Chesapeake Urology Associates :: Robotic Prostatectomy

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Robotic Prostatectomy

daVinci Prostatectomy

Removing the prostate with small incisions and robotic assistance

Prostate cancer is the second most common cancer affecting U.S. men, after skin cancer.

Chesapeake Urology surgeons performed the first robotic-assisted prostatectomy in a Maryland community hospital in 2005. In this innovative procedure, surgeons remove the prostate and seminal vesicles.

How is the surgery performed?

While the patient is under general anesthesia, the surgeon makes six small incisions, each less than an inch wide in the abdomen.
To remove the prostate, and sometimes surrounding lymph nodes, the surgeon moves two of the robotic arms while a third "arm" keeps other structures out of the way.
Very small movements of the surgeon's fingers control tiny instruments for precise movements. The camera's magnified, 3-D vision allows the surgeon to better identify tissues around the prostate and aids in preservation of the nerves controlling erections and the sphincter muscles that help maintain urinary control.
The prostate is removed through an incision near the belly button.

What are the benefits for a robotic prostatectomy?

Robotic prostate removal is precise, with reduced blood loss, and potential need for blood transfusion. This surgical approach often results in fewer complications and a shorter recovery than open surgery. Whenever possible and appropriate, physicians spare the nerves next to the prostate to preserve the ability to have an erection.

How long will it take to recover?

Most patients are able to leave the hospital the day after their surgery. Patients are often able to return to their normal personal and work activities within 2-6 weeks.