Laparoscopy

Thanks to programs for the early detection of prostate cancer, more frequently tumours are being diagnosed in early stages. One possible treatment is surgery, in which the whole prostate is removed. Nowadays, in addition to curing this cancer, it is important to provide a good quality of life for our patients, so this clinic offers wide experience in the most advanced laparoscopic surgical techniques, so that we reduce any subsequent consequences without compromising tumor cure.

The most common surgery is radical prostatectomy, usually performed when a tumour in present in the prostate. Laparoscopic prostatectomies for benign prostate hiperplasia can also be performed, and which are performed when a benign growth of the prostate causes symptoms.

It is a surgery in which the whole prostate, both seminal vesicles and part of the vas deferens are removed. Later the bladder is stitched to the urethra at the urinary sphincter.

Posteriormente se une la vejiga a la uretra en la zona del esfínter urinario.

In the hands of an experienced laparoscopic surgeon, this approach enables earlier patient recovery with less pain, fewer days of catheter, and a lower rate of bleeding. Furthermore, since laparoscopy gives a better view of the different structures, it allows for a more precise surgery, with very successful subsequent results for tumor control, urinary continence and preserving sexual function.

Depending on the type of tumour, sometimes along with the removal of the prostate it is necessary to combine with it the removal of the regional lymph nodes (called lymphadenectomy). In addition, you can perform techniques in which the nerves surrounding the prostate are preserved (neurovascular bundles preservation technique), that allow us to keep a good continence and erection in a significant number of cases.

The most common consequences are incontinence and erectile dysfunction

Yes. With a high quality surgical technique, a complete study prior to surgery, an intensive pelvic floor and sexual rehabilitation program such as the one offered in this clinic, and a global approach to the patient’s condition, it is posible to prevent, treat and solve most of the cases.