Your surgical team will consist of: your surgeon, an assistant surgeon, anesthesiologist operating room nurse and operating room technician. Once your surgery is complete you will have a nurse in the post anesthesia care unit that will care for you on a one on one basis unit you are awake and ready to be transferred to the ward. On the ward you will have a team on nurses, respiratory therapists, occupational therapists, nutritionists and pharmacist who will all care for you until discharge. As you can see the team is much more than just your surgeon.
Prostatectomy
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2 AnswersA
Jayram Krishnan, DO , answered on behalf of Sunrise Hospital & Medical CenterSee All 2 Answers
The two main side effects of prostatectomy, says Jayram Krishnan, DO, a urologist at Sunrise Hospital, are loss of erection and urine leakage. In this video, he discusses how a urologist can help address both of these conditions. -
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Penn Medicine answeredRobotic prostatectomy is a treatment for prostate cancer. This type of prostatectomy increases precision by allowing the surgeon a three-dimensional view of the prostate. The robot improves magnification of the prostate and surrounding area, allowing the surgeon to see small vessels and close them with sutures. As a result, the advantages over traditional prostate cancer surgery include:- less blood loss/fewer transfusions
- less pain
- less risk of infection
- less scarring
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1 AnswerA
Penn Medicine answeredOne of the most innovative treatments for prostate cancer is robotic-assisted laparoscopic prostatectomy -- removal of the prostate gland.
Robotic prostatectomy offers similar and often better outcomes than traditional prostate cancer surgery. In addition, by using the robotic technique, there is greater nerve sparing, resulting in less chance of erectile dysfunction (ED) and urinary discontinence.
While these technological advantages are significant, a surgeon's skill and experience remain the most important elements for achieving good outcomes.
With robotic-assisted surgery, you can look forward to a shorter recovery, less chance of infection and less postoperative pain. -
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Penn Medicine answeredLaparoscopic prostatectomy is the complete removal of the prostate using long, narrow instruments that are introduced through very small skin incisions. To perform the procedure, six tiny incisions are made in your abdomen and the laparoscopic instruments are carefully inserted and attached to the robot.
Once setup is completed, the surgeon sits at the console where the surgeon controls the robotic instruments. -
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The Mount Sinai Health System answeredRadiation therapy is sometimes suggested in place of surgery if the cancer is localized or if it has spread to the surrounding tissue. Radiation has its own set of side effects such as bowel dysfunction. In some cases, if surgery is unsuccessful, the physician may suggest radiation as a potential treatment choice. In the vast majority of robotic prostatectomies, however, the cancer is removed, the patient remains disease-free and radiation, with its harmful side effects, is avoided. -
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See All 2 AnswersThere are nerves and blood vessels that course right against the prostate at the 5 and 7 o'clock positions of the prostate. These function to aid with erectile function and continence. During removal of the prostate, the surgeon can dissect these away from the prostate so they can remain intact and functional. They often may have to heal after the surgery given that there is inflammation that occurs during the healing process. During this time, they do not function as well, which is one of the reasons men may have ED and urinary incontinence after prostate removal. Some men with larger amounts of prostate cancer or more aggressive forms may not be candidates for nerve-sparing due to the risk for leaving cancer cells behind. This needs to be discussed on patient-specific basis.
The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. -
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Yes, it is common for men to leak for 6 weeks to 6 months after surgery. This will progressively improve as men perform their kegel exercises, where they will wear pull-ups (like Depends) for the first few weeks after the catheter is removed, then graduate to pads (similar to panty-liners). Approximately 5-7% of men will have a risk for long-term leakage beyond 1 year, and only 1-2% of men may need a procedure to help correct this leakage.
The contents of this website are for informational purposes only and are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Nor does the contents of this website constitute the establishment of a physician patient or therapeutic relationship. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. -
1 AnswerA
Penn Medicine answeredThe most common surgery for prostate cancer is a total (radical) prostatectomy. This surgery seeks to cure prostate cancer by removing the entire prostate gland from around the urethra and getting all of the cancer out of the body. With early-stage and low- to intermediate-grade prostate cancers, surgery is generally felt to be equal to radiation treatment in terms of survival.
The decision to have surgery versus radiation is often made on the basis of age and health status. Recurrence rates may be lower for surgery than radiation treatment. These and other factors should be discussed with your doctors when making treatment decisions.
This surgery can be done in one of four ways: the retropubic approach, the perineal approach, the laparoscopic approach and the robotically assisted laparoscopic approach.
The retropubic approach means that the incision is made in the lower abdomen.
The perineal approach means that the incision is made between the scrotum and anus.
The laparoscopic approach means that small punctures are made in the lower abdomen and a camera attached to a scope provides visualization with magnifications.
The robotic-assisted laparoscopic approach means that a very small incision is made in the lower abdomen. Robotic instruments, which are controlled by the urologist, are used. -
2 AnswersA
Jayram Krishnan, DO , answered on behalf of Sunrise Hospital & Medical CenterSee All 2 Answers
The benefits of robotic prostatectomy are faster recovery and less blood loss over open surgery, says Jayram Krishnan, DO, a urologist at Sunrise Hospital. in this video, he describes how robotic prostatectomy works.