Robotic Simple Prostatectomy
(Treatment for Benign enlargement of the prostate)
Robotic Simple Prostatectomy
(Treatment for Benign enlargement of the prostate)
Robotic simple prostatectomy, also known as Millin’s procedure, is a surgical technique used to treat benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate that obstructs urine flow. Unlike radical prostatectomy, which removes the entire prostate gland to treat prostate cancer, a simple prostatectomy involves removing only the inner portion of the prostate causing the blockage while preserving the outer capsule and surrounding structures.
Indications for the Procedure
Patient Selection: This procedure is typically recommended for patients with significantly enlarged prostates, usually greater than 80 grams, where less invasive treatments such as medication or transurethral resection of the prostate (TURP) may not be effective.
Advantages of Robotic Assistance
Enhanced Visualization:
- The robotic system, usually a da Vinci robot, provides superior visualization through a high-definition 3D camera, allowing the surgeon to clearly see the surgical field in great detail.
- This enhanced visualization is critical for performing the delicate dissection required to remove obstructive prostate tissue while preserving vital structures such as the bladder neck and sphincter, which are important for maintaining urinary continence.
Increased Precision and Control:
- Robotic instruments offer greater dexterity and precision compared to traditional open or laparoscopic approaches, enabling the surgeon to perform the procedure with more accuracy and control.
- This precision reduces the risk of complications associated with the surgery.
Benefits of Robotic Simple Prostatectomy
Minimally Invasive Nature:
- The minimally invasive approach leads to reduced blood loss, less postoperative pain, and quicker recovery times compared to open surgery.
- Patients typically experience a shorter hospital stay and a faster return to normal activities.
Symptom Relief:
The precise removal of the enlarged prostate tissue typically results in significant relief of urinary symptoms, including improved urine flow, reduced frequency, and decreased urgency.
The outcomes of robotic simple prostatectomy are generally excellent, with high patient satisfaction rates due to the significant and durable improvement in urinary function. Patients considering this procedure should discuss the benefits and any concerns with their healthcare provider to make an informed decision regarding their treatment options.
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