A prostatectomy is the prostate surgery that is performed to remove parts of the prostate or the entire gland. Usually, prostatectomy is recommended for the treatment of prostate cancer.
There are many types of prostatectomy, depending on the approach chosen. A common approach to prostatectomy involves a surgical incision through which the prostate or part of it is removed. This incision can be done two ways:
- Through the lower abdomen (retropubic or suprapubic incision)
- Through the perineum (the skin between the scrotum and the rectum)
In most cases, urologists recommend this procedure for prostate removal after they have performed several prostate cancer diagnosis methods, such as prostate biopsies or PSA tests.
Better understand the prostate gland and prostate cancer
The prostate is a walnut-sized gland, that surrounds the urethra. It is formed by muscular and glandular cells, with ducts that open in the urethra. Its main function is to secrete an alkaline fluid that compounds the seminal fluid that carries the sperm. During orgasm, the muscles of the prostate expel this fluid into the urethra. This fluid combined with the sperm travel through the tip of the penis during ejaculation.
Researchers have found that the prostate gland plays an important role in both urinary and sexual functions. The most frequent prostate problem is BPH (prostate enlargement), which happens as men age. However, there are also other conditions that can affect the prostate, such as prostate cancer.
Prostate cancer happens when the prostate cells start to divide in an uncontrolled manner. This health problem is a serious concern reason. According to the American Cancer Society, prostate cancer is the most common form of cancer, after skin cancer.
Types of prostate surgery
Here are some prostate surgery options to consider:
1. Robotic radical prostatectomy (RP)
A robotic radical prostatectomy is the removal of the prostate gland by means of a robot. The da Vinci robot is usually employed for such prostatectomies. That is because robotic prostatectomies are nerve-sparing and preserve urinary and sexual functions.
2. TURP procedure
The TURP procedure implies the partial removal of the prostate. The transurethral resection of the prostate is an approach performed through the penis with an endoscope.
3. Laparoscopic surgery
Laparoscopic prostate surgery can be done manually or by a robot. It is another method of prostate surgery.
Different types of radical prostatectomy
There are various types of radical prostatectomy.
- Radical prostatectomy with the retropubic (suprapubic) approach
This is the most common type of radical surgery performed by most urologists. By means of this procedure, the surgeon can even remove the lymph nodes if they are also affected by prostate cancer.
If cancer has spread into the nervous area, there may be fewer chances to spare the nerves that are related to erection production. In this case, the surgeon may need to cut the nerves on both sides of the prostate, thus losing the erectile function. But if cancer has not spread to the nerves, then the erectile function may come back to normal in a short while.
- Radical prostatectomy with the perineal approach
Radical prostatectomy with the perineal approach is used less often than the prostatectomy with the retropubic approach. By using this surgical technique, the nerves can not be spared. Also, the lymph nodes can not be removed. However, the advantage of this procedure is that is less time-consuming. Also, it is recommended for men who may not benefit any more from nerve-sparing. Al factors need to be taken into account, as the perineal approach is more painful and esthetically not so good looking.
- Laparoscopic radical prostatectomy
Laparoscopic radical prostatectomy involves several small incisions through which small instruments are being introduced with a video camera inside.
- Robotic radical prostatectomy
This is the most advanced type of prostate surgery. It is actually a robotic-assisted laparoscopic radical prostatectomy done by means of a modern medical robot. The surgeon operates a console that dictates the movements of the robotic arms that perform the incisions. Dr. Samadi is highly trained in this type of prostate surgery. Until now, he has performed more than 7000 successful robotic prostatectomies.
Why a prostatectomy may be recommended in your case?
As you already know, a prostatectomy is recommended for the removal of prostate cancer. This surgical procedure is performed on patients whose cancer is confined to the prostate. The procedure involves the partial or total removal of the prostate gland, along with the seminal vesicles. The seminal vesicles connect to the vas deferens and secrete semen.
Besides prostate cancer, there may also be other reasons for a prostatectomy, such as prostate bleeding, slow urination, urinary retention, bladder stones, etc.
Robotic radical prostatectomy – The standard in prostate cancer treatment
Robotic prostatectomy is a radical prostatectomy that is also known as Robotic Assisted Laparoscopic Prostatectomy (RALP). It is a minimally invasive prostate removal and cancer treatment surgery.
The robotic prostatectomy system is performed with the aid of the da Vinci robot, one of the most advanced medical robots in the health industry.
This high-tech system allows the surgeon to have improved vision, control, and precise movements.
David B. Samadi, MD, is at the forefront of prostatectomy and prostate removal surgery and has performed more than 7,000+ successful procedures to date. His innovative SMART technique uses robotic prostate surgery enhancements to improve vision and precision. In Dr. Samadi’s skilled hands, patients are assured superior quality of life results in both sex after prostate surgery and urinary control after prostate surgery.
Wtach the video to see how is Dr. Samadi performing a robotic prostatectomy: