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Prostatectomy (da Vinci®)

Why have a prostatectomy?

Prostate cancer is the most common cancer in men (aside from skin cancer). Men who have prostate cancer and have not undergone radiation therapy may be candidates for this procedure. While prostate cancer does not always require treatment, when it does, many men in West Jordan, UT, are choosing the da Vinci Surgical System for prostatectomy. The da Vinci System allows for faster, more precise removal of cancerous tissue, while offering better urinary control and sexual function post-surgery than open and laparoscopic prostatectomy.

What is the da Vinci Surgical System?

The da Vinci Surgical System is a robot-assisted tool that surgeons undergo special training to operate. Sitting in the same operative room as the patient and the tool, the surgeon operates two tremor-resistant handheld controls, which perform the procedure with stunning precision. An intraoperative 3-D camera renders a high-definition view of the operating area on a screen in front of the physician.

How does da Vinci prostatectomy work?

During the procedure, the surgeon makes five to seven small abdominal incisions. A tiny camera (endoscope) is inserted through one of these incisions. The surgical tools are used to remove the prostate. The entire procedure takes about three-and-a-half hours. Patients are usually discharged within 24 hours.

What are the benefits of da Vinci prostatectomy?

Potential benefits of da Vinci prostatectomy compared to traditional laparoscopy include:

  • More precise removal of cancerous tissues
  • Ability to spare critical nerves, which speeds up the return of erectile function after surgery and improves the chances of returning to full urinary continence.
  • Less blood loss (and less likely need for a transfusion)
  • Lower risk of complications and infection
  • Less pain
  • Shorter hospital stay with lower chance of readmission and follow-up surgery
  • Fewer days spent with a catheter
  • Faster recovery to normal activity and return to work
  • Less risk of deep vein thrombosis

Potential benefits of da Vinci prostatectomy compared to laparoscopic prostatectomy include:

  • Higher rate of return to pre-surgery erectile function at the 12-month checkup than laparoscopy patients.
  • Faster return of urinary continence
  • Lower risk of complications
  • Less chance of nerve injury
  • Less blood loss and need for a transfusion
  • Less chance of injuring the rectum
  • Shorter operation and lower risk of deep vein thrombosis
  • Shorter hospital stay than laparoscopy (one night or even same-day discharge in some patients)
  • Less chance of hospital readmission and follow-up surgery

Are there any risks?

There is some level of risk involved with any minimally invasive surgical procedure, including hernia at the incision sites, bleeding, infection and pulmonary embolism. Additionally, all prostatectomies pose a risk for nerve damage, which can cause urinary dysfunction and sexual dysfunction.

Contact Jordan Valley Cancer Center

For more information about the da Vinci Surgical System for treating prostate cancer, contact Jordan Valley Cancer Center at 801-601-2260.