Radical prostatectomy, the surgical removal of the prostate, is a treatment option for patients with localized prostate cancer.
Radical
Prostatectomy
Prostatectomy
For locally limited tumors, surgical removal offers high chances of cure. In older patients with a life expectancy of less than 10 to 15 years, the operation is not considered advantageous.
Special Features
Prostate cancer often remains asymptomatic for a long time but can cause difficulties in urination, frequent or painful urination, blood in urine or semen. In advanced stages, pain occurs, especially with tumor spread or bone metastases.
Symptoms
The exact causes of prostate cancer are unknown, but age and family history play a role. Men over 50 years of age and those with a family history of prostate, breast, or ovarian cancer are at higher risk. The influence of testosterone on cancer development is still unclear.
Causes
Instruments are introduced under general anesthesia through small abdominal incisions and then controlled by the surgeon via a console.
The Da-Vinci prostatectomy is a robot-assisted, minimally invasive keyhole surgery requiring special surgical expertise.
Prostate
About the procedure
Uroviva Praxis, Männedorf
Consultation
Spital Männedorf
Spital Herisau
Spital Herisau
Surgery locations
no dressings,
the stitches are self-dissolving
the stitches are self-dissolving
Wounds
minimal, oral painkillers
Pain
3 days
Catheter
4 days
Hospital stay
2–3 hours
Surgery time
General anesthesia
Anesthesia
Da Vinci, robot-assisted
Method
Treatment information
Benefits of Dr. Sarychev's Surgery
potency, depending on age, after nerve-sparing surgery
80–89 %
full continence after 12 months
95 %
without blood transfusion
99,98 %
without significant complications
98,1 %
after 12 months
95 % — Continence
How is the surgery performed?
Questions about the procedure
3 questions
01/
The success of the operation depends on the team’s experience and specific patient data.
After connecting the bladder to the urethra, a bladder catheter is placed for healing.
During the operation, the prostate, seminal vesicles, and surrounding tissue are removed, aiming to preserve structures for urinary continence and, if the oncological situation allows, the vascular nerve plexuses (neurovascular bundles) for preserving erectile function.
What risks should be considered?
02/
Possible side effects include involuntary urine loss and erectile dysfunction. If lymph nodes are removed, an accumulation of lymph fluid (lymphocele) may occur.
Surgery-specific risks
Previous surgeries, illnesses, or medications can affect the course of the operation and postoperative recovery. These risks are assessed individually based on the patient’s medical history.
Patient-specific risks
Every surgery carries certain risks, such as bleeding during or after the operation, damage to adjacent organs, or wound healing problems.
General surgical risks
What happens after the surgery?
03/
Moreover, a balanced diet, adequate fluid intake, exercise, and sleep support recovery and strengthen long-term health.
Surgery can often cure tumors, but regular check-ups remain essential as cancer can recur.
Depending on the tissue analysis, a tailored treatment and follow-up plan will be developed. Additional therapy may be necessary.
Surgery video
Step by step: nerve-sparing Da-Vinci prostatectomy, complete operation on YouTube.
Surgery video
Da-Vinci Radical Prostatectomy
1:22:06
@DrSarychev