Your doctor or urologist may recommend surgery as a highly effective treatment method for Prostate Cancer.
What are the different types of surgery for prostate cancer?
Radical prostatectomy - An open-surgery procedure in which the entire prostate gland and some tissue around it are removed. This surgery involves an incision in either the abdomen or the area behind the scrotum.
Laparoscopic radical prostatectomy - A less-invasive type of radical prostatectomy in which the prostate gland is removed through small incisions using a laparoscope (a long, flexible lighted tube with a video camera attached) and special long, thin surgical tools. This type of procedure is commonly performed by a surgeon sitting at a control panel to precisely maneuver robotic arms holding surgical tools (robotic-assisted laparoscopic radical prostatectomy).
Robotic-Assisted Laparoscopic Prostatectomy (RALP) allows the surgeon to remove the prostate and the surrounding lymph nodes via five tiny abdominal incisions. Robotic surgery is similar to conventional laparascopic surgery, in which surgical instruments are inserted into small incisions in the torso and manipulated by the surgeon.
This device provides three-dimensional vision, magnification and an articulating robotic wrist. The robot recreates the actions performed by the surgeon at the console in a more precise manner.
Robotic-assisted surgery is a modern, less-invasive surgical procedure that offers numerous potential benefits, including:
- Shorter hospital stay
- Less pain and pain medication
- Less blood loss and transfusions
- No blood donation necessary from the patient
- Less scarring
- Shorter catheterization
- Quicker return to normal activities
Transurethral resection of the prostate (TURP) - Surgery to remove part of the prostate gland that surrounds the urethra by using a small tool that is placed inside the prostate through the urethra at the tip of the penis. There is no incision with this method. TURP is used as a palliative procedure (to relieve symptoms), not as a procedure to cure the cancer.
Cryosurgery - A procedure that involves killing the cancer by freezing the cells with a small metal tool placed in the tumor.
Surgery for prostate cancer generally requires a stay in the hospital. The length of the hospital stay will depend on the type of procedure performed. A urinary catheter will be inserted into the bladder during surgery, and will be kept in place for a period of time afterward, often for one to two weeks.
Through a special relationship with the University of Wisconsin Department of Urology, urologist Christopher Manakas, MD has full surgical and admitting privileges at the University of Wisconsin Hospital and Clinics. He is proud to be able to take his patients to a world-class facility and regularly take full advantage of their daVinci Surgical Robot. Using this device, he is able to perform the latest minimally invasive surgical treatments including:
- Robotic-Assisted Laparoscopic Prostatectomy (prostate)
- Robotic-Assisted Laparoscopic Partial Nephrectomy (kidney)
- Robotic-Assisted Laparoscopic Pyeloplasty
"As a fully-appointed Clinical Assistant Professor at the University of Wisconsin Department of Urology, I am able to give my patients the best of both worlds; the involved attention they have come to expect from their local physician and the experience of a facility that has performed over 1,000 robotic procedures."