The prostate gland is found only in
men. It sits below the bladder and wraps around the urethra. The prostate helps make
semen. Prostatectomy is surgery to remove the prostate gland. During the procedure, the
seminal vesicles, nearby tissues, and sometimes pelvic lymph nodes are also removed.
When prostate cancer spreads, the pelvic lymph nodes are often one of the first places
The prostate can be removed in two
Open procedure. The surgeon makes 1 large cut
(incision) into the lower belly (abdomen) to reach the prostate.
Robotic prostatectomy. This surgery makes several
smaller cuts and removes the prostate using a laparoscope. This is a thin tube with a
tiny camera in it. Long, thin surgical tools at the end of the laparoscope are used to
remove the prostate. Your surgeon can move these tools with the help of a robot. The
surgeon uses controls and a computer screen to move the small tools. You will want to
find a surgeon who has experience doing this type of surgery.
Prostatectomy is used to treat prostate cancer that is confined to the prostate gland and the seminal vesicles. The robotic system can help your surgeon in several ways. The camera magnifies the area, helping the surgeon see tiny structures more clearly. The robotic system can make steady, precise movements in small places that the surgeon may have trouble reaching otherwise.
Compared with a standard open
surgery, this type of surgery may have benefits. These include:
During this surgery, medicines may
be used to put you in a deep sleep called general anesthesia. In rare cases, spinal or
epidural anesthesia may be used to make you numb from the waist down. Risks from this
Some side effects that you may have after surgery include:
There may be other risks, depending
on your specific health condition. Talk with your healthcare provider about any concerns
before the surgery.
Based on your medical condition, your healthcare provider may request other specific preparation.
Robotic prostatectomy requires a
hospital stay. Procedures may vary depending on your condition and your healthcare
Generally, robotic prostatectomy follows this process:
After the surgery, you will be
taken to a recovery room to be closely watched. Once your blood pressure, pulse, and
breathing are stable and you are awake and alert, you will be taken to your hospital
You may get pain medicine, as needed, by a nurse. Or you may give it yourself through a device connected to your IV line.
You can slowly eat solid foods as
you are able to handle them.
After the surgery, your healthcare team will show you how to do breathing exercises and movements while in bed to help your body recover. You may wear special stockings on your legs that reduce your risk for blood clots. After resting the first day, you may be encouraged to get up and move around. You may be able to go home the day after the surgery.
The catheter that was put in to drain your urine will stay in place for a week or two as you heal. Once it is removed, you may have trouble controlling your urine. Your healthcare team can show you how to do pelvic floor muscle exercises to better control your urine.
Follow all instructions from
your healthcare provider. You will likely be told not to drive for at least a week
after the surgery. You will need to not do heavy exercise for 3 or 4 weeks. You will
also be taught how to care for the catheter. Keep any follow-up appointments. The
catheter will be taken out at one of these appointments.
Tell your healthcare provider if you have any of the following:
Your healthcare provider may give you other instructions after the procedure, depending on your particular situation.
Before you agree to the test or the procedure make sure you know:
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