Am I a candidate for Robotic Prostate Surgery?
Majority of people with prostate cancer are candidates for robotic surgery, however you and your surgeon will be able to determine what course of prostate treatment is right for you.
How far in advance should I book my surgery?
We require at least two weeks for scheduling purposes.
How is the prostate removed?
The prostate gland is removed through a small incision in the abdomen.
Will I need to prepare blood before robotic prostate surgery?
No, robotic surgery is minimally invasive, and therefore affords minimal blood loss. Our data show that risk of blood transfusion after surgery is less than 1%.
Is nerve-sparing possible?
Yes, robotic surgery provides 3D vision and precise direction that allow for nerve sparing. In cases where wide excision of the prostate and nerve is planned prior to surgery and discussed with the patient, then a sural graft of the nerve is an option.
Will I be incontinent after robotic prostate surgery?
In men, there are 3 main mechanisms to control urine. The bladder neck is cut during surgery to remove the prostate. The prostate itself, which helps continence, is removed. The remaining mechanism left intact to hold urine is the external sphincter. After surgery, patients leak urine, but Kegel's exercises are taught to strengthen the appropriate muscles and gain urine control. We have data that shows 96-98% of patients are continent (have good bladder control) after surgery.
What are the sexual side effects after surgery?
The degree of sexual function after a radical prostatectomy is determined by many factors. These include the patient's age, how sexually active he was before the procedure, how much the surgical procedure affects the nerves and how sexually motivated he is after surgery. Most men experience at least temporary erectile problems after a radical prostatectomy.
Will I be able to follow up with my local physician?
Yes, you will be able to follow up with your family doctor following robotic surgery.
What follow-up is needed?
In most cases, a Prostate Specific Antigen (PSA) test is required every 3-6 months.
Will I be able to drive home?
No, you should not drive for at least 7 days following surgery. However, you will be able to ride in the passenger seat of a vehicle.
Will I be able to fly on an airplane after surgery?
Yes, you will be able to fly, but only with a companion on the plane with you.
When can I exercise after robotic prostate surgery?
Walking will be permitted right after surgery. Heavier exercise should be postponed for 3-4 weeks.