prostate-report.org

Incontinence After Prostate Surgery

The method of radical prostatectomy and the surgeon chosen have a significant impact on a patient’s results. Men have three surgical choices for the removal of their prostate: open prostatectomy, during which the surgeon removes the prostate in a traditional open surgery, laparoscopic prostatectomy or robotic laparoscopic prostatectomy.

There are some opinions that open prostatectomy surgery, which was performed on the patients of this questionnaire, has its limitations. Patients often experience longer, more painful hospital stays with open surgery; there is more blood loss. More blood in the operating field means less visibility, so the surgeon must rely on touch. This can increase the potential for damage to vulnerable areas such as the sphincter and tissue under the pubic bone.

Laparoscopy offers some advantages over traditional surgery, but that robotic surgery makes great leaps in improving the surgical experience for both patient and surgeon.

Robotic prostatectomy provides significant advantages. Blood loss is minimal and the robot provides 3D sight with magnification up to 10x. This technique offers the significant advantage of not suturing the dorsal vein complex at the beginning of surgery. This allows surgeon to control the length of the urethra, and the more urethra he can leave intact, the greater the patient’s resistance to incontinence and leaking after surgery.