Laparoscopic radical prostatectomy is a minimally invasive surgery procedure used to remove a patient's cancerous prostate. This technique uses several small incisions rather than a large one, leading to quicker recovery and less scarring.

Procedure Details

The surgery, which takes about 3 hours, involves removing part (partial cystectomy) or all (radical cystectomy) of the prostate. Post-surgery, patients experience less pain and have the Foley catheters removed typically on the third day.

Advantages of Laparoscopic Prostatectomy

• Smaller incisions and less scarring.
• Reduced hospital stay and faster healing.
• Less postoperative pain and shorter recovery time.
• Quicker return to normal activities and work.

Cleveland Clinic has extensive experience in performing laparoscopic prostatectomies and is investigating the long-term effects compared to open radical prostatectomy. The outcomes related to continence and potency are comparable to open procedures.

Preparation and Procedure

Prior to the surgery, patients are advised to follow a clear liquid diet, stop certain medications, and abstain from tobacco. During the procedure, the surgeon removes the prostate gland, seminal vesicles, and possibly the lymph nodes. Post-surgery, a hospital stay of 2-3 days is typical, followed by gradual dietary normalization and encouraged light exercise.

Postoperative Care

Post-surgery, patients should avoid heavy lifting for at least three weeks and gradually resume normal activities based on personal recovery pace.

Risks / Benefits

The primary benefit of laparoscopic prostatectomy is the effective removal of cancerous tissue. However, like any major surgery, it carries risks such as bleeding, infection, and reactions to anesthesia. Post-surgery changes in urination are common, and some men may experience sexual side effects.