Prostate glands that are localized within the glands are removed through surgery. An incision in the lower abdomen is made to remove the prostate gland behind the pubic bone and to anastomose the bladder and the urethra. At this point in surgery, the presence of lymph node metastasis is investigated. If there is no metastasis and the cancer has spread slightly beyond the prostate capsule, operation in conjunction with hormone therapy is possible. Recently, robot-assisted surgery has been introduced, decreasing side effects and complications.
Da Vinci robotic surgery
Radical prostatectomy is an operation that involves removing the entire prostate gland, seminal vesicles, seminal duct, surrounding tissues, and pelvic lymph nodes all together. This surgical method is typical for cancers confined to the prostate gland.
The prostate gland is located deep inside the pelvis in the lower abdomen. Prostate cancer removal is performed intricately as the operation requires not only getting rid of cancer but also connecting the bladder and the urethra while leaving nerves and important structures around them intact. Surgery done with the human hand, offers some limitations due to the natural movement of our joints while the robotic arm can move more easily and freely during the operation. The 3D camera provides a sense of depth and a clear view of the nervi erigentes and micronerves, which are nearly invisible to the naked eye. The camera helps to preserve these vital nerves during open surgery. Robotic surgery is also better than open surgery concerning postoperative results because it leaves the patient with a smaller surgical scar, less pain, fast recovery, and a short hospital stay.