Why Robotic Prostatectomy May Be Right For You?

Robotic assisted laparoscopic surgery using the da Vinci® Surgical System has revolutionized prostate cancer therapy. Robotic prostatectomy has many short and long term benefits for patients through the use of high definition 3-Dimensional optics and enhanced precision.

What are the benefits of da Vinci Robotic prostatectomy?

  • Quicker return to normal activity
  • Reduced pain – most patients don’t even need narcotics after surgery
  • Shorter hospitalization – most go home the next day
  • Reduced risk of urinary or sexual problems
  • Virtually no blood loss
  • Fewer complications
  • Less scarring than traditional open surgery
  • Less risk of infection

Why is Robotic prostatectomy preferred over brachytherapy (seeds)?

  • No risk of getting future cancers with surgery. Radiation increases one’s risk for future new cancers.
  • Fewer complications. Seeds are associated with intestinal problems and bladder bleeding.
  • Reduced risk of sexual problems. Radiation can kill the nerves responsible for erections. Advanced robotic surgery can preserve these nerves.
  • Less risk of urinary problems. With time, radiation can damage the bladder and sphincter causing increased urinary frequency and difficulty voiding.

A Change in Patient Perception

Screening for prostate cancer has led to increased public awareness and early detection, as well as a decline in mortality rates. Robotic radical prostatectomy (robotic-assisted laparoscopic removal of the prostate gland) is also a contributing factor to these encouraging trends.

This state-of-the-art surgical procedure can offer the best chance for complete recovery.
Wristed instrumentation, tremor filtration and 3D magnification aid the surgeon in performing one of the most demanding aspects of the procedure – nerve-sparing for preservation of post-operative sexual function and urinary control. Along with cancer control, these are key elements in follow-up for patients undergoing treatment.

Are You Right for Robotic Prostatectomy?

Are you interested in the best chances for cure while maintaining normal sexual and urinary functions? The da Vinci robotic prostatectomy gives patients the best chances of cure while minimizing any urinary or sexual issues. In our expert hands, you can be assured that you have the best chances for complete recovery.

You Can Resume Your Normal Life As Soon as 2 Weeks After Robotic Prostatectomy

Sex Beyond Prostate Cancer Therapy

Although the first goal of prostate cancer therapy is to rid the body of all cancer, the ability to resume a normal life after prostate surgery is another equally important issue. The possibility of sexual problems, or impotence, after prostate surgery is a real concern, as the nerves that control urinary and sexual function and are intimately associated with and attached to the prostate. With conventional surgery and prostate radiation, these nerves are often damaged, as they are fragile and difficult to protect. Using the da Vinci® robotic system in the expert and experienced hands, allows Dr. Gholami to more accurately identify and preserve the vital nerve structures needed for normal sexual and urinary function. The 3-dimensional, high definition optics of the DaVinci system allows Dr. Gholami to distinguish the cancerous tissues surrounding the prostate from non-cancerous vital tissues around the prostate to ensure cure for the patient. This advanced west coast technique has allowed for a dramatic decrease in postoperative problems. After surgery, patients are placed on an extensive rehabilitation program to minimize the time to return to a normal life.

After robotic prostate surgery:

You will start on Cialis or Levitra or Viagra 1 week after surgery when your catheter is removed. You can resume sexual activity starting one week after surgery.
We recommend having sexual intercourse at least 2 times a week to encourage good penile muscle function and performance.

If your erections are not perfect by 6 weeks after surgery, Dr. Gholami will start treatment with stronger medications to ensure normal strong erections. Sexual activity and strong erections are encouraged immediately after surgery to ensure the quickest return to normal function.
Although there is no ejaculation, the sensation of climax or orgasm is unchanged.
Normal sexual function returns as quickly as a few days after surgery and can improve up to years after the procedure.

If you have questions about sexual problems or the da Vinci Robotic Prostatectomy, contact Dr. Gholami

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