Robotic Prostate Cancer Best Hospitals in India

Robotic assisted prostatectomy is a way of doing surgery for prostate cancer. It is a type of keyhole (laparoscopic) surgery. It is also called da Vinci surgery.

A surgeon inciciondoes the surgery but uses a special machine (robot) to help.

We don’t yet know whether robotic assisted surgery is better than other types of surgery for prostate cancer or whether it is cost effective.

You have robotic assisted surgery in an operating theatre under a general anaesthetic.

Doctors need to have special training before they can carry out this type of surgery. It involves two machines. The patient unit and the control unit.

Robotic surgery had the same advantages as laparoscopic prostate surgery when compared to the standard open operation to remove the prostate gland (radical prostatectomy).

There was:

  • less bleeding
  • less scarring
  • a shorter stay in hospital
  • quicker recovery

The review also found that if the surgeon was experienced, the operation appears to be as good as the standard radical prostatectomy in removing cancer with a border of healthy tissue (clear margin).

Some studies in the review found that men were more likely to get their bladder control back quickly after this type of surgery.

They were also able to get an erection again sooner. The studies were small and weren’t randomised, so we don’t yet know for certain if it is better than standard surgery at reducing the number of men who have side effects.

The usual way of having your prostate removed is either through:

  • a cut in your abdomen (retropubic prostatectomy)
  • a cut between your testicles and your back passage (perineal prostatectomy)
  • keyhole surgery (laparoscopic)

Some of the best Hospitals for Robotic Prostate Cancer Treatment in India

  1. Fortis Memorial Research Institute, Gurugram.
  2. Jaypee Hospital, Noida.
  3. Artemis Hospital, Gurugram.
  4. Fortis Hospital, Mumbai.
  5. Fortis Hospital, Bangalore.
  6. Max Hospital, Delhi.

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Robotic Prostate Cancer Best Hospitals in India

Best Radical Prostatectomy Surgery Hospitals in India

What is a prostatectomy?

A prostatectomy could be a surgical procedure for the partial or complete removal of the prostate. it’s going to be performed to treat prostate cancer or benign prostatic hyperplasia.456.png
A common surgical approach to prostatectomy includes creating a surgical incision and removing the prostate gland (or a part of it). this might be accomplished with either of two strategies, the retropubic or suprapubic incision (lower abdomen), or a perineum incision (through the skin between the scrotum and therefore the rectum).
Prior to having a prostatectomy, it’s typically necessary to own a prostate biopsy.

Types of surgery

There are several ways of removing the prostate.

Keyhole surgery
Keyhole surgery (also called laparoscopy or minimally invasive surgery).

  • Keyhole surgery by hand – your surgeon makes five or six small cuts in your abdomen (stomach area) and removes the prostate using a thin, lighted tube with a small camera on the tip and special surgical tools.
  • Robot-assisted surgery – your surgeon uses three robotic arms (one for the camera and two for the surgical tools) to do the operation. Your surgeon controls the robotic arms from a computer. You may hear this called the ‘Da Vinci® Robot’.

Open surgery
Your surgeon makes a single cut in your stomach area to reach the prostate. This is called retropubic prostatectomy.

  • Radical prostatectomy with retropubic (suprapubic) approach. This is the most common surgical approach used by urologists (doctors who specialize in diseases and surgery of the urinary tract). If there’s reason to believe the cancer has spread to the lymph nodes, the doctor will remove lymph nodes from around the prostate gland, in addition to the prostate gland. Cancer has spread beyond the prostate gland if it’s found in the lymph nodes. If that’s the case, then surgery may be discontinued, since it won’t treat the cancer adequately. In this situation, additional treatments may be used.
  • Nerve-sparing prostatectomy approach. If the cancer is tangled with the nerves, it may not be possible to maintain the nerve function or structure. Sometimes nerves must be cut in order to remove the cancerous tissue. If both sides of the nerves are cut or removed, the man will be unable to have an erection. This won’t improve over time (although there are interventions that may restore erectile function).
    If only one side of the bundle of nerves is cut or removed, the man may have less erectile function, but will possibly have some function left. If neither nerve bundle is disturbed during surgery, function may remain normal. However, it sometimes takes months after surgery to know whether a full recovery will occur. This is because the nerves are handled during surgery and may not function properly for a while after the procedure.
  • Laparoscopic radical prostatectomy. The surgeon makes several small cuts and long, thin tools are placed inside the cuts. The surgeon puts a thin tube with a video camera (laparoscope) inside one of the cuts and instruments through others. This helps the surgeon see inside during the procedure.
  • Robotic-assisted laparoscopic prostatectomy. Sometimes laparoscopic surgery is done using a robotic system. The surgeon moves the robotic arm while sitting at a computer monitor near the operating table. This procedure requires special equipment and training. Not every hospital can do robotic surgery.
  • Radical prostatectomy with perineal approach. Radical perineal prostatectomy is used less frequently than the retropubic approach. This is because the nerves can’t be spared as easily, nor can lymph nodes be removed by using this surgical technique. However, this procedure takes less time and may be an option if the nerve-sparing approach isn’t needed. This approach is also appropriate if lymph node removal isn’t required. Perineal prostatectomy may be used if other medical conditions rule out using a retropubic approach.
    With the retropubic approach, there is a smaller, hidden incision for an improved cosmetic effect. Also, major muscle groups are avoided. Therefore, there’s generally less pain and recovery time.

