex and confidence in yourself. You deserve support, whether itâs from a partner, friends, family, your doctor or a counselor. Opening up about your needs, thoughts and concerns â even when uncomfortable â shows real courage.
In a lot of ways, men are brought up to be macho â you donât complain, you donât have things wrong with you. But prostate cancer isnât something you can just spit on, rub dirt on, walk off, you have to deal with it.
During and after treatment, youmight experience changes to your:
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What Type Of Patients Are Candidates For Robotic Prostatectomy
Robotic laparoscopic prostatectomy is used to treat patients who have clinically localized prostate cancer. Most patients who are candidates for open radical prostatectomy are also excellent candidates for the robotic approach. In many centers including the University of Florida, the robotic approached is the treatment of choice for the surgical management of clinically localized prostate cancer.
Dealing With Erectile Dysfunction After Surgery
On the other hand, a man with erectile dysfunction cannot achieve and maintain an erection for sexual penetration. Two tiny bundles of nerves on the sides of prostate control erections.
If a patient has erections before surgery, the surgeon will attempt not to injure those nerves. In other words, they will use a nerve-sparing technique. However, if cancer affects areas close to the nerves or is growing into them, the surgeon will have to remove those nerves as well.
Upon removal of both nerves, a man is unable to achieve a spontaneous erection. That doesnt mean they will never have an erection, though. Today, several aides can help a man achieve an erection.
Its useful to mention a patient may have erections when nerves on one side of the prostate are removed only. In case a surgeon doesnt remove any nerves, you have a good chance of restoring healthy erectile function. Keep in mind this may take a while.
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Treatment After A Prostatectomy
Most men need additional treatment following surgery. Post-prostatectomy cancer treatment involves several steps, during which the doctor will perform prostate-specific antigen tests to make sure PSA levels normalize. If not, further tests and potential treatments may be needed. That’s why it’s important for every post-prostatectomy patient to see the doctor at regular intervals, depending on the schedule the care team recommends.
Expert cancer care
When To Seek Medical Advice
While you’re recovering, you should contact a GP immediately or call 111 if:
- you have a high temperature
- you have severe pain when peeing
- there’s a lot of blood in your pee or this gets worse
- there are blood clots in your pee
These symptoms can be a sign of a problem, such as internal bleeding or a urinary infection, that needs to be treated.
Page last reviewed: 14 September 2021 Next review due: 14 September 2024
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Open Or Laparoscopic Radical Prostatectomy
In the more traditional approach to prostatectomy, called anopen prostatectomy, the surgeon operates through a single long skin incision to remove the prostate and nearby tissues. This type of surgery is done less often than in the past.
In a laparoscopic prostatectomy, the surgeon makes several smaller incisions and uses special long surgical tools to remove the prostate. The surgeon either holds the tools directly, or uses a control panel to precisely move robotic arms that hold the tools. This approach to prostatectomy has become more common in recent years. If done by experienced surgeons, the laparoscopic radical prostatectomy can give results similar to the open approach.
Development Of The Extraperitoneal Space
This step is performed using a 30° upward-looking lens. A transverse peritoneal incision is made extending from the left to the right medial umbilical ligament and extended in an inverted U-shaped manner to the level of the vasa on either side. The vasa can also be divided at this point to aid in bladder mobility. The extraperitoneal space is developed after the medial and median umbilical ligaments are transected, allowing the bladder, prostate, and bowel to drop posterior and the remainder of the operation to be performed extraperitoneally . Some authors fill the bladder to help identify the planes of dissection and to aid in dropping the bladder posteriorly.
A 0° lens is used for optimum visualization, and 1:3 scaling is used for lymphadenectomy. Lymphadenectomy is performed at the surgeons discretion if the preoperative serum prostate-specific antigen value exceeds 10 ng/mL, the biopsy Gleason score is greater than 6, or more than 50% of the biopsy cores are positive for cancer. The anatomic boundaries of the limited bilateral pelvic nodes dissection include the iliac artery superiorly, the obturator nerve inferiorly, the iliac bifurcation cranially, and the obturator fossa caudally. The nodal package is sent for frozen-section analysis only if the nodes appear grossly enlarged.
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Will I Retain The Function That I Have
Men tend to recover physically more quickly, allowing them to resume their normal activities in just a few weeks. They also tend to regain bladder control and sexual function more readily simply by staying physically active. This helps to improve recovery. Subtle modifications in the procedure are tailored to the individual patient depending on the details of their cancer. However, a robotic-assisted radical prostatectomy allows the surgeon to do a more accurate and reliable procedure which improves patient outcomes and quality of life.
Why Is There Increasing Concern At This Time Regarding Erectile Dysfunction Issues Following Radical Prostatectomy
The reality of the recovery process after radical prostatectomy today is that erectile function recovery lags behind functional recovery in other areas. Patients are understandably concerned about this issue and, following months of erectile dysfunction, become skeptical of reassurances that their potency will return.
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What Happens During Radical Prostatectomy
You will have general anesthesia during your prostate surgery. Your surgical team inserts a catheter to drain urine.
After your surgeon removes your prostate, they check it under a microscope to see if cancer has extended beyond the edge of the prostate or into the seminal vesicles or lymph nodes. If it has, the cancer may have spread. In that case, you may need other treatment.
Where Can I Find Prostate Cancer Support Groups
Even though once you complete the surgery you most likely will find yourself cancer-free, the anxiety and stress may never totally go away. The support of your friends and family is essential in these moments, but the most relief you will find is among people that have gone through the same experience.
We advise you to search locally for prostate cancer or cancer survivors support groups and discuss your journey in beating this. You will find there plenty of people that lived through the same emotions and painful experiences and you will gather your strength to overcome this and not let it define the rest of your life.
If physical presence is not an option for you, there are plenty of forums and online communities that gather around this subject. You can find people that share their experiences and advice below:
Prostate cancer surgery is not as severe of a surgery as other ones. The recovery, especially after robotic surgery, usually lasts up to 2 to 3 weeks and patients can return to work and to living their normal lives.
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