What You Really Need to Know about Cancer

Friday, May 8, 2015

All you need to know about Da Vinci Prostatectomy: An advanced procedure to treat prostate cancer

Da Vinci ProstatectomyToday, men can prevent the spread of Prostate Cancer with the most precise surgical procedures. One of them is a robotic surgery called Da Vinci Prostatectomy,
which is helping combat prostate cancer. In Australia alone, it has received wide reception and an exponential increase of performed surgeries. 

Click here to read 7 warning signs of prostate cancer 

How safe is Da Vinci Prostatectomy?

Traditional procedures require cutting of up to 25 cm, but Da Vinci Prostatectomy makes minimal incisions of up to less than 1 cm. Some of the other advantages of this treatment includes:
  • Lesser pain
  • Shorter hospital stay
  • Less blood loss
  • Lesser risks of infection
  • Faster rate of recovery
This type of surgery involves the Da Vinci Robot, which has a doctor’s ergonomic console and a surgical cart. The console includes magnified 3D imaging technology, for the surgeon to fully see each interior of the patient’s prostate. 

The cart is connected with how the doctor sees the target area and commands cutting, extracting and sewing motions from the console. The machine has three to four robotic arms called EndoWrists. These EndoWrists can translate movements, as the arms make twists and turns very much like the surgeon’s hands. 

Click here to read how tomato can help you to reduce risk of developing prostate cancer

Da Vinci Prostatectomy complications

The Da Vinci Prostatectomy generally has lesser complications as compared to traditional open surgeries. However, no procedures go without their equivalent side effects. They may include:
  • Artery leakage or blood loss
  • Blood clot in the pelvic region
  • Urinary Tract Infection
  • Organ herniation
  • Incontinence (for some days after surgery)
  • Sexual dysfunction (for some days after surgery)
The possible complications will depend on various factors, such as the patient’s age and stage of cancer. You’ll need to consider your chosen surgeon’s level of dexterity in handling the Da Vinci Robot, and the rest of the operation’s related tools. 

Da Vinci Prostatectomy Recommondations?

Due to its flexibility, Da Vinci Prostatectomy can be done for both localised and complex surgeries. In the case of Prostate Cancer, this robotic surgery is highly recommended when the cancer has not spread in your other organs or bones near the pelvic region.

This procedure can eliminate Stage I Cancer and other forms of tissue excesses such as Benign Prostatic Hyperplasia. Aside from removing the prostate, Da Vinci Prostatectomy can also take out the remaining lymph nodes surrounding the organ.

It’s always best consult with your Oncologist in considering Da Vinci Prostatectomy as an option. Choosing this robotic prostatectomy will depend on the stage of your condition, and the risks weighed out among all treatment options you’ve looked into.

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Da Vinci Prostatectomy Procedural stages: Pre-operation

Aside from running some tests and doing rehabilitative exercises before operation day, you’ll need to prepare with the following:
  • A cleansed lower intestine
o   No solids shall be taken 24 hours before the procedure
o   Your doctor will prescribe some laxatives to fully clean the bowels
o   Fluid intake will be highly advised
  • Avoided blood thinning medications
o   Continuously taking Anticoagulants will cause excessive bleeding during the operation
o   Make sure your doctor knows all the medications you’re currently taking, as your specialist will advise which medicines will cease to be taken on an exact schedule
o   Avoid the following medicines, 7-10 days before the operation: Coumadin
o   Warfarin
o   Alteplase
o    Heparin 

Da Vinci Prostatectomy Procedural stages: during the operation

Da Vinci Prostatectomy normally takes 1-4 hours to complete. As part of the procedure, the surgeon will be seated at the Da Vinci Console, while the robotic arms will be supervised by another doctor. 

There are three basic steps done during the procedure:
  • The prostate and surrounding vesicles will be isolated and removed.
  • Patient’s bladder and urethra shall be re-joined via suturing, towards making a new urinary pathway.
  • A catheter will be placed after ensuring the patient’s bladder is cleared. This should stay for 7 to 10 days to avoid infection, and to drain the remaining blood or urine which might have flowed during the operation. 

Da Vinci Prostatectomy Procedural stages: Post-operation

Most patients take 6 weeks to fully recover and return to work after the Da Vinci Procedure. After the surgery is done, you’ll notice six sutures on the lower region of your abdomen. These will be dressed and can only be cleaned, a week after your operation. You may also need to take some medications, and do light exercises so you’ll heal faster.

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It’s best to seek expert’s advice on how to care for your wounds better. You must give yourself about two months to fully recover and get back to your regular activities. Da Vinci Prostatectomy is seen as one of the most effective procedures to cure Prostate Cancer. It’s minimally invasive as much lesser incisions are done to fully remove the affected area. Patients can also have lesser time to recover after the surgery.

It’s best to ask your doctor if you’re considering this procedure for your condition. The success of your cure will depend on the stage of your cancer and the expertise of your chosen surgeon among other factors.


A Guest Post by Bernadette Zephyr

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