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Why Laparoscopic Radical Prostatectomy?

Why Surgery?

'Currently, radical prostatectomy is the only treatment for localised prostate cancer that has shown a cancer-specific survival benefit...in a prospective, randomized trial.'
European Association of Urologists Guidelines on Prostate Cancer, 2008.

Which Surgeon?

The medical literature demonstrates a strong link between surgeon caseload and outcome after radical prostatectomy. In the bar chart below taken from the British Association of Urological Surgeons operations database analysis, I am consultant #71.

Chart of total number of prostatectomies reported per consultant

My latest results

Potency rates in 500 men having bilateral nerve-sparing laparoscopic radical prostatectomy were 100.0%, 91.8%, 82.9%, and 60.0% for men in their 40s, 50s, 60s & 70s and the overall continence rate was 97.4% at 13.5 months. The complication and recurrence rates were 4.2% & 1.2%, respectively (Eden et al., J Endourol 2011;25:815-819).

Why Laparoscopy?

Laparoscopy is a technique of performing a surgical operation using instruments inserted through narrow hollow tubes ('ports') rather than through a larger incision, as in traditional surgery. The result is shorter hospitalisation and convalescence, less bleeding and post-operative pain and fewer wound complications.

Ports placed for laparoscopic radical prostatectomy Incision for traditional radical prostatectomy
Ports placed for laparoscopic
radical prostatectomy
Incision for traditional
radical prostatectomy

Although laparoscopy is a type of keyhole surgery, the view obtained is much better than looking through a keyhole. Modern equipment produces a wide, bright, clear and magnified view of the operation. The gas used to distend the abdomen during laparoscopy also greatly reduces bleeding during surgery.

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