Robot-assisted laparoscopic prostatectomy is a minimally invasive procedure to remove the entire prostate gland and the seminal vesicles, which are near the bladder and the prostate. This procedure is done to treat prostate cancer that has not spread to other parts of the body (has not metastasized). The goal of the procedure is to remove all cancer cells and to prevent metastasizing.
Tell A Health Care Provider About:
- Any allergies you have.
- All medicines you are taking, including vitamins, herbs, eye drops, creams, and over-the-counter medicines.
- Any problems you or family members have had with anesthetic medicines.
- Any blood disorders you have.
- Any surgeries you have had.
- Any medical conditions you have.
- Any prostate infections you have had.
- Allergic reactions to medicines.
- Inability to control when you urinate (incontinence). This is usually a temporary effect of this procedure.
- Blockage (obstruction) of the large or small intestines.
- Narrowing or scarring of the urethra (stricture), which may block the flow of urine.
- Inability to get or sustain an erection (erectile dysfunction).
- Dry ejaculation. This is when no semen is released during orgasm.
- Blood clots in the legs.
- The formation of a sac (cyst) in the pelvis that is filled with fluid from the lymph glands (lymphocele).
- There is also a risk of damage to other structures or organs, such as:
- The tubes that drain urine from the kidneys to the bladder (ureters).
- The bladder.
- The urethra.
- The large or small intestines.
- The rectum.
- Vascular arteries or veins.
- Nerve tissue.
- Follow instructions from your health care provider about eating and drinking, which may include:
- 8 hours before the procedure - stop eating heavy meals or foods such as meat, fried foods, or fatty foods.
- 6 hours before the procedure - stop eating light meals or foods, such as toast or cereal.
- 6 hours before the procedure - stop drinking milk or drinks that contain milk.
- 2 hours before the procedure - stop drinking clear liquids.
- Up to 2 hours before the procedure - you may continue to drink clear liquids, such as water, clear fruit juice, black coffee, and plain tea.
- Ask your health care provider about:
- Changing or stopping your regular medicines. This is especially important if you are taking diabetes medicines or blood thinners.
- Taking medicines such as aspirin and ibuprofen. These medicines can thin your blood. Do not take these medicines before your procedure unless directed by your health care provider.
- You may be given antibiotic medicine to help prevent infection.
- Ask your health care provider how your surgical site will be marked or identified.
- You may have an exam or testing.
- You may have additional tests, such as a CT scan or MRI.
- You may have a blood or urine sample taken.
What Happens During The Procedure?
- An IV tube will be inserted into one of your veins.
- You will be given one or more of the following:
- A medicine to help you relax (sedative).
- A medicine to make you fall asleep (general anesthetic).
- A medicine that is injected into your spine to numb the area below and slightly above the injection site (spinal anesthetic).
- A thin, flexible tube (catheter) will be inserted through your urethra and into your bladder. The catheter will drain urine from your bladder during the procedure and while you heal.
- 4-5 small incisions will be made in your abdomen.
- The laparoscope and other surgical instruments will be put through the incisions. Your surgeon will use the laparoscope and a robotic arm to help control the surgical instruments.
- Your urethra will be cut and separated from your bladder, and your prostate and seminal vesicles will be removed.
- Your pelvic lymph glands may also be removed for testing.
- Your urethra will be reconnected to your bladder. This will be done so your catheter is still in place inside of your urethra.
- A small tube (drain) may be placed in one or more of your incisions to help drain extra fluid from your surgical site.
- Your incisions will be closed with stitches (sutures), skin glue, or adhesive strips.
- Medicine may be applied to your incisions.
- Bandages will be placed over your incisions.
Post Procedure Care
- Your blood pressure, heart rate, breathing rate, and blood oxygen level will be monitored until the medicines you were given have worn off.
- You may continue to receive fluids and medicines through an IV tube.
- You will have some pain. Pain medicines will be available to help you.
- You will have a catheter to drain urine from your bladder.
- You may have fluid coming from a drain in your incision.
- You may have to wear compression stockings. These stockings help to prevent blood clots and reduce swelling in your legs.
- You will be encouraged to move around as much as possible.
This information is not intended to replace advice given to you by your health care provider.