Laparoscopic Prostatectomy/Radical Retropubic Prostatectomy/Robotic Laparoscopic Prostatectomy

What are the different types of prostate cancer surgery?

Radical retropubic prostatectomy: During this procedure, the surgeon makes an incision through the lower abdomen that is about 4 inches in length. The surgeon removes the prostate, surrounding tissue and pelvic lymph nodes (if necessary).

Perineal prostatectomy: In this approach, the surgeon removes the prostate through an incision in the skin between the scrotum and the anus. Nerve-sparing is more difficult to achieve, and this approach may be less efficient if the lymph nodes need to be removed or examined before the prostate is removed.

Laparoscopic prostatectomy: This minimally-invasive surgery that uses six 1-inch incisions, with one being slightly larger in order to extract the prostate gland from the abdomen. Surgical instruments, including a camera, are inserted through the incisions to perform the surgery.

Laparoscopic surgery is less traumatic because of the smaller incisions and may result in less pain, less scarring and a faster recovery. However, it can be technically challenging during complex operations due to the instrumentation used.

Robotic-assisted prostatectomy: The latest advancement in minimally invasive surgery to remove prostate cancer involves use of a robotic platform. Through small incisions, surgeons operate using a robotic platform with 3D-HD vision and miniaturized wristed instruments. Robotic prostatectomy enables surgeons to operate with enhanced visions, precision and control. This is important when it comes to removing the cancer and also preserving urinary and erectile function.

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