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Prostatectomy (from the Greek προστάτης prostátēs, "prostate" and ἐκτομή ektomē, "excision") is the surgical removal of all or part of the prostate gland. This operation is done for benign conditions that cause urinary retention, as well as for prostate cancer and for other cancers of the pelvis .
Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by prostate enlargement. The surgeon inserts a scope through the penis tip into the urethra. A laser passed through the scope delivers energy to shrink or remove excess tissue that is preventing urine flow. [7] Different types of prostate laser surgery include:
Some have found tentative evidence of more complete removal of cancer and fewer side effects from surgery for prostatectomy. [86] In 2000, the first robot-assisted laparoscopic radical prostatectomy was performed. [87] Robotic surgery has also been utilized in radical cystectomies. A 2013 review found less complications and better short term ...
The risk of dying from prostate cancer or having acute bladder side effects may be similar to that of longer radiation treatment. [28] Others use a "triple modality" combination of external beam radiation therapy, brachytherapy, and hormonal therapy.
da Vinci patient-side component (left) and surgeon console (right) A surgeon console at the treatment centre of Addenbrooke's Hospital The da Vinci System consists of a surgeon's console that is typically in the same room as the patient, and a patient-side cart with three to four interactive robotic arms (depending on the model) controlled from the console.
The evidence from this review with a 12-month follow-up is very uncertain if aquablation leads to similar rates of serious side effects or a similar need for retreatment when compared to transurethral resection of the prostate. Aquablation may lead to fewer ejaculatory problems, but no difference in erectile function.
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