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
Yossi, Israel

I chose to undergo the operation with a specialist in the U.S., who has an extensive experience in robotic surgeries: Dr. David Smadi. The surgery was relatively simple: i didn't suffer any pain, lost a small amount of blood and had the catheter only for seven days. I got back to full functioning very soon afterwards.

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Jacob G, Israel

פתאום באמצע החיים הודיעו לי שחליתי בסרטן. בבלוטת הערמונית שלי שהיא המקור ליצירת חיים ולהתחדשות, התגלה גידול ממאיר. מעבר להלם הראשוני ולחרדה הקיומית התברר לי שאני שוקע במערכת מפותלת ומורכבת של אפשרויות לטיפול ולריפוי, החל ממעקב ללא התערבות, דרך תהליכי הקרנות פנימיים וחיצוניים ועד לניתוחים מגוונים לכריתת הערמונית. להפתעתי גיליתי.

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Jose M. C., Colombia

Siempre recordare el 2009 como el mas tragico de mi vida ; sin presentar sintomas y a raiz de mi examen anual de salud me fue detectado un cancer de prostata, la intuicion de mi medico personal al ver mi psa en 3.4 lo hizo referirme al urologo para que me practicase una biopsia , el mundo se me vino encima.

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Shlomo P. - Israel

My story starts on August 2010 when results from a PSA test showed a disturbing signal-6.3 A biopsy held in the beginning of October 2010 showed a more disturbing signal-Gleason 4+3.

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