This surgery takes less time than retropubic surgery, but there is a higher risk for erectile dysfunction. Laparoscopic surgery is a minimally invasive approach to prostate surgery. There are two main approaches for this kind of procedure as well:.
Laparoscopic radical prostatectomy: This surgery requires multiple tiny cuts so the surgeon can insert small surgical instruments. Your surgeon will use a thin tube with a camera to see into the area.
Robotic-assisted laparoscopic radical prostatectomy: Some surgeries include a robotic interface. With this type of surgery, the surgeon sits in an operating room and directs a robotic arm while viewing a computer monitor.
A robotic arm may provide more maneuverability and precision than the other procedures. According to a review of different surgery types for prostate cancer, the outcomes for open radical prostatectomy ORP , laparoscopic LRP , and robotic-assisted prostatectomy RALRP are not significantly different. Also, people who choose RALRP report faster recovery in continence the ability to control the bladder and bowels and decreased hospital stay, in comparison to LRP.
What is a radical prostatectomy for prostate cancer? Prostate laser surgery primarily treats BPH without making any cuts outside of your body. Instead, your doctor will insert a fiber-optic scope through the tip of the penis and into your urethra.
Laser surgery may not be as effective. Your doctor will use a long, flexible tube with a light and lens to remove parts of the prostate gland. This tube goes through the tip of the penis and is considered less invasive. A urologist will cut pieces of your enlarged prostate tissue with a wire loop.
The tissue pieces will go into the bladder and flush out at the end of the procedure. Transurethral incision of the prostate TUIP : This surgical procedure consists of a few small cuts in the prostate and bladder neck to widen the urethra. Before you wake up from the surgery, the surgeon will place a catheter into your penis to help drain your bladder.
The catheter needs to stay in for one to two weeks. You may need to stay in the hospital for a few days, but generally you can go home after 24 hours. Your doctor or nurse will also give you instructions on how to handle your catheter and care for your surgical site.
Whatever type of surgery you had, the incision site will probably be sore for a few days. You may also experience:. These symptoms are normal for a few days to a few weeks after recovery. You may be advised to decrease activity levels, including sex.
Read more: Learn more about care after your surgery ». Although simple prostatectomy works well at relieving urinary symptoms, it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures such as transurethral resection of the prostate TURP , laser PVP surgery or holmium laser prostate surgery HoLEP. Before surgery, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder cystoscopy. Cystoscopy lets your doctor check the size of your prostate and examine your urinary system.
Your doctor may also want to perform other tests, such as blood tests or tests to specifically measure your prostate and to measure urine flow. Follow your doctor's instructions on what to do before your treatment. Here are some issues to discuss with your doctor:. Ask your doctor how long you'll be in the hospital.
You'll want to arrange in advance for a ride home, because you won't be able to drive immediately following surgery. You may not be able to work or do strenuous activities for several weeks after surgery. Ask your doctor how much recovery time you may need. Prostatectomy is usually done using general anesthesia, which means you're not awake during the procedure.
Your doctor may also give you an antibiotic right before surgery to help prevent infection. During an open prostatectomy, one large incision is made in your abdomen left. During a robotic prostatectomy, several smaller incisions are made in the abdomen right. Robot-assisted radical prostatectomy. Your surgeon sits at a remote-control console a short distance from you and the operating table and precisely controls the motion of the surgical instruments using two hand-and-finger control devices.
The console displays a magnified, 3D view of the surgical area that enables the surgeon to visualize the procedure in much greater detail than in traditional laparoscopic surgery. The robotic system allows smaller and more-precise incisions, which for some men promotes faster recovery than traditional open surgery does. Just as with open retropubic surgery, the robotic approach enables nerve-sparing techniques that may preserve both sexual potency and continence in the appropriately selected person.
Simple prostatectomy. At the start of the procedure, your doctor may insert a long, flexible viewing scope cystoscope through the tip of your penis to see inside the urethra, bladder and prostate area. Your doctor will then insert a tube Foley catheter into the tip of your penis that extends into your bladder to drain urine during the procedure.
The location of incisions will depend on what technique your doctor uses. If you also have a hernia or bladder problem, your doctor may use the surgery as an opportunity to repair it. Once your doctor has removed the part of your prostate causing symptoms, one to two temporary drain tubes may be inserted through punctures in your skin near the surgery site. One tube goes directly into your bladder suprapubic tube , and the other tube goes into the area where the prostate was removed pelvic drain.
Make sure you understand the post-surgery steps you need to take, and any restrictions such as driving or lifting heavy things:.
Robot-assisted prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. You usually can return to normal activity, with minor restrictions, around four weeks after surgery. Simple prostatectomy provides long-term relief of urinary symptoms due to an enlarged prostate.
Although it's the most invasive procedure to treat an enlarged prostate, serious complications are rare. Most men who have the procedure generally don't need any follow-up treatment for their BPH. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Prostatectomy care at Mayo Clinic. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version.
This content does not have an Arabic version. You will be able to urinate on your own after the catheter is removed. You will probably stay in the hospital for a few days after the surgery, and your activities will be limited for several weeks. The most important factors are likely to be the skill and experience of your surgeon. If you decide that laparoscopic surgery is the right treatment for you, be sure to find a surgeon with a lot of experience. For a laparoscopic radical prostatectomy LRP , the surgeon inserts special long instruments through several small incisions in the abdominal wall to remove the prostate.
One of the instruments has a small video camera on the end, which lets the surgeon see inside the body. Laparoscopic prostatectomy has some advantages over open radical prostatectomy, including less blood loss and pain, shorter hospital stays usually no more than a day , faster recovery times, and the catheter will need to remain in the bladder for less time. The rates of major side effects from LRP, such as erection problems and trouble holding urine incontinence seem to be about the same as for open prostatectomies.
Recovery of bladder control may be delayed slightly with this approach. Even though more long-term studies are needed to compare side effects and chances of recurrence between open prostatectomy and LRP, success of either procedure seems to be determined mainly by the experience and skill of the surgeon. In this approach, also known as robotic prostatectomy , the laparoscopic surgery is done using a robotic system.
Robotic prostatectomy has advantages over the open approach in terms of less pain, blood loss, and recovery time. For the surgeon, the robotic system may provide more maneuverability and more precision when moving the instruments than standard LRP.
This operation is more often used to treat men with non-cancerous enlargement of the prostate called benign prostatic hyperplasia BPH. But it is also sometimes used in men with advanced prostate cancer to help relieve symptoms, such as trouble urinating. It is not used to try to cure the cancer.
During this operation, the surgeon removes the inner part of the prostate gland that surrounds the urethra the tube through which urine leaves the bladder. The skin is not cut with this surgery. An instrument called a resectoscope is passed through the tip of the penis into the urethra to the level of the prostate.
Once it is in place, either electricity is passed through a wire to heat it or a laser is used to cut or vaporize the tissue. Spinal anesthesia which numbs the lower half of your body or general anesthesia where you are asleep is used. The operation usually takes about an hour. After surgery, a catheter thin, flexible tube is inserted through the penis and into the bladder. It remains in place for about a day to help urine drain while the prostate heals. You can usually leave the hospital after 1 to 2 days and return to normal activities in 1 to 2 weeks.
Other possible side effects from TURP include infection and any risks that come with the type of anesthesia used.
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