Laparoscopic prostatectomyThe LRP (the LRP) is a minimally invasive method of Treating prostate cancer. Its peculiarity lies in the removal of the prostate through a few small holes in the patient's abdominal cavity.

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Indications for LRP:

  1. Localized prostate cancer.
  2. Prostate volume was more than eighty cubic centimeters.
  3. The duration of life expectancy - of more than ten years.

Contraindications to the operation:

  1. The presence of adhesions in the pelvic cavity due to previous operations (for certain types of LRP).
  2. Conducted prior to surgery of the prostate and bladder neck (for certain types of LRP).
  3. Available concomitant somatic pathology.
  4. Prostate volume in excess of 80 cm3.

Of the Types laparoscopic Radical prostatectomy :

  1. Retrograde extraperitoneal LRP (bypassing the abdominal cavity).
  2. Antegrade extraperitoneal LRP.
  3. Transperitoneal retrograde LRP (through the abdominal cavity).
  4. Tranperitonealnaya antegrade LRP.

The advantages of access through the abdomen:

  • to create the necessary space for the operating surgeon;
  • most convenient to impose joint between the urethra and the bladder.

The disadvantage is considered a violation of the integrity of the peritoneum, which increases the likelihood of adhesions in the cavity after surgery.

The advantages of the extraperitoneal access:

  • allows removal of the prostate in men with adhesions in the abdominal cavity, or in those patients who had previously undergone surgery;
  • in connection with preservation of the integrity of the peritoneal present minimum chance of damage to the rectum and the number of complications in the gastrointestinal tract;
  • shorter duration of operation;
  • in the presence of a hernia there is a possibility of plastics;
  • shortened patient recovery period.

The disadvantages of the extraperitoneal access include:

  • a smaller volume of the working space;
  • isolation of lymphatic fluid after surgery on drainages insurance, accumulation of it in the scrotum.

The choice of technique is due to the preferences of the surgeon, his expertise, diagnostic results.

The LRP Lasts Approximately 2.5-3.2 hours time of due to prostate size bed and Individual Anatomical features of the the patient.Laparoscopic radical prostatectomy

Laparoscopic technique provides access to the prostate gland through a small incision 4-5: 0.5-1 cm and a 5 cm section for removal of the prostate. They are used for the introduction of surgical instruments and one - for the optical system - laparoscope. Proceedings operation is monitored by a video camera, an image which is transmitted to the monitor.

Can utilize a common or epidural anesthesia. During surgery removed prostate, seminal vesicles, pelvic lymph nodes if necessary. Excision is done in such a way so as not to damage the blood vessels and nerves. At the end of the urinary catheter set operations in order to eliminate the burden on the region of the anastomosis between the urethra and the bladder.

hospitalization period is 1-4 days. After laparoscopic surgery the next day after the operation is already possible to leave the clinic.

Any surgery comes with some risks. This procedure is characterized by the following possible complications.

  • Bleeding. Application of modern technologies in Israel - precision laser cauterizing blood vessels, reduces the likelihood of this side effect. Bleeding risk also depends on the experience of the surgeon, the Israeli doctors have extensive practical experience. For example,Dr. Leon Agulyansky vsladeet new techniques for the treatment of urological problems.
  • Infection. Problem is solved of The by Applying Individually selected medical tracking operation, and through careful diagnosis the after the LRP .
  • Urinary incontinence. Developed procedure for the patient, help to restore function and urinary continence and sexual function. They will need to be performed after discharge.

Of advantages of The laparoscopic prostatectomy the include:

  1. The increase in the operating field by 10-15 times, that improves the quality and accuracy of surgery. This affects the preservation of neurovascular and neuromuscular structures that affect the bladder function and erections. It has a lower incidence of erectile dysfunction and urinary incontinence.
  2. Reducing the number of injuries of the abdominal wall.
  3. Less blood loss due to better visibility locations surgery.
  4. Reduction of post-operative pain, which contributed to a rapid return to a sedentary life and reduce complications such as thromboembolism.
  5. Fewer complications and anastomotic stricture of the urethra, the respiratory and other systems.
  6. Shortened period of hospitalization and rehabilitation.
  7. Better cosmetic effect.

In the implementation of such operations is extremely important practical experience of the surgeon, highly accurate diagnostic and treatment equipment, the use of the latest technology, which will undoubtedly provide the Israeli clinic.

Consultations with video online a leading Israeli experts: about the benefits of online video Consultation.