OVERVIEW

The radical prostatectomy is the complete excision of the prostate, the seminal vesicles and the reconstruction of the lower urinary tract, joining the urethra again with the bladder.

The reasons for performing a radical prostatectomy are the following:

  • Prostate cancer diagnosed by biopsy due to a rise in prostate-specific antigen (PSA)
  • Prostate cancer diagnosed by biopsy due to abnormal rectal examination
  • Prostate cancer diagnosed by transurethral resection of the prostate (TURp)

This surgery is indicated when the cancer is still within the prostate, that is, there is no metastasis.

Benefits of laparoscopic radical prostatectomy

By removing the prostate, prostate cancer can be effectively controlled, in most patients a complete remission of the malignant tumor is achieved, and no further complementary treatment is required.

When performed by laparoscopy, radical prostatectomy is a surgery that offers rapid recovery and little postoperative pain.

Risks and complications

The possible complications that may occur when performing a radical prostatectomy by laparoscopy are the same that can occur in general with any surgical procedure and these are: hemorrhage, damage to nearby organs, reactions to anesthesia, etc. However, these complications occur infrequently and can be resolved mostly during the same surgery.

The risk of conversion to open surgery is low, (<5%), this may be due to difficulty in dissection or hemorrhage and is done to maintain patient safety.

Alternatives to laparoscopic radical prostatectomy

Other options to treat prostate cancer are radiotherapy, open radical prostatectomy, hormone therapy, surveillance among others.

What to expect from radical prostatectomy by laparoscopy?

Day of surgery:

The day of the operation will arrive in the morning to the hospital in fasting.

The surgery takes approximately 3 – 4 hours, however, the time is variable..

Anesthesia for this procedure is general, so you will be unconscious during surgery.

The pain after laparoscopic radical prostatectomy is minimal and can be effectively controlled with intravenous analgesics.

Food: on the day of surgery you can eat in the afternoon, there are no food restrictions, however, a balanced diet is recommended.

Physical activity: the same day of surgery you can walk in the afternoon. It is expected to feel a bit fatigued after any surgery, this problem resolves spontaneously a few weeks after laparoscopic radical prostatectomy.

Hospital stay: most patients undergoing laparoscopic radical prostatectomy, remain hospitalized for 2 to 3 days.

Wounds: Laparoscopic radical prostatectomy requires 5 small incisions in the abdomen (each 1 cm or less), once they heal completely, these scars can rarely be seen.

Bladder catheter: after radical prostatectomy, will use a bladder catheter for 2 weeks, this to facilitate the uniform healing of the urethra, after that time, the catheter is removed in the urologist office.

Brands used: