What Is Radical Prostatectomy?

Ben-Or, S., Nifong, W., & Chitwood, W. (2013). Robotic Surgical Training. The Cancer Journal, 19(2), 120-123.

Al). This includes the increase in dexterity, the restore of proper hand-eye coordination, and improvement of visualization (Meyers et al.). In Cameron Scott’s article from the Healthline News, “Is da Vinci Robotic Surgery a Revolution or a Ripoff?,” he states that robotic devices including the da Vinci surgical device succeeds well in urology and the removal of prostate. Prostate removal is extremely difficult for open surgery practice, however the da Vinci made is easier with about 90 percent of these kinds of surgeries are now done robotically (Scott). Some evidence even suggest that with robotics used in prostatectomy, there is less blood loss, faster recovery, and fewer internal scarring (Scott.). There are many other examples from hospitals and manufactures that support the uses of robotic surgery and its benefits. However, even though these new technologies of robotic devices are supposedly be helping patients and making surgeries less invasive, they are still many concerns of how they should be properly regulated.

Page Description: Prostate cancer can be metastatic if early treatment is not performed. Effective treatment methods like radiation therapy can be helpful in treating the associated symptoms.

Journal Article Critique: “Increasing Hospital Admission Rates for Urological Complications After Transrectal Ultrasound Guided Prostate Biopsy”

Prostate are located inferior to the urinary bladder and surrounds the prostatic urethra. The Prostate secretes milky but slightly acidic fluid that is consists of citric acid, enzymes, and alkaline chemicals.

Peter, a 72-year-old male, has been admitted for a transurethral resection of the prostate gland. Peter first visited his doctor a week ago after noticing it was becoming increasingly more difficult to pass urine and was only able to void small amounts with each attempt. Peter describes that he always feels as if he has a full bladder. What is likely to be wrong with Peter and what are his treatment options?

There are a few surgical options for BPH. The type of procedure is usually based on the severity of your symptoms and the size and shape of your prostate gland. The first procedure is called a transurethral resection of the prostate also known as TURP. This is the most common and most proven treatment for BPH. A TURP is performed by inserting a scope through the penis and removing the prostate piece by piece. The next surgical option is known as transurethral incision of the prostate also known as TUIP. The procedure is similar to a TURP, but is usually performed to men who have a smaller prostate. This procedure does not usually require a hospital stay. Similar to a TURP, a scope is inserted through the penis until the prostate is reached. Then a small incision is

With the medical advances the LRP is minimally invasive compared to the open approach there is less pain as well as the loss of blood is less and as mentioned previously the hospital stay is usually shorter. Alike any surgery, there might be side effects, then again they are minimal when you have the option possibly being cancer free after the fact. The other treatments can be just as effective, but they are much more invasive and painful. Not to mention that they are lengthy as well as mentally, physically and emotionally draining to the patient and support team, in my

Surgery – Conservative surgery aims to preserve uterus and ovarian tissues involving the removal or destroying (laser) of growths (implants). This surgery is a huge pain reliever and may allow the patient to become pregnant if wished. Conservative surgeries would be Laparoscopy: an outpatient surgery involving tiny incision to view the inside of abdomen, also known as “belly-button” surgery; Also a Laparotomy: More extensive surgery with a bigger incision and longer recovery time. Definitive surgery, which involves hysterectomy (removal of the uterus), with or without removal of the ovaries. Hormonal therapy is prescribed along with the surgery. Radical surgery is done for severe cases of endometriosis, which involves a hysterectomy. Hysterectomy

Robot-assisted laparoscopic radical prostatectomy (RALRP) has become the most common approach to radical prostatectomy (RP) in the United States. With nearly 90% of radical prostatectomies being performed robotically some argue RALP has become the new standard of care 1,2. Robot assistance has been shown to reduce operative time compared with laparoscopic prostatectomy (LRP) and in general, it has liberated LRP for non–fellowship-trained urologists at non–high-volume centers 3,4. Several reports have attempted to characterize the ‘‘learning curve’’ associated with RALRP. Metrics used to characterize the RALRP learning curve have ranged from operative time and blood loss to positive surgical margin (PSM) rate. Learning curves have been reported to range from 30 to over 200 cases 5,6. Although a comprehensive learning curve for open radical retropubic prostatectomy (RRP) was recently delineated by a high-quality, multicenter study, a comprehensive RALRP-specific learning curve has not been clearly defined 7-9.

Occasionally, the proximal urinary tract—the bladder and prostatic urethra—is displaced anteriorly rather than posteriorly and stuck on to the back of the pubis. Occasionally there is bladder neck injury, or simultaneous rectal injury, or a false passage. These all require an adominoperineal approach rather than a pure

I chose Laparoscopic radical prostatectomy (LRP), this particular treatment seemed to have a much better chance of taking place with much less pain, less blood and less hospital stays. It also has faster recovery. I think the Laparoscopic radical prostatectomy (LRP) is a better option treatment for prostate cancer patients because I would think the patient would want treatment that has worked in the past and something that would be done with not a lot of hospital stay. Choosing a treating is a difficult task, deciding which treatment is best and right for the patient. It is important that before making a decision have the physician further explain complication

Analysis of complications’ risk factors after Radical Cystectomy Introduction. Radical cystectomy (RCE) is one of the most traumatic surgeries in oncourology and is accompanied by the development of number of complications. Understanding the risk factors why these complications appear makes it possible to predict and thus prevent the development of complications. Objective of the research: To identify complications’ risk factors after RCE. Material and Methods: A retrospective analysis has been conducted analyzing treatments results of 92 patients who underwent RCE in regards to bladder cancer, its exstrophy and necrosis due to radiotherapy. Based on Clavien-Dindo classification, it was identified that 40 % of patients had early post-surgical

Tests for prostate cancer and other complications include an ultrasound which is occasionally undergone anally; this is called a transrectal ultrasound. A cystoscopy can be done where a small camera is inserted into the bladder. A special type of x-ray called an intravenous phylogram which is typically rather discomforting because contrast is injected and later the male may be asked to urinate during

Technology is transforming the medical field with the design of robotic devices and multifaceted imaging. Even though these developments have made operations much less invasive, robotic systems have their own disadvantages that prevent them from replacing surgeons all together. Minimally Invasive Surgery (MIS) is a broad notion encompassing a lot of common procedures that existed prior to the introduction of robots. It refers to general procedures that keep away from long cuts by entering the body through small, usually about 1cm, entry incisions, through which surgeons use long-handled instruments to operate on tissue inside the body. Such operations are directed by viewing equipment and, therefore, do not automatically need the use of a robot. Yet, it is not incorrect to say that computer-assisted and robotic surgeries are categories that fall under minimally invasive surgery (Robotic Surgery, n.d.).