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If the prostate cancer is advanced, complete removal of the prostate is necessary. Fortunately, even such radical operations are becoming less and less invasive. One of them is the laparascopic one, after which rehabilitation is shorter. Dr. Łukasz Curyło, a urologist at SCM clinic in Krakow, tells about what the procedure is.
Prostate cancer – the most important information
- For an average male, a visit to a urologist is very embarrassing. However, there are alarming symptoms that you need to overcome fear and shame and see a doctor: hematuria or hematuria, which may be a symptom of cancer. It is not worth deluding ourselves then that it may be an acute inflammation of the urinary tract, the so-called “Cold bladder”, it is worth going to the doctor, at least at first in the family
- Prostate cancer develops slowly but is affecting younger and younger men, including those under 40. Young people are often ‘high-risk’ cancers. Therefore, the most important thing is prevention and observation of your own body. The sooner we detect the disease, the less invasive the treatment
- Fortunately, prostate cancer treatment is getting more and more effective. Prostate removal operations are becoming less and less invasive. One of them is the laparascopic one, after which rehabilitation is shorter
- – The laparoscopic procedure involves introducing special devices into the patient’s body through a very small, approx. 10 mm incision, made in the abdominal wall, just below the navel – explains Łukasz Curyło urologist. Thanks to this, the patient returns to himself much faster after the operation. Extensive postoperative wounds do not have to heal, and there are no large scars afterwards.
To check that you are not at risk of prostate cancer, do a genetic test for this.
What is laparoscopic radical prostatectomy?
This is one of the treatments for prostate cancer. It consists in surgical removal of the prostate with seminal vesicles, fragments of the vas deferens and, depending on the assessment of the risk of metastasis, surrounding lymph nodes. The procedure is performed in patients with prostate cancer, which only covers a straight area. Radical prostatectomy is performed under general anesthesia.
It can be performed traditionally – by the open method or by means of laparoscopy. This is the least invasive way of operating.
What are the treatments for prostate cancer?
Medicine has many methods of treating prostate cancer. They include, among others active surveillance, surgical treatment, radiotherapy, as well as experimental minimally invasive treatment.
The treatment of prostate cancer should be tailored to the patient and depends on many factors, including on the patient’s age, stage of the disease, malignancy and coexistence of other diseases. The choice of method is always preceded by a thorough diagnosis and interview with the patient, and ultimately it is an individual decision of the treating physicians and the patient. If you are looking for a specialist, check out the website cliniki.pl.
Each patient should be carefully informed about the nature of the disease, possible forms of treatment and the possible risk of complications or side effects of the therapy.
What is laparoscopic prostate removal?
Laparoscopy is the least invasive form of surgery. Complications occur less frequently than in the case of open body surgery, and the patient is not exposed to a long period of convalescence, thanks to which he quickly recovers.
As the urologist Łukasz Curyło explains, radical prostatectomy with the laparoscopic method involves introducing special devices into the patient’s body through a very small, approx. 10 mm incision, made in the abdominal wall, just below the navel.
– The set of tools that are introduced this way consists of optics that allow you to enlarge the organs on the screen of a medical monitor (laparoscopic camera) and laparoscopic instruments, i.e. special microtools that allow you to incision, excise, transform and pull out fragments of diseased tissues . The optical magnification obtained during the procedures allows for very precise preparation of the structures, and the electrosurgical tools used make it possible to minimize blood loss during the procedure – explains the specialist.
After making the incisions, the working space is filled with carbon dioxide introduced under pressure. This creates a pneumothorax that provides space for the tools and reduces bleeding during surgery.
What does the operation to remove the prostate look like step by step?
The prostate gland excision procedure begins with dissecting its front part and freeing it from the pelvic fascia. The prostate is then cut from the bladder neck. In the next step, the longest section of the urethra is prepared, which will later be used to connect with the bladder. Seminal vesicles and distal ends of the vas deferens are also prepared, which are cut off and coagulated. The last and most important part of the procedure is restoring the continuity of the urinary system, i.e. connecting the bladder with the urethral stump, which remains after the removal of the prostate.
After the anastomosis is performed, a leak test is performed, which consists in filling the bladder with a saline solution. Fragments of released and cut off diseased tissues, i.e. the prostate gland with seminal vesicles, are removed in a special bag through the previously widened opening below the navel. Finally, carbon dioxide is released from the operating space, suturing is performed and a dressing is applied. The patient has drains that are removed after a few days after the operation.
The basic limitations to surgery are the general condition of the patient and accompanying diseases, e.g. ischemic heart disease, COPD, and diabetes.
The results of histopathological examinations and the PSA level determine the qualification for the procedure. They are supplemented with imaging examinations: magnetic resonance imaging and computed tomography, and when bone metastases may be involved, also scintigraphy.
Possible complications are primarily a narrowing of the bladder neck and urethra, urine leakage or fistula, urinary incontinence and impotence.
Laparoscopic prostate surgery – price
Bow. Łukasz Curyło, MD – urology specialist from SCM clinic in Krakow (www.scmkrakow.pl), which specializes, among others, in in the so-called one-day surgery. He is a graduate of the Medical Academy in Krakow. He passed his specialization exam in urology in 2012, obtaining the FEBU (Fellow European Board of Urology) title. He works in the Clinical Department of Urology under the supervision of prof. Piotr Chłosta as a senior assistant. Since 2013, he has been the Head of the Clinical Urology Clinic. He actively participates in the scientific congresses of the Polish Society of Urology (PTU) and the European Society of Urology (EAU). Co-organizes courses in the field of urology and minimally invasive techniques: laparoscopic and endoscopic. He is particularly interested in urological oncology, laparoscopy in urology and reconstructive procedures of the urinary tract.
SCM clinic (www.scmkrakow.pl) is a Krakow Medical Center specialized, inter alia, in in one-day surgery.
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