Understanding Laparoscopic Prostate Surgery

The prostate gland is responsible for producing seminal fluid and is located below the bladder. As men age, the prostate can enlarge (BPH) or develop cancer, leading to urinary problems and other health issues. Laparoscopic surgery is a safe and effective treatment option that ensures better outcomes with minimal discomfort.

Types of Laparoscopic Prostate Surgeries

1. Laparoscopic Radical Prostatectomy (Prostate Cancer Surgery)

• Performed for localized prostate cancer to remove the entire prostate gland.
  
  
• Reduces the risk of cancer spreading while preserving urinary and sexual function as much as possible.
  
  

2. Laparoscopic Simple Prostatectomy (For Severe BPH)

• Used for very large prostates that cannot be treated with TURP or laser procedures.
  
  
• Removes only the enlarged portion of the prostate, leaving the outer shell intact.
  
  

3. Robotic-Assisted Laparoscopic Prostate Surgery

• A highly advanced procedure using robotic arms controlled by the surgeon for enhanced precision.
  
  
• Offers greater accuracy, less pain, and quicker recovery than traditional laparoscopy.
  
  

4. Laparoscopic Urethrovesical Anastomosis

• A specialized procedure to reconnect the bladder and urethra after prostate removal.
  
  
• Essential for ensuring normal urinary function post-surgery.
  
  

Who Needs Laparoscopic Prostate Surgery?

This procedure is recommended for patients with:

• Prostate cancer that requires complete removal of the gland.
  
  
• Severe BPH (enlarged prostate) causing urinary obstruction.
  
  
• Recurrent urinary retention due to an enlarged prostate.
  
  
• Failure of non-surgical treatments like medications and minimally invasive therapies.
  
  

Advantages of Laparoscopic Prostate Surgery

• Smaller incisions and minimal scarring.
  
  
• Less pain and blood loss compared to open surgery.
  
  
• Faster recovery and shorter hospital stay.
  
  
• Lower risk of complications such as incontinence and erectile dysfunction.
  
  
• Quicker return to normal activities.
  
  

Step-by-Step Laparoscopic Prostate Surgery Procedure

1. Anesthesia Administration – General anesthesia ensures a painless procedure.
   
   
2. Small Incisions – Tiny keyhole incisions (5-10 mm) are made in the lower abdomen.
   
   
3. Insertion of Laparoscope – A high-definition camera is used for better visualization.
   
   
4. Prostate Gland Removal or Treatment – Depending on the condition, the prostate is either partially or completely removed.
   
   
5. Reconstruction of the Urinary Tract – If needed, the bladder and urethra are reconnected.
   
   
6. Closure and Recovery – The incisions are closed, and post-surgical monitoring begins.
   
   

Recovery After Laparoscopic Prostate Surgery

• Hospital stay of 1-3 days depending on the procedure.
  
  
• Urinary catheter for 1-2 weeks to help with healing.
  
  
• Mild discomfort, bloating, or temporary urinary issues may occur.
  
  
• Avoid heavy lifting and strenuous activities for 4-6 weeks.
  
  
• Pelvic floor exercises (Kegels) help improve urinary control post-surgery.
  
  

Potential Risks and Side Effects

Laparoscopic prostate surgery is highly safe, but minor risks include:

• Temporary urinary incontinence (improves over time with exercises).
  
  
• Erectile dysfunction (depends on nerve preservation during surgery).
  
  
• Mild bleeding or infection (rare with minimally invasive techniques).
  
  
• Bladder spasms or discomfort during early recovery.
  
  

Long-Term Outlook After Surgery

Patients undergoing laparoscopic prostate surgery experience improved urinary function, better cancer control (if applicable), and a significant boost in quality of life. Regular PSA tests and follow-ups ensure long-term success.

Get expert laparoscopic prostate surgery in Agra with Dr. Shwetank Prakash, specializing in minimally invasive prostate cancer treatment, BPH surgery, and robotic-assisted prostatectomy.

Book your consultation today!