Textbook of
Robotic Urologic
Surgery.



Release Date:
January, 2007

Michael Esposito,
Vincent Lanteri
&
Jeffrey Stock

Erection Rehabilitation | Foley Catheter Instructions | Pre-Op Instructions | Post-Op Instructions

ROBOTIC RADICAL PROSTATECTOMY

A prostate gland is a fibrous organ that surrounds the urinary urethra at the base of the bladder. Located deep in the pelvis, the prostate sits behind the pubic bone, in front of the rectum and beneath the bladder. The walnut-sized gland wraps around the urethra. A large vein lies on top and tiny nerves that affect erectile function are positioned on either side of the prostate.

Traditional open radical prostatectomy requires a large incision to provide the surgeon access to and vision of the gland, organs, nerves, and blood vessels. A robotic radical prostatectomy is the precise removal of a cancerous prostate gland, while sparing nerves for erection and significantly decreasing the chance of urinary incontinence.

The da Vinci Surgical System enables surgeons to perform a radical prostatectomy using minimally invasive techniques. This robotic system enhances the surgeon’s range of motion, precision and dexterity, all crucial in the complex anatomy surrounding the prostate gland. The operation is performed through five incisions no wider a dime. A pencil-size binocular telescope held by one of the arms is inserted through an incision to provide magnified, 3-dimensional images of the surgical site, comparable to the view a surgeon has during open surgery. The da Vinci technology translates the large hand movements of the surgeon into precise, minute movements inside the patient, which are critical skills during a radical prostatectomy. Tiny, exact sutures can mean the difference between incontinence and normal urinary function. Precise moves with scissors in hard-to-maneuver areas are able to spare nerves that preserve sexual function.

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 Radical Prostatectomy (prostate removal)

New Jersey Center for Prostate Cancer and Urology has two locations:
in Maywood at 255 W. Spring Valley Avenue and in Monmouth Medical Center at 255 Third Ave., Long Branch.
Call us for more information: Maywood (201) 487-8866 Monmouth Medical Center (732) 403-5506