CONSULTANT
CONSULTANT
Jewel Urology Center, Mumbai
Nanavati Hospital, Mumbai
Saifee Hospital, Mumbai
DR. VIVEK VENKAT
Compassionate Evidence-Based Ethical Cancer Care
docvivek@gmail.com
- Robotic surgery uses a state-of-the-art minimally-invasive surgical platform (Intuitive Surgical- da VinciTM robotic unit).
- The surgeon sits at a console and operates.
- Slender (8mm) instruments are inserted into the abdomen and controlled by the surgeons movements (robot = slave).
- Robotic instruments are “wristed” allowing more flexible and precise movements.
- The robotic camera provides a magnified (up to 12 times) 3-dimensional view.
- The entire prostate, seminal vesicles and surrounding lymph nodes are removed during the robotic surgery.
- Surgery (Radical prostatectomy) is the best treatment for prostate cancer confined to the prostate or nearby structures (localized prostate cancer).
- The entire prostate and surrounding tissue is removed resulting in an excellent cure rate. It also allows for accurate pathologic staging and makes follow-up easy.
- Today over 90% of prostatectomies for localized prostate cancer are done by the robotic approach.
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Robotic surgery provides significant benefits for both patient and surgeon.
- Smaller incisions with less pain and scarring
- Shorter hospital stay and quick return to normal activities
- Reduced bleeding and blood transfusion rates
- Lower risk for wound infection
- Less risk of anastomotic narrowing
- Better preservation of delicate nerves (nerve-sparing prostatectomy) and earlier return of sexual function
- Improved preservation of the urinary valve with a better chance for return of urinary control within 6 months
- Basic blood and urine tests to assess fitness for surgery
- Cardiac evaluation like ECG and 2D-Echo
- To stop blood thinning medication for 5-7 days before the surgery
- Anesthesia check-up and assessment
- Healthy diet and exercise until the surgery
- Admission the day prior or day of surgery
After your prostate biopsy and staging tests (PET scan or Bone scan) you will discuss your options with your urologist. To proceed with surgery the general instructions are:
Robotic radical prostatectomy is the gold standard for localized prostate cancer.
It has an excellent success rate and more than 80% of men are cured with surgery alone.
It has much lower complications and quicker recovery than open surgery with no compromise
in cancer control.
About 20% of men may need radiation after surgery depending on the follow-up PSA.
- Urinary Incontinence (Leakage of urine): Most men experience some degree of incontinence which recovers by 3-6months in 90% cases.
- Erectile dysfunction (ED): Recovery after surgery can take 1-2 years and only 50-60% of men will recover completely. Recovery depends on age, how good erections were before surgery and whether nerve-sparing was possible.
- Infertility: If you think you might want to preserve your fertility then sperm preservation prior to surgery is very possible and successful.
- Narrowing of the sutured junction between the bladder and urethra (bladder neck stenosis) – This is very rare (<2%) after robotic surgery.
- Formation of cysts containing lymph fluid (lymphocele)
Every surgery carries a risk of complications. General complications may include bleeding, infection, blood clots, pneumonia, delay in recovery of intestinal function (ileus), etc. In addition, the delicate location of the prostate can give rise to certain specific complications of radical prostatectomy which include:
Jewel Urology Center
No. 89, N. S. Road Number 1,
Navpada, JVPD Scheme,
Andheri West
Mumbai 400049, India
(m):+919136041545
Visiting Hours : Mon-Sat 4.30 - 6 pm
By appointments only
Email: appointments@drvivekvenkat.com
Phone:+919136041545
Whatsapp: +919136041545
Nanavati Max Hospital
S.V road, Vile Parle west
Mumbai 400056, India
Visiting Hours : Mon-Sat 2 - 4.30 pm
Email: appointments@drvivekvenkat.com
Phone:+919136041545
Whatsapp: +919136041545
Saifee Hospital
15/17, Maharshi Karve Rd,
Opposite Charni Road Station East,
Mumbai 400004, India
(m):+919136041545
Visiting Hours : Thursday 11am - 1 pm
By appointments only
Email: appointments@drvivekvenkat.com
Phone:+919136041545
Whatsapp: +919136041545