What are the advantages and disadvantages?

Advantages

  • If the cancer is completely contained inside the prostate, surgery will aim to remove all of it.
  • The prostate is removed and sent for testing which will give a clearer picture about how aggressive the cancer is and how far it may have spread.
  • It is easy to measure the success of your surgery, as your PSA should drop to less than 0.1 ng/ml at six to eight weeks after the operation.
  • If your PSA starts to rise, you may be able to have radiotherapy or hormone therapy.

Disadvantages

  • There are risks in having a surgery, as with any major operation.
  • You will need to stay in hospital – this may be for one to seven days.
  • If the cancer has broken out of the prostate, the surgeon may not be able to remove all of it.
  • You won’t be able to have children naturally after surgery.

Before the procedure

Some things you can expect before the procedure include:

  • Your doctor will explain the procedure to you and offer you the opportunity to ask any questions you might have about the procedure.
  • You’ll be asked to sign a consent form that gives your permission to do the procedure. Read the form carefully and ask questions if something isn’t clear.
  • In addition to a complete medical history, your doctor may perform a physical examination to ensure you’re in good health before you undergo the procedure. You may also undergo blood tests and other diagnostic tests.
  • You’ll be asked to fast for eight hours before the procedure, generally after midnight.
  • Notify your doctor if you’re sensitive to or are allergic to any medications, latex, iodine, tape, contrast dyes, and anesthetic agents (local or general).
  • Notify your doctor of all medications (prescribed and over the counter) and herbal supplements that you’re taking.
  • Notify your doctor if you have a history of bleeding disorders or if you’re taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It may be necessary for you to stop these medications prior to the procedure.
  • If you smoke, you should stop smoking as soon as possible prior to the procedure in order to improve your chances for a successful recovery from surgery and to improve your overall health status.
  • You may receive a sedative prior to the procedure to help you relax.
  • Based on your medical condition, your doctor may request other specific preparation.

During the procedure

Radical prostatectomy requires a stay in the hospital. Procedures may vary depending on your condition and your doctor’s practices.

Generally, a radical prostatectomy (retropubic or perineal approach) follows this process:

  1. You’ll be asked to remove any jewelry or other objects that may interfere with the procedure.
  2. You’ll be asked to remove your clothing and will be given a gown to wear.
  3. You’ll be asked to empty your bladder prior to the procedure.
  4. An intravenous (IV) line will be started in your arm or hand.
  5. If there is excessive hair at the surgical site, it may be clipped off.
  6. The skin over the surgical site will be cleansed with an antiseptic solution.
  7. The anesthesiologist will continuously monitor your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
  8. Once you’re sedated, a breathing tube may be inserted through your throat into your lungs and you’ll be connected to a ventilator, which will breathe for you during the surgery.
  9. The doctor may choose regional anesthesia instead of general anesthesia. Regional anesthesia is medication delivered through an epidural (in the back) to numb the area to be operated on. You’ll receive medication to help you relax and analgesic medication for pain relief. The doctor will determine which type of anesthesia is appropriate for your situation.

After the procedure

After the procedure, you may be taken to the recovery room to be closely monitored. You’ll be connected to monitors that will constantly display your heart beat (electrocardiogram—ECG or EKG) tracing, blood pressure, other pressure readings, breathing rate, and your oxygen level.

You may receive pain medication as needed, either by a nurse, or by administering it yourself through a device connected to your intravenous line.

Once you’re awake and your condition has stabilized, you may start liquids to drink. Your diet may be gradually advanced to more solid foods as you’re able to tolerate them.

The drain will generally be removed the day after surgery.

