Robotic Radical Treatment West Palm Beach

What is Robotic Radical Prostatectomy?

Robotic Radical Prostatectomy (RRP) is a minimally invasive surgical procedure used to treat prostate cancer. This surgery involves the removal of the prostate gland and some surrounding tissues, often including the seminal vesicles. The robotic technique enhances the surgeon’s ability to perform precise movements, improving outcomes compared to traditional open surgery.

How Does Robotic Surgery Work?

The procedure is performed using a robot-assisted surgical system, such as the da Vinci Surgical System. The surgeon controls the robot’s arms from a console, guiding them to make small, precise incisions. Unlike open surgery, which requires large incisions, robotic surgery only needs small ones, allowing for less pain, quicker recovery, and fewer complications.

The robot’s 3D high-definition camera offers a clear, magnified view of the prostate and surrounding tissues. Surgeons use this image to carefully dissect and remove the prostate, all while minimizing damage to surrounding organs and tissues.

Benefits of Robotic Radical Prostatectomy

• Precision and Control: The robotic system allows for fine motor control that enhances the precision of the surgery. Surgeons can perform delicate tasks with better accuracy than with human hands alone.
• Faster Recovery: The smaller incisions reduce tissue damage and promote quicker healing. Patients often experience less pain, shorter hospital stays, and a faster return to daily activities.
• Less Blood Loss: Robotic surgery typically results in less blood loss than open surgery, lowering the risk of complications.
• Reduced Risk of Infection: Smaller incisions minimize the chances of infections post-surgery.
• Improved Functional Outcomes: The enhanced precision of robotic surgery increases the likelihood of preserving important functions, such as erectile function and urinary control.

Indications for Robotic Radical Prostatectomy

Robotic Radical Prostatectomy is primarily used to treat localized prostate cancer (cancer confined to the prostate) or locally advanced prostate cancer (cancer that has spread to nearby tissues but not to distant parts of the body). It may be recommended if:

• The prostate cancer is confined to the prostate.
• The cancer is suspected to be aggressive but has not spread to lymph nodes or distant organs.
• The patient is in good health and a suitable candidate for surgery.

The Procedure: What to Expect

1. Preoperative Preparation: Before the surgery, your doctor will conduct a series of tests, including blood work, imaging studies (such as MRI or CT scans), and possibly a biopsy to assess the extent of cancer. You’ll also be given instructions on fasting and any medications you may need to stop before the surgery.

2. Anesthesia: The procedure is performed under general anesthesia, meaning you will be asleep throughout the surgery.

3. Incision and Robot Setup: Small incisions are made in the abdominal area, through which the robotic arms are inserted. A camera is placed to give the surgeon a detailed view of the prostate.

4. Removal of the Prostate: The surgeon uses the robotic system’s arms to carefully remove the prostate. The surrounding tissues, such as the seminal vesicles, may also be removed if necessary.

5. Closing the Incisions: Once the prostate is removed, the incisions are closed with sutures. A catheter may be placed in the bladder to allow for urine drainage while the area heals.

6. Recovery: Most patients stay in the hospital for 1-2 days after the surgery. You will be monitored for signs of infection or complications, and the catheter is usually removed a week or two after surgery.

Potential Risks and Complications

Although Robotic Radical Prostatectomy is considered a safe procedure, like any surgery, it carries risks, including:

• Infection: While the smaller incisions lower the risk, infection can still occur.
• Bleeding: Though blood loss is minimal, some bleeding can still happen.
• Injury to Surrounding Organs: Rarely, nearby organs, such as the bladder, urethra, or rectum, may be injured during surgery.
• Urinary Incontinence: Some patients experience difficulty controlling urination after surgery. In most cases, this improves over time, but some may need additional treatments.
• Erectile Dysfunction: The surgery may affect nerves responsible for erections. While many men regain erectile function after surgery, it may take time and some may require further treatment.

Recovery and Aftercare

Post-surgery recovery varies from patient to patient. However, most people can expect the following:

• Hospital Stay: Typically 1-2 days in the hospital.
• Catheter: A urinary catheter is placed during surgery and will be removed within 1-2 weeks.
• Activity Level: Avoid heavy lifting and strenuous activities for at least 6 weeks after surgery.
• Follow-up Appointments: Regular follow-up visits with your urologist to monitor recovery, check PSA levels, and assess for any complications.

Is Robotic Radical Prostatectomy Right for You?

Not all patients with prostate cancer are candidates for robotic prostatectomy. The decision depends on factors such as:

• The stage and grade of cancer.
• The patient’s age, general health, and preferences.
• Any other underlying health conditions that may affect recovery or surgery outcomes.

It is crucial to discuss all available treatment options with your urologist to determine the best course of action based on your specific case.

Conclusion

Robotic Radical Prostatectomy offers many advantages over traditional open surgery, including enhanced precision, quicker recovery, and fewer complications. If you are diagnosed with localized prostate cancer and are considering surgical treatment, robotic prostatectomy might be a suitable option for you. Always consult with a qualified urologist to fully understand the benefits, risks, and alternatives tailored to your needs.

For personalized advice and to explore treatment options, contact Dr. Mourad Abouelleil for a consultation. We are committed to providing the highest standard of care using the latest advancements in medical technology to improve your health and quality of life.