What is the success rate of robotic prostatectomy?

The positive margin rate was 9.4% for all patients; i.e. 2.5% for T2 tumours, 23% for T3a and 53% for T4. The overall biochemical recurrence free (PSA level<0.1 ng/mL) survival was 95% at mean follow-up of 9.7 months. There was complete continence at 3 and 6 months in 89% and 95% of patients, respectively.

How effective is robotic prostate surgery?

The preliminary results support what has been widely accepted by surgeons for years: robotic-surgery patients experience reduced blood loss, less pain and shorter recovery time, but the longer-term outcomes are equivalent.

How long does it take to recover from simple prostate robotic surgery?

What is the recovery after robotic simple prostatectomy? Robotic simple prostatectomy usually requires a three to four nights stay in hospital. You can return to sedentary work 2 weeks after the operation or four to six weeks if your job involves physical labour.

Is robotic surgery better for prostate removal?

Outcomes from use of a robot to assist surgeons in removal of a cancerous prostate are at least as good, if not better, than the other two techniques used for a radical prostatectomy — open or laparoscopic surgery — according to a large meta analysis led by researchers at NewYork-Presbyterian/Weill Cornell.

Does prostate removal shorten life expectancy?

After 23 years the men treated with radical prostatectomy gained a mean of 2.9 extra years of life. The researchers found that the absolute benefit associated with radical prostatectomy increased by a factor of more than two from 10 to 23 years' follow-up in terms of overall mortality and disease specific mortality.

Robot-assisted radical prostatectomy; robot-assisted surgical removal of the prostate

Can you live 20 years after prostatectomy?

Our study shows that with long-term follow-up RP provides excellent oncological outcomes even at 20 years. While most men do require a multimodal treatment approach, many men can be managed successfully with RP alone.

What is the most common problem after prostatectomy?

Stress incontinence is the most common type after prostate surgery. It's usually caused by problems with the valve that keeps urine in the bladder (the bladder sphincter). Prostate cancer treatments can damage this valve or the nerves that keep the valve working.

Is robotic surgery better than regular surgery?

Compared to traditional surgery, robotic surgery provides your surgeon with a greater range of motion and precision, which may lead to less bleeding and post-operative pain.

Is robotic prostatectomy nerve sparing?

Of the surgical options available, the fastest growing and most technologically advanced approach is robotic-assisted laparoscopic radical prostatectomy, also called a “da Vinci prostatectomy with nerve sparing.”

Is robotic surgery better than traditional?

What once was seen as a technological marvel is commonplace in many hospitals. But studies in recent years have shown robotic surgery performs no better than traditional surgery — even though it comes at a steeper cost to the overall health-care system.

How long is hospital stay for robotic prostatectomy?

Prostatectomy patients typically spend one night in the hospital and are usually discharged as soon as their laboratory tests are acceptable, pain is controlled and they are able to retain liquids. Patients are discharged with special catheter, which is removed during an outpatient visit 5-7 days after the operation.

How long does it take to stop urine leakage after a prostate operation?

However, for most men, regaining full control of their urine is a gradual process that takes several weeks or months. By six months, most men who were continent before the surgery no longer need pads, though some prefer to wear just a liner for security even if they do not leak.

Is robotic prostatectomy safe?

Robotic prostate cancer surgery is extremely safe in experienced hands, but some complications are possible in any abdominal procedure. Possible complications may include bleeding, infection, blood clotting, heart attack, hernias, permanent urinary incontinence, impotence, and strictures.

Who is the best robotic prostate surgeon?

Dr. Razdan is recognized as one of the highest volume and most experienced robotic prostate surgeons in the world. He has performed over 9,000 Robotic Surgeries and is considered by many to be one of the best in the world.

Is robotic prostate surgery painful?

There, the patient typically has little pain, but may feel as if he has to urinate due to the presence of the urinary catheter, which will stay in for 5-6 days. There will also be a drain coming from one of the five small incisions, and this will be taken out typically the next day just before going home.

How can I speed up nerve regeneration after prostate surgery?

Can I do or take anything to speed up nerve regeneration? I recommend to my patients that they stimulate themselves (or be stimulated by other means) 2-3 times a week and take a Viagra tablet at least once a week as well. This encourages nerve regeneration and increases blood flow to the penis.

Can you still get erect after prostatectomy?

Management of Erectile Dysfunction

About 75% of men who undergo nerve-sparing prostatectomy or more precise forms of radiation therapy have reported successfully achieving erections after using these drugs.

Who is not a candidate for robotic prostate surgery?

Patients with known metastatic or recurrent prostate cancer are not candidates for robotic prostatectomy. Although patients with very large prostate glands (e.g. > 100 grams) can undergo robotic prostatectomy, operative times are generally longer than in patients with smaller prostate gland sizes.

How long does it take the urethra to heal after prostatectomy?

You'll have a catheter in your penis that will carry urine to a bag. The catheter needs to be in place until your urethra heals, usually about two or three weeks. Within a few hours of the surgery, most patients are able to move around and eat a normal dinner.

What are disadvantages of robotic surgery?

What is the problem with robotic surgery?

warns on its website of potential risks and complications with its devices. These include the loss of a large amount of blood, as well as possible inadvertent cuts, tears, punctures, burns or other injuries to organs, tissues, major blood vessels or nerves.

Why do surgeons prefer robotic surgery?

Why it's done. Surgeons who use the robotic system find that for many procedures it enhances precision, flexibility and control during the operation and allows them to better see the site, compared with traditional techniques.

What should PSA level be after prostate removal?

Ideally, your post-prostatectomy PSA will be undetectable, or less than 0.05 or 0.1 nanograms of PSA per milliliter of blood (ng/mL). If that's the case, your doctor may call it a remission.

Can you live a normal life after prostate removal?

Prostate Surgery

Patients who have undergone radical prostatectomy usually do not require further treatment for their cancer, but commonly have to live with some degree of loss of urinary continence (control) and loss of sexual function.

How does life change after prostate removal?

Most men experience some decline in erectile function after their prostate is removed, but this can be managed. “It can take six months or even up to a year for the affected nerves to recover from surgery. But with proper therapy and treatment, most patients can have good erectile function again,” says Dr. Fam.