Robot-assisted laparoscopic radical prostatectomy (A.K.A. daVinci prostatectomy or robotic prostatectomy) is performed through 5-6 keyhole size incisions. Carbon dioxide gas is used to "insufflate" or fill up the abdomen to provide a working environment inside the body. This gas is a major reason for the reduced blood loss that is often seen with robotic surgery. A special robotic video camera and robotic instruments are placed inside the body through these keyhole incisions. Dr. Shah controls all aspects of the robot from a surgeon's console. Ultimately the prostate is placed inside a bag and removed from one of the keyhole incision sites. The urinary tract is reconstructed with delicate sutures by bringing the bladder down to the urethra. A Foley catheter is left in place to allow the connection to heal properly.
Dr. Shah believes the goal of prostate cancer surgery should be first and foremost, removal of the cancer. However he understands that prostate surgery can significantly impact a patient's quality of life because of the risks of urinary incontinence and erectile dysfunction. Therefore, whenever possible, Dr. Shah employs nerve-sparing and continence-sparing techniques to improve his patient's functional outcomes. The recovery of these functions can depend on several factors and he can discuss this with you in detail during your visit.
Take a video tour of our prostate surgery program.