How the surgery is done
A radical prostatectomy can be done in different ways.
|open radical prostatectomy||This is usually done through a single long cut in the lower abdomen.|
|laparoscopic radical prostatectomy||Sometimes the prostate can be removed via keyhole surgery (also called laparoscopic surgery). Small surgical instruments are inserted through several small cuts in the abdomen. The surgeon performs the procedure by moving the instruments while watching a screen.|
|robotic- assisted radical prostatectomy (RARP)||Laparoscopic surgery can be performed using a robotic device. The surgeon sits at a control panel to see a three-dimensional picture and move robotic arms that hold the instruments. RARP uses more specialised instruments than those used for standard laparoscopic surgery.|
|nerve-sparing radical prostatectomy||This surgery aims to avoid damaging the nerves that control erections. Nerve-sparing radical prostatectomy is more suitable for lower grade cancers and is only possible if the cancer is not in or close to these nerves. It works best for those who had strong erections before diagnosis. It involves removing the prostate and seminal vesicles without damaging nearby nerves. Problems with erections are common even if nerve-sparing surgery is performed.|
Dr Amy Hayden, Radiation Oncologist, Westmead and Blacktown Hospitals, and Chair, Faculty of Radiation Genito-Urinary Group (FROGG), The Royal Australian and New Zealand College of Radiologists, NSW; Prof Shomik Sengupta, Professor of Surgery and Deputy Head, Eastern Health Clinical School, Monash University, and Visiting Urologist and Uro-Oncology Lead, Urology Department, Eastern Health, VIC; A/Prof Arun Azad, Medical Oncologist, Urological and Prostate Cancers, Peter MacCallum Cancer Centre, VIC; Ken Bezant, Consumer; Dr Marcus Dreosti, Radiation Oncologist, GenesisCare, and Clinical Strategy Lead, Oncology Australia, SA; A/Prof Nat Lenzo, Nuclear Physician, Specialist in Internal Medicine, Group Clinical Director, GenesisCare Theranostics and The University of Western Australia, WA; Jessica Medd, Senior Clinical Psychologist, Department of Urology, Concord Repatriation General Hospital, and HeadwayHealth Clinical and Consulting Psychology Services, NSW; Caitriona Nienaber, 13 11 20 Consultant, Cancer Council Western Australia; Graham Rees, Consumer; Kerry Santoro, Prostate Cancer Specialist Nurse, Southern Adelaide Local Health Network, SA; A/Prof David Smith, Senior Research Fellow, Cancer Research Division, Cancer Council NSW; Matthew Starr, Consumer. We also thank the health professionals, consumers and editorial teams who have worked on previous editions of this title. This booklet is funded through the generosity of the people of Australia.
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