There are numerous kinds of treatment available for prostate cancer but one of the most frequent treatments for early stage cancer which is confined to the prostate gland is prostatic cancer surgery known as the prostatectomy. dr david samadi
The prostatectomy, which essentially involves getting rid of the prostate gland and so the cancerous cells comprised within it, can be performed as open surgery or can be executed either laparoscopically or robotically.
Open surgery is the regular form of surgery by which an cut is made in the lower abdomen to allow use of the prostate human gland which is then removed using standard surgical techniques. This form of surgery is often used when the prostate is specifically large or where there is a suspicion that cancer may have distributed to tissue immediately bordering the prostate gland which may also need to be removed.
One problem with open surgery (and indeed laparoscopic surgery) is that the removal of the prostate gland can also damage nerves, muscles and other tissue in the region of the prostate gland leading to complications with sexual function. Lately however surgical techniques have been developed to lessen such damage and a growing number of physicians are skilled in nerve-sparing techniques.
In the circumstance of laparoscopic surgery quite a few of small incisions are created in the abdomen making possible the access of a group of long thin instruments which are being used to provide lamps for and video of the area of the prostate gland, as well as access for the surgical instruments used to remove the prostate glandular.
The latest surgical strategy which is getting into increasing use is nerve-sparing automatic surgery using the da Vinci system. Robotic surgery is similar to laparoscopic surgery but requires a team of two highly skilled surgeons. The first surgeon operates beside the patient in the normal manner, even though the second physician sits at a computer manipulated console and manipulates the robotic operating forearms.
The good thing about robotic surgery is that it provides for the use of extremely delicate instruments, the activity of that can be very exactly controlled. This degree of precision can result in little or no damage to the nerves, muscles and other surrounding tissues, as long as the procedure is carried out by a highly skilled and experienced team of surgeons.
The key good thing about prostate cancer surgery is that it is an one-time procedure which, as long as the cancer is confined to the prostate gland, can often provide a complete cure for the condition. It’s main disadvantage is that it can cause impotence and incontinence.