Urology of Greater Atlanta

Robotic-Assisted Laparoscopic Radical Prostatectomy

Urology Of Greater Atlanta

What is Radical Prostatectomy Surgery?

A radical prostatectomy (prostate removal) is surgery to remove the entire prostate gland and some of the tissue around it. 

This surgical procedure is used to treat localized prostate cancer. Pelvic lymph node dissection may also be done at the same time. 

The procedure is associated with minimal risk of side effects, and major complications are very rare. 

Potential advantages of this procedure include the chance to have a long life expectancy and, at the same time, preserve sexual function. 

Patients who have prostate cancer, appear to be in good health, and their cancer appears to be confined to their prostate gland are candidates for the procedure.

What are The Different Types of Prostate Surgery?

There are many different approaches to prostate surgery. The procedure could be minimally invasive or it could be open radical prostatectomy.

The two types of radical prostatectomy are:

Retropubic Prostatectomy

This is the most common surgical approach used by urologists. 

The doctor will make an incision in the wall of your abdomen just below your belly button. 

If the doctor believes that the cancer has spread to the nearby lymph nodes, he will remove them from around the prostate gland and remove the prostate gland.

Perineal Prostatectomy

With perineal prostatectomy, the incision is made between the anus and the scrotum. This procedure is used less frequently because it’s more difficult to spare the nerves, and the lymph nodes can’t be removed. 

However, this procedure is time-efficient and may be an option if the nerve-sparing approach isn’t necessary. 

Perineal prostatectomy may be used if a retropubic prostatectomy cannot be used because of other medical issues.

Minimally invasive surgery may include the following:

Laparoscopic Radical Prostatectomy

The surgeon makes several small cuts to give access for the long, thin tools required. 

The surgeon is guided by a thin tube with a video camera (laparoscope) that’s inserted along with the other instruments.

Robot-Assisted Laparoscopic Prostatectomy  

This is the same procedure as stated above with the aid of a robotic system

The surgeon controls the robotic arm while sitting at a computer monitor near the operating table. 

Which Prostate Surgery is Best?

The use of minimally invasive procedures has jumped from 9.2% in 2003 to 43.2% in 2007. 

Researchers in Boston reported on a study that compared outcomes, benefits, and complications of open surgery vs. minimally invasive surgery:

  • There was no difference in deaths or in the need for additional cancer therapy between the two approaches.
  • On average, the hospital stay was 2 days for minimally invasive surgery and 3 days for open surgery.
  • Only 2.7% of men having laparoscopic surgery required a blood transfusion. Whereas 20.8% of men required it when having open surgery.
  • There was more narrowing of the suture, where internal body parts are rejoined for open surgery (14%) than for minimally invasive surgery (5.8%).
  • Minimally invasive surgery caused fewer respiratory complications (4.3%) than open surgery (6.6%).
  • Open surgery resulted in lower rates of incontinence and erectile dysfunction. The overall rate was 4.7% for laparoscopic surgery and 2.1% for open surgery.

If you have prostate cancer and are looking for a surgeon that can perform robot-assisted laparoscopic surgery, then call Urology of Greater Atlanta or make an appointment online today. 

The expert surgeons not only have experience in treating complex men’s health issues but also women’s health conditions using robotic-assisted procedures, such as robotic-assisted Sacrocolpopexy for pelvic prolapse. 

Their offices are spread throughout Greater Atlanta, including Griffin, GA.

Stockbridge, Country Club Drive

290 Country Club Drive Suite 100, Stockbridge, GA 30281

Blue Ridge, Blue Ridge Drive

4799 Blue Ridge Drive Suite 107, Blue Ridge, GA 30513

Sandy Springs

1100 Lake Hearn Drive NE STE 320
Atlanta, GA 30342

Griffin, West College Street

230 West College Street Bldg. C, Griffin, GA 30224

Spivey Station

7823 Spivey Station Blvd Suite 210, Jonesboro, GA 30236