Latest Approach to Prostatectomy

Prostate cancer is the most commonly diagnosed non-skin cancer in men in the United States and the second leading cause of cancer-related death among males. Nearly one in six American men will be diagnosed with prostate cancer.

Treatment Options

Request da Vinci ConsultationWhen prostate cancer is diagnosed early, there is a range of treatment options available. These include radiation therapy, cryosurgery and radical prostatectomy – surgical removal of the prostate.

Prostatectomy is the most widely used treatment in the U.S. Boulder Community Hospital now offers the latest approach to prostatectomy – the innovativeda Vinci® robotic surgery system.  Benefits of the minimally invasive da Vinci approach include:

  • Significantly less pain
  • Potentially less blood loss
  • Fewer complications - including reduced risk of infection
  • Less scarring – 1-2 cm incisions versus 6-8 inches with open surgery
  • Shorter hospital stay - one day versus an average of three days
  • Quicker recovery from surgery and return to normal routine

Robot-Assisted Surgery
da Vinci Prostatectomy Incision

The state-of-the-art da Vinci robot allows some complex surgeries to be performed as minimally invasive procedures.  Through tiny 1-2 cm incisions, a surgeon using the da Vinci system can operate with precision and control while minimizing the pain that often accompanies the large incisions associated with open surgery. The surgeon uses special hand controls to guide the robotic arms which hold specially designed surgical instruments. The latest computer technology converts the surgeon’s large hand movements into precise small movements, resulting in tremendous dexterity. The robotic “wrists” can rotate a full 360 degrees, enabling your surgeon to control the miniature surgical instruments with unprecedented accuracy, flexibility and range of motion. The da Vinci System requires that every surgical maneuver be performed with direct input from your surgeon – the machine cannot move on its own.

The three-dimensional, high definition da Vinci camera supplies your surgeon with a magnified view of the internal organs that’s better than normal vision. The enhanced visualization and greater degree of movement offered by the da Vinci System provides a minimally invasive alternative that can be used for many prostatectomies.

For more information on the da Vinci System’s leading-edge robotic technology, click here.

Contact a urologist to find out if robot-assisted surgery may be your best treatment option.

Questions and Answers

What is traditional "open" prostatectomy surgery?

Traditional open prostatectomy – in which a 6-8 inch incision is made to access the prostate – has been the standard approach for many years. Common drawbacks of this procedure include significant post-surgical pain, the potential for substantial blood loss, and a lengthy recovery.  

What is laparoscopic prostatectomy surgery?

A less invasive surgical procedure called a laparoscopic prostatectomy eliminates the need for a large surgical incision to remove the prostate.  Special surgical instruments and a video camera are inserted into a patient’s body through 2-3 small incisions near the belly button. The camera transmits a two-dimensional image of the internal organs onto a television monitor that a surgeon views while performing surgery. 

Conventional laparoscopy relies on rigid instruments and standard two-dimensional video, presenting technical limitations for the surgeon. Accordingly, conventional laparoscopy doesn’t lend itself to complex procedures and few urologists use this approach for radical prostatectomies.

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