Robotic Assisted Laparoscopic Radical Prostatectomy Surgery • PreOp Patient Education
Patient Education and Engagement Company
Your doctor has recommended a procedure, Robot Assisted Laparoscopic Radical Prostatectomy to treat your prostate cancer.
Before we talk about the procedure, let’s review some information about the prostate and your medical condition.
The prostate is located under the bladder and behind the penis.
It is a walnut-sized gland that is part of the male reproductive system. It helps make semen.
In fact, if during surgery, the surgeon finds that the cancer has already spread and is outside of the prostate, the procedure is stopped and other more effective treatments for the situation are planned.
There are different ways to operate and remove a cancerous prostate.
Your surgeon has recommended a laparoscopic procedure.
Your surgeon has scheduled your laparoscopic procedure to be Robot Assisted.
This means that your surgical team will work with pieces of equipment that together are called the robot.
The tower has a video screen for the team and surgeon to see the surgery in high definition.
The surgeon sits at a console that makes it easier to see drive and move special tools to do delicate cutting and stitching.
The robot has arms that attach to the laparoscope and other tools as needed.
A tiny incision is made and your abdomen is filled with CO2 (say “C” “Oh” “2”), carbon dioxide gas.
Other small incisions are made as needed for the surgeon to place tools that are used to cut, stitch, move and remove tissue for the procedure. The robot is carefully connected to the laparoscopic instruments.
The bladder is gently separated from the prostate,
The connection of the prostate to the bladder is cut.
And then the connection to the urethra,
The surgeon is careful to protect the nerves that control your erection and urination.
However, Damage to the nerves may be necessary or unavoidable in removing your prostate.
The Prostate is carefully placed in a bag, and removed thru a small incision. This way no cancer cells are spread.
Finally the bladder is stitched back to the urethra
The surgical area is carefully inspected for bleeding and a surgical drain is placed.
The instruments and gas are removed. The incisions are closed.
After surgery, “speak-up” and tell someone on your care-team if you have unexpected pain, dizziness or trouble breathing. You will have some discomfort but medication should help if you have pain.
Your risk of complication from this surgery is most related to your health before surgery, the size and nature of your cancer and the experience of your surgeon.
Prostate cancer typically affects older men with other medical problems. Your team will watch for early rare complications such as stroke, heart attack, blood clot, and internal bleeding.
Most patients stay in the hospital for 1-3 nights after surgery. The drain is often removed before you are sent home.
The Foley will stay in place for about 1 to 3 weeks.Incontinence, leaking urine is a known side effect of prostatectomy. It is normal to have after your Foley is removed. You will need to wear a pad to stay dry. Control of urine improves quickly over the following days, weeks and months.
By 6 months, 20% or 1 in 5 men still have some urine leakage and 5% or 5 in 100 men have severe leakage.
Another side effect of this surgery is erectile dysfunction or ED. All men will have trouble with their erections after prostate removal. Half of men, 50% will eventually be able to have an erection but most will continue to have some permanent changes. Time, exercise, medication and surgery can help.
Call your doctor if you: cannot urinate, have a fever, redness or pus from your incision, worsening pain or bright red bleeding that doesn’t stop
You should be ready to verify or confirm your:
list of medical problems and surgeries,
All of your medications, including vitamins and supplements
current smoking, alcohol and drug use
All allergies, especially to medications, latex and tape
but not all surgeons find using the robot helpful in performing laparoscopic surgery.
All surgery and anesthesia have a small but possible risk of serious injury, even some problems very rarely leading to death.
It is your job to speak up and ask your surgeon if you still have questions about why this surgery is being recommended for you, the risks and alternatives.
This video is intended as a tool to help you to better understand the procedure that you are scheduled to have or are considering. It is not intended to replace any discussion, decision making or advice of your surgeon.
Patient Engagement and Education Company
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