PROSTATE CANCER
Prostate cancer is one of the most common cancers in the world. It starts with cancer cells growing in the prostate gland. This growth is usually detected early by sampling of Prostate Specific Antigen (PSA) from the blood. The early stage of prostate cancer is often symptomless, making it more difficult to diagnose.
PSA value provides information that can help to determine who has a high risk of cancer in their prostate. At high risk, continue with tissue sampling to see if there is cancer of the prostate or not. This way you can monitor and early finding prostate cancer. Radical prostatectomy is one of the most commonly used treatments for prostate cancer. Open, laparoscopic and robot-assisted radical prostatectomy, are three different surgical methods. The increasing popularity of robot-assisted radical prostatectomy has put the field of robotics in the spotlight. Robot assisted radical prostatectomy is the most commonly performed surgery for prostate cancer in the United States. The robotic-assisted laparoscopic prostatectomy is an inpatient surgery performed to treat prostate cancer with the assistance of a robot. When performed without a robot it is referred to as a laparoscopic prostatectomy, but is otherwise the same procedure. It is important to keep in mind that the skill of the surgeon is the most important factor in determining the final outcome from your surgery. A robot in the hands of an excellent surgeon should result in an excellent outcome, however, a robotic surgery performed by a less skilled surgeon will be less likely to have a great outcome. Both the laparoscopic prostatectomy and the robotic procedure are minimally invasive procedures, done using keyhole incisions rather than the older traditional surgery which used a large incision from pubic bone to umbilicus. The procedure is performed under general anesthesia and begins with five small incisions spaced between the pubic bone and the umbilicus. Through these incisions small instruments are inserted, including a video camera, assisting instruments and cutting tools. In the robotic procedure, the surgeon is controlling the cutting instruments by controlling the robot. In the non-robotic procedure, the hands of the surgeon are directly controlling the instruments. As a result of da Vinci technology,
Robot-assisted Prostatectomy offers many potential benefits when compared to traditional open surgery, including:
- More precise removal of cancerous tissue
- Ability to perform nerve sparring surgery which enables:
- Faster return of erectile (sexual) function: Studies show patients who are potent prior to da Vinci Surgery experience a faster return of erectile function than previously potent patients who have open surgery
- Better chance for return of urinary continence: Recent studies show more patients with da Vinci Surgery have full return of urinary continence within 6 months as compared to patients having open surgery.
- Less blood loss
- Less need for a blood transfusion
- Less pain
- Lower risk of complications
- Lower risk of wound infection
- Shorter hospital stay
- Less chance of hospital readmission
- Less risk of deep vein thrombosis (life-threatening condition where a blood clot forms deep in the vessels)
- Faster recovery and return to normal activities
- Faster return of urinary continence
- Less chance of nerve injury