Prostatectomy FAQ


Does the robot do the surgery?

No, the surgeon does the operation. The robot is an instrument that allows the surgeon to operate in small spaces in the body. It essentially makes the surgeon's hands two seven millimeter instruments.


How is the prostate removed?

One of the operating port sites is used to remove the prostate, usually the one at the umbilicus.


Is a nerve sparing prostatectomy possible?

Yes, this is where the robot performs best. The surgeon has the benefit of 10X magnification and the fine delicate instrumentation to perform the precise removal of the nerve bundles off the prostate.


Will I be incontinent of urine (i.e. wear a diaper) after surgery?

The majority of men are continent after the procedure. Thus far we have achieved a 99% continence rate. However, there is no guarantee of continence. There is always a risk of incontinence following prostate surgery. The robotic technique simply allows a much better anastamosis of the bladder and urethra after the prostate is removed, permitting improved healing and a quicker return to continence post surgery.


How much pain will I be in?

Since the surgery is done through a small incision, most patients experience much less post procedure pain then with open surgery. Patients tend to need much less pain medication. After one week, most are feeling no pain at all. Also, there is a decreased risk of post-operative hernias.


How long will I have to have the catheter in after surgery?

Less than one week. A drain is left in after the procedure which may be taken out 2-3 days later.


When can I exercise?

Light walking is encouraged right after the procedure. After 2 weeks, jogging and aerobic exercise is permitted. After four weeks, heavy lifting can resume.





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