Robotic Prostate Surgery

Robotic prostate surgery

Robotic prostate surgery - why choose this option? Robotic prostatectomy is also known as da Vinci prostatectomy and has become the most popular way of performing a radical prostatectomy as a treatment for prostate cancer in the USA. People don’t like traditional open surgery for reasons that are obvious. However wouldn’t it be great to achieve the benefits of surgery without the side-effects? To get rid of the cancer, but maintain near-normal erections and be dry?

No-one can guarantee the above, but if you believe that removing the prostate with its cancer and keeping other options open is the best strategy then, total or radical prostatectomy is the procedure of choice.  After surgery, the PSA should fall to almost unrecordable levels and no additional treatment should be necessary in most men, depending on the risk before treatment and the success with which the surgery is performed.

Laparoscopic prostatectomy

In the 1990’s, some highly-skilled surgeons performed laparoscopic (key-hole) surgery to remove the prostate. This was highly popular because there was less pain, reduced need for blood transfusion, better cosmetic appearance, fewer infections and faster return to normal activities than after conventional surgery. Although it had tremendous advantages, it was technically difficult to perform and the instruments did not match the natural movements of the human hand.

da Vinci Surgical System

At the turn of the century, a company (Intuitive Surgical) in the US created the da Vinci Surgical System which allowed surgeons to perform keyhole surgery in a way that mimicked or even improved on the movements of the human hand. This system preserved the keyhole nature of the surgery, and improved other aspects allowing the surgery to be performed with greater precision. The goal was to improve cancer cure as well as maintain all the other benefits of keyhole surgery.

More recently, the da Vinci Surgical System has been upgraded to the da Vinci S Surgical System. This has high definition vision in 3D and other functional improvements.

 

 

To date, the advantages of laparoscopic or robotic prostatectomy over traditional open surgery have been shown to be less pain, less blood loss, better cosmesis, and faster return to normal activities.