Laparoscopic Prostatectomy

A Minimally Invasive Surgical Treatment for Prostate Cancer

What is a laparoscopic prostatectomy?

It is a minimally invasive surgical treatment for prostate cancer. It involves a few key hole incisions in order to remove the whole prostate.
 

What are some of the advantages of a laparoscopic prostatectomy?

  • Shortened hospital stay
  • Significantly less bleeding
  • Early removal of catheter
  • Minimal requirement for pain medications after the surgery
  • 10-15 times visual magnification
  • Resumption of normal activity within one to two weeks after operation
  • Improved cosmetic results

Dr. David Samadi Laparoscopic Prostatectomy

How does laparoscopic surgery compare to open as far as the cancer cure rate?

The results of cancer control in both laparoscopic and open radical prostatectomy patients is essentially identical. This is confirmed in major institutions across the country where this procedure is being performed on a routine basis.

 How long does a laparoscopic prostatectomy procedure take?

It is usually about 2½ -3½ hours. Each case differs due to prostate size and individual anatomy. This is comparable to the average time of open surgery.

 How long do I stay in the hospital after a laparoscopic prostatectomy?

A majority of patients are discharged one day after a laparoscopic prostatectomy. However, the time of discharge is decided on a case-by-case basis. By the second night, over 90 percent of patients are comfortable enough to go home.
 

How long do I need to have a catheter after a laparoscopic prostatectomy?

For open surgery, the catheter is removed after two to three weeks. However, with laparoscopic prostatectomy, the catheter is removed seven days after the operation. This is done with the assistance of an X-ray in order to check the status of the site where the urethra has been connected to the bladder.
 

What is the blood loss after a laparoscopic prostatectomy?

The average blood loss for a laparoscopic prostatectomy is about 150cc. Therefore, the risk of blood transfusion is extremely low.
 

Are the nerves responsible for sexual function being spared during laparoscopic prostatectomy?

Every effort is made to spare the nerves. One of the main advantages of laparoscopic prostatectomy is that the nerves and vessels are magnified and it is much easier to save them. Return of potency could take up to six months and in some individual cases, Viagra has significantly helped.
 

Am I going to leak after a laparoscopic prostatectomy?

For the first few weeks, it's recommended to wear a protective pad. The return of continence is fast and, within few weeks, over 95 percent of patients have full control of their urination. Occasionally I see patients with mild stress urinary incontinence after surgery which usually resolves by performing Kegel exercises.
 

Am I a good candidate for a laparoscopic prostatectomy?

Men who are diagnosed with a localized prostate cancer are candidates for this procedure. Certainly any patient who is a candidate for open surgery, would have an excellent outcome with a laparoscopic prostatectomy.

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* The benefits of robotic surgery cannot be guaranteed as surgery is both patient and procedure specific. Previous surgical results do not guarantee future outcomes.
Testimonials
J. N. Fauta, MA, USA

My wife and I did extensive research and the name of Dr. David Samadi kept coming up as pioneer and leader in the field of robotic surgery. Dr. Samadi was everything that I had read and more, he was personable, compassionate and above all extremely professional.

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H. L., Staten Island, USA

Your professionalism and skill are first class; your team great and the facility top notch. You are the “Leonardo” of the DaVinci Robotic prostatectomy. Thank you!

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Wayne Z., USA

How does one begin to express a felt gratitude that is beyond words? My mind tells me just to write all of the many reasons to thank you - Yes, the operation went exactly as you said it would, and I went home the very next day.

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Robert, S

You are the bomb! That's what the young kids say today about something that is simply the best, over the top, outstanding.  I was your 3rd and last robotic prostatectomy on Wednesday, Dec. 5th at Mt. Sinai Hospital and you had a tough time locating the walnut-sized gland...

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