Who is a candidate for robotic prostate surgery?

Who are good candidates for robotic prostatectomy? Patients who are of normal weight, without extensive prior abdominal surgery or radiation therapy, and with a less extensive cancer burden in the prostate are considered strong candidates for robotically assisted prostate surgery.

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.

Is robotic prostate surgery better than traditional surgery?

Most studies show no major differences between the procedures in terms of patient survival or their ability to control prostate cancer over the long term. Robotic prostatectomies ostensibly offer quality-of-life advantages for urinary function and sexual health.

When is a prostatectomy recommended?

The primary indication for radical prostatectomy should be to cure prostate cancer. Therefore, the ideal candidate for radical prostatectomy is the person with disease that is pathologically confined to the prostate and who, if untreated, would suffer morbidity or mortality from the malignancy.

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.

Am I a good candidate for robotic surgery?

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.

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 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.

Can you still have an erection if your prostate is removed?

These nerves, blood vessels, and muscles may be weakened when you have surgery for your prostate cancer. For a period of time after surgery, many men are not able to get an erection. This time is different for each man. It can be less than a month or longer than a month.

Does having your prostate removed shorten your life?

Based on the natural history of localized prostate cancer, the life expectancy (LE) of men treated with either radical prostatectomy (RP) or definitive external-beam radiotherapy (EBRT) should exceed 10 years.

Is robotic prostatectomy major surgery?

While robotic prostatectomy is performed routinely, it is still a relatively major surgery that will take some time and effort to recover from.

What is the cost of robotic prostate surgery?

Results: Mean hospital cost per robot-assisted radical prostatectomy was $11,878 (95% CI $11,804-$11,952). Mean cost was $2,837 (95% CI $2,805-$2,869) in the low cost group vs $25,906 (95% CI $24,702-$25,490) in the high cost group.

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.”

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

It takes three to four weeks for the abdominal incisions to heal completely, so you should avoid heavy lifting during that time. You may have some swelling in the scrotum and penis after surgery, which will resolve with time.

How safe is robotic prostatectomy?

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.

How serious is a Gleason score of 7?

A Gleason score of 7 is a medium-grade cancer, and a score of 8, 9, or 10 is a high-grade cancer. A lower-grade cancer grows more slowly and is less likely to spread than a high-grade cancer. Doctors look at the Gleason score in addition to stage to help plan treatment.

At what age do guys have trouble getting hard?

About a quarter of men said that erection problems started between age 50 and 59, and 40% said they started between age 60 and 69. Having chronic diseases and other risk factors matter with respect to ED, too.

What is life like without a prostate?

The two prominent quality-of-life issues associated with living without a prostate are the loss of urinary control and the loss of erectile function.

Does Viagra work after prostate surgery?

Viagra is an effective treatment for impotency in men who have their prostate removed. For men whose nerves have been spared, the drug improves the ability to have an erection by nearly 60%, but the effectiveness drops to 20% in those with no nerves spared.

What is the most common problem after prostatectomy?

After surgery to remove the prostate gland (radical prostatectomy) you might have problems with your bladder including leakage and difficulty passing urine. Leakage of urine is one of the most common problems after a radical prostatectomy.

What is the best surgery for enlarged prostate?

The usual 'gold standard' surgery for enlarged prostate is transurethral resection of the prostate (TURP). TURP involves removing part of the prostate gland using a device passed through the urethra.

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 fastest way to recover from prostate surgery?

How do I prepare for robotic prostate surgery?

The day before your surgery, please eat very light meals and stay hydrated, in the evening before surgery try to stay on a clear liquid diet. This includes the following: tea, broth, popsicles, water, Gatorade, apple juice, cranberry juice, grape juice, black coffee, Jell-O, cola/7-Up.

How do you stop your pee from leaking after prostate surgery?

Kegels may be your answer! As mentioned above, Kegels are a common treatment option for incontinence after prostate surgery. Among other things, the pelvic floor muscles help control bladder and bowel function and, like other muscles of the body, if they get weak they are no longer able to do their job effectively.