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
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.
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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.
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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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