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Best Radical Prostatectomy Surgery Hospitals in India

Most Advanced Radical Prostatectomy Surgery in India

Overview

Prostatectomy includes variety of surgical procedures to get rid of part or all of the endocrine gland. The endocrine gland is situated within the lower abdomen of men, below the urinary bladder. It surrounds the channel, that carries urine from the bladder to the penis.

There are different types of prostatectomy, depending on the treatment involved:

Radical prostatectomy is surgery to remove the entire prostate gland and surrounding lymph nodes.Figure-18-Comparison-of-ProstRcision-and-Radical-Prostatectomy.-A-larger-area-is-treated-with-ProstRcision-compared-to-Radical-Prostatectomy-where-cancer-is-left-behind This surgery is a treatment for men with localized prostate cancer. A surgeon can perform a radical prostatectomy using different techniques, including:

  • Robotic-assisted radical prostatectomy. The surgeon makes several small incisions in your lower abdomen to remove the prostate. He or she sits at a console, using instruments attached to a mechanical device (robot). Using the robotic device allows a more precise response to movement of the surgeon’s hands.
  • Open radical prostatectomy. The surgeon makes an incision in your lower abdomen to remove the prostate (retropubic surgery). Rarely, this incision is made between your anus and scrotum (perineal surgery).
  • Laparoscopic radical prostatectomy. The surgeon makes several small incisions in your lower abdomen and inserts special tools to remove the prostate.

Open simple prostatectomy is generally recommended for men who have severe urinary symptoms and very enlarged prostate glands. This enlargement of the prostate is called benign prostatic hyperplasia, or BPH. The surgery does not remove the entire prostate, as is done in a radical prostatectomy, but removes just the obstructive part of the prostate that is blocking the flow of urine.

Your surgical team will discuss the advantages and disadvantages of each technique, as well as your preferences, to determine which approach is best for you.

Why it’s done

Prostatectomy is most often done to treat localized prostate cancer. It may be used alone, or in conjunction with radiation, chemotherapy and hormone therapy. Prostatectomy to treat prostate cancer involves removing the entire prostate and some surrounding tissue, including lymph nodes.

Prostatectomy to treat prostate cancer includes open radical prostatectomy, laparoscopic radical prostatectomy and robot-assisted radical prostatectomy.

Prostatectomy also may be used to treat a blocked urethra caused by BPH. Prostatectomy to treat BPH doesn’t always involve removing the entire prostate.

Prostatectomy to treat benign prostatic hyperplasia (BPH) includes open simple prostatectomy. This surgery eases urinary symptoms and complications resulting from blocked urine flow caused by BPH. These can include:

  • A frequent, urgent need to urinate
  • Difficulty starting urination
  • Slow (prolonged) urination
  • Increased frequency of urination at night (nocturia)
  • Stopping and starting again while urinating
  • The feeling you can’t completely empty your bladder
  • Urinary tract infections
  • Inability to urinate

Open simple prostatectomy has a higher risk of complications and a longer recovery time than other procedures to treat BPH.

Risks

Radical prostatectomy risks

In addition to the risks associated with any surgery, risks with radical prostatectomy include:

  • Urinary tract infection
  • Urinary incontinence
  • Erectile dysfunction (impotence)
  • Injury to the rectum (rare)
  • Narrowing (stricture) of the urethra or bladder neck
  • Formation of cysts containing lymph (lymphocele)

Open simple prostatectomy risks

Although open simple prostatectomy works well at relieving urinary symptoms, it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures. Risks of open simple prostatectomy include:

  • Heavy bleeding
  • Urinary tract infection
  • Urinary incontinence
  • Dry orgasm
  • Erectile dysfunction (impotence)
  • Narrowing (stricture) of the urethra or bladder neck.

How you prepare

Before surgery, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder (cystoscopy). This allows the doctor to check the size of your prostate and examine your urinary system. Your doctor may also want to do other tests, such as blood tests or tests to specifically measure your prostate and to measure urine flow.

Follow your doctor’s instructions on what to do before your treatment. Here are some issues to discuss with your doctor:

  • Your medications. Tell your doctor about any prescription or over-the-counter medications or supplements you take. This is especially important if you take blood-thinning medications, such as warfarin (Coumadin) or clopidogrel (Plavix), and nonprescription pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others). Your surgeon may ask you to stop taking medications that increase your risk of bleeding several days before the surgery.
  • Fasting before surgery. Your doctor will likely ask that you not eat or drink anything after midnight. On the morning of your procedure, take only the medications your doctor tells you to with a small sip of water.
  • Bowel prep before surgery. Your surgeon may ask you to do an enema prior to surgery. You may be given a kit and instructions for giving yourself an enema to clear your bowels the morning of surgery.
  • Arrangements after surgery. Ask your doctor how long to expect to be in the hospital. And arrange ahead of time for a ride home. You won’t be able to drive yourself home.
  • Activity restrictions. You may not be able to work or do strenuous activity for several weeks after surgery. Ask your doctor how much recovery time you may need.

