Laparoscopic Radical Prostatectomy – Procedure, Advantages & Results
Laparoscopic radical prostatectomy (LRP) is a form of radical prostatectomy, an operation for prostate cancer. Contrasted with the original open form of the surgery, it does not make a large incision but instead uses fiber optics and miniaturization.
Who is a candidate for laparoscopic radical prostatectomy?
Anyone diagnosed with a localized prostate cancer may benefit from LRP. However, the decision to undergo a prostate cancer surgery revolves around numerous considerations, including the severity of the prostate cancer and other illnesses. Following factors are considered during the preoperative evaluation: age, prostate biopsy findings, pre-biopsy PSA prostate-specific antigen levels, height and weight, previous prostate cancer treatments, smoking history, other illnesses, current medications and previous surgery.
Advantages of laparoscopic radical prostatectomy:
Reduced blood loss
Reduced post-operative pain
Almost eliminates the blood transfusion
Shorter hospital stay
More rapid return to normal daily activity
Before the Procedure:
You will be asked to undergo a complete physical exam and some other tests. Your healthcare provider will ensure that the medical problems like high blood pressure, diabetes and heart or lung problems are bring controlled.
If you smoke, you’ll be asked to stop smoking several weeks before the surgery. You should inform your doctor about the vitamins, drugs and other supplements you are taking, even the ones you bought without a prescription.
During the weeks before your surgery, you’ll be asked to stop taking aspirin, ibuprofen, vitamin E and any other blood thinners or drugs that make it hard for your blood to clot. Ask your doctor which drugs you should still take on the day of the surgery. Drink only clear fluids on the day before your surgery. In some cases, you may be asked to take a special laxative on the day before your surgery to clean the contents out of your colon.
You will not be allowed to eat or drink anything after midnight the night before the surgery. The medicines prescribed by your doctor should be taken with a small sip of water. Book your appointment for the Best prostate cancer treatment in Mumbai, by contacting our website.
What happens during LRP?
You will be under general anesthesia so that you are asleep and pain free. During, the laparoscopic radical prostatectomy surgery, the surgeon makes several small incisions in the belly. A lighted viewing instrument called as a laparoscope is then inserted into one of the incisions. The surgeons use some special instruments to reach and remove the prostate through the other incisions. This procedure takes around 2-3 hours and the majority of patients spend about 1 night in the hospital before returning home.
Men undergoing LRP will have a catheter passed through the urethra that will stay in place for a week. Prior to removing the catheter, a dye test is performed for ensuring that the seal between the bladder and the urethra has been healed. After this, the catheter is removed and upon passing the urine, men may then return home.
A robotic-assisted laparoscopic radical prostatectomy is a surgery performed by creating small incisions in the belly with the help of the robotic arms that translate the surgeon’s hand motions into finer and more precise action. This surgery is usually performed by specially trained doctors.
After the Procedure:
After the laparoscopic radical prostatectomy, you may go home the day after the procedure. You may need to stay in the bed until the morning after the surgery. You will be encouraged to move around as much as possible. The nurses will help you change your position in the bed and also show you exercises to keep the blood flowing. You will also learn to cough or deep breaths in order to prevent pneumonia. You will need to perform these steps every 1 to 2 hours. You may need to use a breathing device to keep your lungs clear.
Post surgery, you may receive pain medicines in your veins or may require to take the pain pills. You are asked to wear stocking on your legs to prevent the blood clots. You may feel spasms in your bladder and will have a Foley catheter in your bladder when you return home.