What is a Single Port Radical Prostatectomy?
Single port radical prostatectomy is a surgery that removes the entire kidney through a single incision in the abdomen. A prostatectomy can be done in an open surgery as well. However, because of the ability of experienced surgeons to reduce abdominal wall trauma in a laproscopic or robotic approach, open surgeries are rarely done unless absolutely necessary. Skilled Cleveland Clinic surgeons prefer this approach because it creates less postoperative pain, faster recovery, fewer wound complications and improved cosmetic outcomes. Our experience with single-port robotic transumbilical surgery provided better ergonomics and precision during radical prostatectomy surgeries without complications.
In 2007, 30% of the approximate 800,000 new cancer cases within the United States were prostate cancer, making it the leading malignancy diagnosed in men. Surgical treatment of prostate cancer has expanded in the past decade from traditional open surgery to new minimally invasive approaches.
In 2006, 35% (31,500) of all radical prostatectomies (full removal of the prostate) performed nationwide were performed using either a laparoscopic or robotic approach.
Because the procedure uses only one point of access to the body, single-port surgery can leave minimal to no scarring that can commonly occur after traditional open and laparoscopic abdominal surgery procedures. Some patients are reporting less discomfort and faster recovery times compared with those undergoing traditional laparoscopy.
Distinctively, single port radical prostatectomy (SPRP) is a surgical procedure with potential benefits that are beyond just cosmetic.
Why Would Someone Need a Single Port Radical Prostectomy?
Localized prostate cancer is the main reason doctors turn to this particular procedure. Your doctor can suggest a single port radical prostatecomy in combination with other therapies such as chemotherapy or radiation treatment.
Laproscopic single port radical prostectomy may be used to treat a blocked urethra caused by benign prostatic hyperplasia (noncancerous prostate enlargement). However, many times a radical prostatectomy doesn't need to be used for benign prostatic hyperplasia.
What Happens Before Single Port Radical Prostatectomy?
Before surgery, your doctor will perform a cystoscopy to visually inspect your bladder and urethra. This gives your doctor a better idea of what the condition your prostate and urinary system are in.
Your doctor will also instruct you on any modifications to your medications you need to make. If you are taking blood thinning medications or NSAID pain relievers (such as Advil or Motrin IB), you will be asked to stop taking those medications in order to decrease the risk of excess bleeding. Do not modify your medication schedule or routine without the doctors instructions.
Just like many other forms of surgery, your doctor will ask you to not eat or drink anything starting at midnight before the surgery. Medications that need to be taken before the surgery should be taken with a small sip of water.
If you have housework or other strenuous activities that need done after surgery, make plans to do them in advance or to have a friend or family member help you. Recovery time with a single port radical prostatectomy is less than in an open procedure, however it is important to allow yourself recovery time.
What Happens During Single Port Radical Prostatectomy?
During a single port radical prostectomy you will be administered general anesthesia. Your surgeon will operate a state of the art robotic control console near you that allows him or her to manipulate the Da Vinci surgical robot. This robotic approach allows your surgeon to have precise control over the surgery and helps better visualize the prostate with a magnified view of the surgical area.
Using this advanced robotic technology, the surgeon will proceed to make incisions and remove your prostate gland through the port in your abdomen near your belly button.
What Happens After Single Port Radical Prostatectomy?
Cleveland Clinic's surgeons are experts in single port radical prostatectomy. As a result, after your procedure, you can usually return to normal activity two to four weeks after surgery. Your doctor will advise you when it is appropriate to do so.