If you have been diagnosed with early stage prostate cancer, you and your doctor will spend some time discussing together treatment options, one of which is surgery. Prostate cancer surgery (open radical prostatectomy) is a common treatment for prostate cancer. Surgery to remove the entire prostate gland and possibly removing the seminal vesicles, and the surrounding tissue, is indicated in cases where the cancer has not spread, is localized strictly to the prostate gland, and the patient is in good health and has a life expectancy beyond 10 years.
If you and your physician determine you are a good candidate for surgery, you have a number of different surgical options open to you. Your surgical outcomes are ultimately maximized by choosing the best surgical option based on your overall medical condition, the characteristics or your individual condition, and your surgeon’s experience and area of expertise.
The following is a brief overview of the methods used for surgical radical prostatectomies:
Open Radical Prostatectomy
This is the traditional surgical method for performing a radical prostatectomy. During this procedure, the surgeon makes a vertical incision 8 to 10 inches long below the belly button through which the prostate and possibly other tissues are removed. This procedure takes 2-4 hours under general anesthesia, may require significant hospitalization times, keeps the patient in a catheter for about 3 weeks, and necessitates 4-6 weeks of recovery time at home.
Laparoscopic Radical Prostatectomy (RP)
Surgeons can perform a prostatectomy using laproscopy, a tiny, lighted tube and video camera that are inserted through 4 to 5 keyhole incisions across the mid abdomen. Surgical tools are inserted through these small incisions to facilitate the procedure. This procedure is much less invasive than an open prostatectomy, but it still requires the patient to undergo general anesthesia, spend up to 2 weeks in the hospital, and wear a catheter for up to 3 weeks. However, overall recovery time is much less intense than an open surgery because of the smaller incisions.
Robot-Assisted Laparascopic RP (RRP)
Radical prostatectomies can be done with robotic arms guiding instruments through laparascopic ports in the patient’s abdomen while the surgeon sits at a console manipulating the movements. Robotic-assisted laparoscopies feature high-tech 3D imaging, articulated instruments, and tremor filters, which are all improvements over traditional laparoscopy. Hospitalization times and recovery times are similar to manual laparoscopy.
Nerve Sparing RP
Nerve sparing RP is a radical prostatectomy where an attempt is made to spare the two neuro vascular bundles that produce erections. This procedure can be done open, laparoscopically, or robot-assisted. Its success is solely based on the skill of the surgeon.
Surgery of any kind come with a host of complications, and radical prostatectomy is no exception. The following is a list of risks and possible side effects of prostate surgery:
- Blood loss
- Adjacent tissue/organ injury
- Conversion to open surgery (from laparoscopic or robotic)
- Urinary incontinence
- Urethrovesical anastomotic leakage
- Post-operative pain
- Bladder spasms
- Penis shrinkage
- Blood clots
- Contracture of bladder neck
- Nerve injury
- Rectal injury
Why Choose HIFU Prostate Cancer Institute Miami?
Patients at High Prostate Cancer Institute Miami are treated to premier PERSONALIZED CONCIERGE Medical Care and access to Dr. Suarez, 24 Hours / 7 Days Per Week throughout the course of their treatment. Dr. Suarez is an extremely accomplished prostate surgeon and urologist with over 20 years of experience treating patients in all stages of prostate cancer.