Who is a Candidate for Robotic Simple Prostatectomy?
Large prostate size
If the prostate gland size is significantly large. In this case minimally invasive procedures are not recommended and might not be suitable for BPH treatment Option.
Bladder stones or diverticula
If there is presence of bladder stones or pouches (diverticula) alongside benign prostatic hyperplasia (BPH) , it becomes necessary to have a more extensive surgical approach.
Prostate-sparing cystectomy
If a part of the bladder also needs to be removed due to some other severe conditions, the robotic assisted surgery can provide great advantages.
It is highly recommended that you should discuss all your symptoms and conditions with an open heart to your doctors. So the best treatment option could be chosen from all available treatment options.
Difference between Traditional Simple Prostatectomy and Robotic-Assisted Approach
Well before choosing which approach is right, whether Traditional Simple Prostatectomy (TSP) or Robotic Assisted Simple Prostatectomy (RASP), let’s have a short review of those procedures.
The TSP is an open surgery that involves removal of the enlarged portion of the prostate gland to ease urinary symptoms. While RASP is a surgical procedure which is minimally invasive for the treatment of benign prostatic hyperplasia (BPH) . This laparoscopic surgery removes the enlarged prostate gland with the help of robotic technology.
Key Differences
- Surgical approach: Traditional simple Prostatectomy is open surgery while RASP ( robotic assisted simple prostatectomy) is a minimally invasive procedure.
- Recovery time: Traditional Simple Prostatectomy usually takes longer recovery time as compared to Robotic assisted simple Prostatectomy .
- Blood loss and complications: In traditional Simple Prostatectomy there is a higher risk of blood loss and complications . In RASP (robotic assisted simple prostatectomy) these risks are lower.
- Precision:Due to robotic technology RASP is done more precisely, while TSP is not that precise because it is done manually.
- Scarring:TSP is an open surgery that’s why the scars are more visible ,while in RASP scars are less noticeable.
The Robotic-Assisted Simple Prostatectomy (RASP) Procedure
RASP Procedure is performed under general anesthesia. Here are general steps that need to be performed during the surgery.
- Anesthesia :Anesthesia is required to give the patient.
- Incisions: 3-5 small (0.5-1.5 cm) abdominal incisions. As compared to single large incision in TSP, comparatively small incision typically 3-5 (0.5-1.5cm) performed on patient, in the lower abdomen.
- Cystoscopy :A very thin and flexible tube with a cystoscope (camera) is inserted through urethra to watch (examin) the inside of patient’s bladder and prostate/
- Robot Setup: Surgeon sets up the robotic system.
- Robotic Assistance: The surgeon sits and manipulates the robotic arms carefully to remove the enlarged prostate tissue.
- Drainage Tubes: A temporary drainage tube might be placed in order to remove extra fluids and prevent infection in some cases.
Recovery Comparison: Traditional Simple Prostatectomy (TSP) vs. Robotic-Assisted Simple Prostatectomy (RASP)
Traditional Simple Prostatectomy (TSP) Recovery
For the recovery process the hospital stay is usually of 2-4 days. And recovery time is almost 6 weeks. After TSP procedure done it requires medication for pain and advised to avoid heavy lifting bending or strenuous activities. Catheterization could be 1-3 weeks long. Also, Follow up care is compulsory for wound healing and catheter removal. In approximately 8 weeks life could be back on normal track.
Robotic-Assisted Simple Prostatectomy (RASP) Recovery
After RASP procedure hospital stay is typically 1-2 days. Recovery time may extend to 2 to 4 weeks. Less pain management medication required. Patient can return to normal activities. foley catheter for maximum 2 weeks. Patient can return to normal life and back to work within 3 weeks. Patient do not need to frequent follow up check-ups.
Key Recovery Differences
- If we compare RASP has shorter stay in hospital as compared to TSP.
- RASP has faster recovery as compared with TSP.
- TSP needed more pain medication as compared to RASP.
- After TSP scars are more noticeable, while in RASP scares are less noticeable.
- Normal activities can be resumed quicker with RASP as compared with TSF.
- Shorter catheterization time for RASP.
Factors Influencing Recovery
- Well recovery also depends on the overall patient’s health and age.
- If the surgeon is well experienced the outcomes chances improve.
- Every case is unique. Individual case complexities affect recovery.
- More effective care can speed up the recovery process.
Tips for Smooth Recovery
- For smooth recovery follow the surgeon’s instructions ,adhere to post operative guidelines.
- Balanced rest and gentle activities can smooth the recovery process.
- Drink plenty of water, stay hydrated.
- Always monitor complications. Report asap to your medical consultant if any unusual symptoms are observed.
- Regular check-ups and attending follow ups ensures proper healing.
Living a Healthy Lifestyle After BPH Treatment
No matter what the Treatment Option for BPH you have chosen, there are some things you should always take care of to remain in the best health fit and quality of life. Adopting a healthy lifestyle can significantly improve your overall well being . Below are some tips given. by following those you can overcome many disease chances and can achieve an improved quality of life.
- Obesity is linked with BPH. It’s advised to maintain a healthy weight.
- Have a diet rich in fruits and vegetables that ensures a healthy prostate.
- Limit intake of Alcohol
- Daily exercise or workout improves overall health and lessen the chances of BPH
- Don’t be stressed. Always try to minimize your stress by doing yoga and some relaxation techniques. As chronic stress can worsen urinary issues.