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Prostate Cancer
Treatment Guide™

Treatment
Description
Prostate Cancer
Patient Profile
Prostate Cancer
Treatments
Prostate Cancer
Survival Rates
Prostate Cancer
Side Effects

Robotic
Prostatectomy

Robotic Prostatectomy

Robotic-assisted laparoscopic prostatectomy surgery is a minimally invasive procedure involving the removal of the prostate and surrounding cancerous tissue. Prostate Surgery

Robotic-assisted laparoscopic prostatectomy surgery is a minimally invasive procedure involving the removal of the prostate and surrounding cancerous tissue.

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Robotic Prostatectomy Patients

Minimally invasive robotic surgery is reserved only for patients whose cancer is confined to the prostate and has not spread to other regions of the body. Prostatectomy Patients

Minimally invasive robotic surgery is reserved only for patients whose cancer is confined to the prostate and has not spread to other regions of the body.

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Prostate Removal

During a robotic prostatectomy, surgeons remove the prostate gland through a series of small incisions using surgeon-controlled robotic arms equipped with micro-instrumentation. Prostate Removal

During a robotic prostatectomy, surgeons remove the prostate gland through a series of small incisions using surgeon-controlled robotic arms equipped with micro-instrumentation.

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Robotic Prostatectomy Outcomes

Clinical research indicates a comparable outcome of surgery success when comparing robotic prostatectomy surgery against radical retropubic prostatectomy procedures. Prostatectomy
Survival Rates

Clinical research indicates a comparable outcome of surgery success when comparing robotic prostatectomy surgery against radical retropubic prostatectomy procedures.

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Risks of Robotic-Assisted Prostate Removal

Impotence, incontinence, blood loss, and other surgical complications are known risk factors of robotic-assisted prostate cancer surgery. Risks of
Prostatectomy

Impotence, incontinence, blood loss, and other surgical complications are known risk factors of robotic-assisted prostate cancer surgery.

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Brachytherapy

Chemotherapy

Cryotherapy & Cryosurgery

Hormone
Therapy

Radiation
Therapy

Prostatectomy

Watchful
Waiting

Complementary
and
Alternative Medicine

High Intensity
Focused
Ultrasound (HIFU)

Emerging Technologies

 

Prostate Cancer Information:
Prostate Surgery and Prostatectomy

Prostate surgery or prostatectomy is the removal of the prostate gland. This prostate cancer treatment is an invasive procedure that can be performed by a single incision to the lower abdomen (retropubic) or perineum (perineal), or by a series of small incisions (laparoscopic and robotic).

Surgery’s Role in the Treatment of Prostate Cancer
Prostate surgery is one of the oldest prostate cancer treatments. The premise: “remove the cancerous organ to treat the patient.” Prostate surgery (the technical term is prostatectomy) will help only those patients who have confined, localized disease. The oldest type of surgery, the radical retropubic prostatectomy, uses pelvic lymph node dissection (PLND) before surgery to ensure that the disease has not metastasized out of the gland.

Radical prostatectomy is the removal of the entire prostate gland and possibly the seminal vesicles and surrounding nerves and veins. The part of the urethra travelling through the gland’s transition zone is also removed. The two ends of remaining urethra are reattached in a connection called the anastomosis. Excising part of the urethra may lead to a penile shrinkage or shortening.

Types of Prostate Surgery
There are three types of prostate surgeries: retropubic, perineal, and laparoscopic. They are classified according to the incision site.

  • Retropubic
    The retropubic incision is made in the center of the lower abdomen and could be called open prostate surgery. The incision is from 8 to 10 centimeters long. The advantages of this technique include PLND and nerve-sparing.
  • Perineal
    The 4 centimeter perineal incision is made in the perineum which comprises muscles and exterior skin between the scrotum and anal sphincter. Surgeons cannot perform the PLND during this procedure but is considered acceptable because PSA testing, DRE findings, and Gleason scoring are excellent indicators of lymph node metastasis.
  • Laparoscopic and Robotic
    The laparoscope is a slender, tube-like instrument which allows the surgeon to see inside the abdominal cavity and excise the prostate through a series of small incisions rather than a long single one. The robotic procedure uses the same incisions and tools but a surgeon uses robotic arms controlled by a console to perform the surgery remotely. From the patient’s point of view, the two are virtually identical.

Sex After Prostate Surgery
All prostate cancer treatments affect sexual potency. Physically, several factors affect the mechanics of the erection such as diversion the blood flow or the nerve stimulations that trigger erections. Surgeons try to preserve nerve function through the nerve-sparing technique.
Nerve-sparing prostatectomy can be used only for patients who have small, localized tumors that do not touch the neurovascular nerve bundles. The technique helps men regain erectile function more quickly afterwards if they were potent beforehand. Only the open field of view available through an abdominal incision allows a surgeon to spare nerve bundles. Patients considering the nerve-sparing technique should find an experienced surgeon.

The History of the Prostatectomy
The radical perineal approach has been in use since the early 20th century. Not the until the 1940’s did doctors begin to uses the radical retropubic approach. Both of these approaches, however, engaged an unrefined surgical technique which resulted in significant blood loss for the patient. Once surgeons began clamping veins and refining surgical technique, patients immediately fared better. Until the 1980’s, the retropubic approach was the most commonly used.

Today, the laparoscopic and robotic procedures are quickly becoming popular. Partly because many doctors PLND is can be diagnosed with other testing. In this procedure however conversion to the abdominal incision may be used if complications arise during a laparoscope-assisted procedure.

 
 

 
 
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