During the procedure

Robotic radical prostatectomy. Your surgeon sits at a remote control console a short distance from you and the operating table and precisely controls the motion of the surgical instruments using two hand-and-finger control devices. The console displays a magnified, 3-D view of the surgical area that enables the surgeon to visualize the procedure in much greater detail than in traditional laparoscopic surgery. The robotic system allows smaller and more-precise incisions, which for some people promotes faster recovery than traditional open surgery does. The robotic approach also enables nerve-sparing techniques that may preserve both sexual potency and continence in the appropriately selected person.

Robotic prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. You usually can return to normal activity, with minor restrictions, two to four weeks after surgery.

After the procedure

After surgery you should expect that:

  • You’ll be given intravenous (IV) pain medications. Your doctor may give you prescription pain pills to take after the IV is removed.
  • Your doctor will have you walk the day of or the day after surgery. You’ll also do exercises to move your feet while you’re in bed.
  • You’ll likely go home the day after surgery. When your doctor thinks it’s safe for you to go home, the pelvic drain is taken out. You may need to return to the doctor in one or two weeks to have staples taken out.
  • You’ll return home with a catheter in place. Most men need a urinary catheter for five to 10 days after surgery.

Results

Robotic prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. You usually can return to normal activity, with minor restrictions, two to four weeks after surgery.

Open simple prostatectomy provides long-term relief of urinary symptoms due to an enlarged prostate. Although it’s the most invasive procedure to treat an enlarged prostate, serious complications are rare. Most men who have the procedure generally don’t need any follow-up treatment for their BPH.

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MyMedOpinion.com  affiliated   Best hospitals in India provide an medical opinion from experienced surgeons and the treatment cost includes companion stay  , surgeon fee, medicines and consumables, nursing care, patient’s food and airport pick up & drop etc. etc. We offer free, no obligation assistance to international patients to find world class medical treatment in India. We offer support and services to facilitate the care you require. We can help you find the best hospital in India

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Most Advanced Radical Prostatectomy Surgery in India

World’s Most Advanced Robotic Prostatectomy Surgery in India

Minimal Bleeding Faster return to normal daily activities .

• Reduced hospital stay Significantly less pain and scarring

• Lower blood transfusion rates

• Improved preservation of physical appearance.

• Three (3) D vision enables surgeon to perform Prostate excision with Cancer.

• Lower blood transfusion rates

• Control without risk of Post Surgery Continence (control over urinary and fecal discharge) and causing Impotency

Scope of Robotic assisted Laparoscopic surgery in Urology

Prostate Cancer- Robotic Radical Prostatectomy

• Pelvi-Ureteric Junction (PUJ) Obstruction- Robotic Pyeloplasty

• Kidney Tumors- Robotic Partial Nephrectomy

• Bladder Cancer- Radical Cystectomy

• Ureteric Reimplantation

• Pelvic Tumor Excision

 

Robotic surgery involves use of the da Vinci robotic surgical unit in performing complex surgical procedures such as prostatectomy (removal of the prostate gland for cancer). Originally developed for space and military uses, this advanced technology allows the operating surgeon to sit behind a console and control the robot that is next to the patient to perform surgery.

This technology allows the surgeon to operate with very small and precise instruments under a 3 dimensional (3-D) vision, which is magnified up to 10 times. This is achieved by inserting the camera and the instruments into the patient’s body through small cuts (incisions) ranging from 5 – 12 mm in size.

Da Vinci Master Slave Robotic System

The surgical application of robotic systems is one of the most exciting and significant technological developments of this century; its future implications are incalculable.Huge strides have been made in the field of closed operations in the past 10 years and the use of robotic systems has emerged as the principle solution to technical limitations

The use of robotic surgical systems has numerous advantages. Whereas modern laparoscopic systems give only

 a two-dimensional vision, robotic systems give the surgeon a three-dimensional field of vision and depth, provide arms that, unlike the human hand, never tire and permit an unprecedented continuityin operations. Since robotic systemsexceed even the human hand’s freedom and facility of movem

World’s Most Advanced Robotic Prostatectomy Surgery in India