Laparoscopic Radical Prostatectomy
At Sahaj Hospital, we offer advanced and compassionate care for men diagnosed with prostate cancer. We understand the complexities of this diagnosis and strive to provide a supportive environment throughout your treatment journey.
Laparoscopic radical prostatectomy is a minimally invasive surgical procedure to remove the prostate gland. This approach offers several potential benefits compared to traditional open surgery, including smaller incisions, reduced blood loss, less post-operative pain, shorter hospital stays, and faster recovery times. This procedure is a crucial treatment option for localized prostate cancer, aiming to remove the cancerous tissue completely.
Our Specialties
Common Prostate Conditions
The prostate is a walnut-sized gland found only in males, located between the bladder and penis, just in front of the rectum. This gland secretes fluid that nourishes and protects sperm.
Prostatitis:
- Cause: Inflammation of the prostate, often due to infection.
- Treatment: Typically managed with antibiotics.
Benign Prostatic Hyperplasia (BPH):
- Cause: Non-cancerous enlargement of the prostate, common in men over 50.
- Symptoms: Difficulty urinating.
- Treatment: Managed with medications or surgery if symptoms persist.
Prostate Cancer:
- Nature: Often grows slowly; some patients monitor progression before deciding on treatment.
- Treatment: Conservative (hormone therapy, radiotherapy) or surgical approaches.
What is Radical Prostatectomy?
Radical prostatectomy is a surgical procedure to remove the prostate gland along with surrounding tissues, including seminal vesicles and nearby lymph nodes. It is most effective for men with cancer confined to the prostate.
Eligibility for Surgery:
- Men under 75 years with localized prostate cancer and a life expectancy of 10+ years.
Diagnostic Investigations:
- Digital Rectal Examination (DRE): Assesses prostate size, tenderness, and irregularities.
- PSA Test: Elevated Prostate-Specific Antigen (PSA) levels may indicate cancer.
- Transrectal Ultrasound with Biopsy: Confirms cancer through histopathological examination.
- Imaging (CT, MRI): Determines whether cancer has spread (metastasis).
Types of Prostatectomy Procedures
Open Prostatectomy:
- Requires an 8-10 inch incision below the umbilicus.
- Longer recovery time compared to other methods.
Laparoscopic Prostatectomy:
- Performed through small incisions near the umbilicus.
- A camera and surgical instruments are used for precise excision.
- Benefits include reduced blood loss, faster recovery, and minimal scarring.
What to Expect During Laparoscopic Prostatectomy?
Laparoscopic radical prostatectomy is a cutting-edge, minimally invasive procedure carried out under general anesthesia. It involves removing the prostate gland, seminal vesicles, and, if necessary, lymph nodes. The procedure typically lasts about 3 hours.
Benefits of Laparoscopic Prostatectomy:
- Smaller incisions result in less scarring.
- Shorter hospital stays and faster recovery (2–3 weeks).
- Reduced postoperative pain and limited use of painkillers.
- Precise excision with minimal blood loss.
- Early return to normal activities.
Success Assessment:
The excised prostate is examined histologically. If cancer cells are detected near the edges, further treatment or evaluation may be needed.
Possible Risks:
- Urinary Incontinence: Affects 5% of men under 50 and 15% over 70.
- Erectile Dysfunction (ED): Common but manageable with medications.
- Other Risks:
- Bleeding or blood clot formation.
- Infection or delayed wound healing.
- Blockage in urine flow.
However, complications occur in less than 10% of patients and are usually treatable.
Sahaj Hospital offers world-class care and expertise in laparoscopic radical prostatectomy, ensuring the best outcomes for prostate cancer treatment. With advanced techniques and a patient-first approach, we help you recover faster and return to normal life.