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How safe is robotic prostatectomy?

Robotic prostate cancer surgery is extremely safe in experienced hands, but some complications are possible in any abdominal procedure. Possible complications may include bleeding, infection, blood clotting, heart attack, hernias, permanent urinary incontinence, impotence, and strictures.

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Robotic radical prostatectomy is a minimally invasive, or laparoscopic surgery to remove the cancerous prostate gland and some of the tissue surrounding it. Mount Sinai doctors performed the first robotic radical prostatectomy in New York using minimally invasive robotic surgery. We use a state-of-the-art robotics surgical system to remove the prostate through a few small incisions instead of one large incision.

Benefits

Robotic prostate surgery is extremely precise, which offers a variety of benefits over traditional (open) prostate surgery, including:

Smaller incisions

Shorter hospital stay

Less pain

Less risk of infection

Less blood loss and transfusions

Less scarring

Faster recovery

Superior cancer control

Superior nerve sparing

In addition, with robotic prostate surgery, a temporary catheter remains in place for considerably less time (five to seven days instead of two weeks), and there is less risk of urinary incontinence and impotence following the robotic prostate surgery procedure. This approach results in complete removal of cancer for nearly 95 percent of all patients whose cancer is confined to the prostate. In published long-term follow-up studies performed by Mount Sinai Urology Chair Ashutosh (Ash) K. Tewari, MD, this also means that these patients have an extremely good chance (95 percent) of reaching the 10-year survival mark. Robotic prostate cancer surgery is extremely safe in experienced hands, but some complications are possible in any abdominal procedure. Possible complications may include bleeding, infection, blood clotting, heart attack, hernias, permanent urinary incontinence, impotence, and strictures. While intraoperative mortality is almost unheard off, it is possible with any anesthesia and surgery. Equipment malfunction is rare, happening in less than 0.4 percent of cases; Mount Sinai has three backup robots to address this remote possibility.

Surgical Outcomes

We usually evaluate the outcome of primary prostate cancer treatment by looking at cancer control, preservation of urinary continence, and preservation of sexual function. The Advanced Robotic Technique, developed by Dr. Tewari, is highly successful on all three measures, producing minimal disruption to your daily life.

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Why should you stay away from radiation?

Radiation can affect the body in a number of ways. The health effects depend on the amount of radiation absorbed by the body (the dose), the type of radiation, and how and for how long the person was exposed. In large doses, radiation can cause serious illness or skin burns.

If a radiation emergency occurs, get inside, stay inside and stay tuned. Learn more: http://bit.ly/2b2m5xHexternal icon Are you prepared in case of a #radiation emergency? What you need to know: http://bit.ly/2b2m5xHexternal icon Talk with your family and friends about what to do in a #radiation emergency. http://bit.ly/2bgCBaUexternal icon Know how to protect yourself, your family and your community in a #radiation emergency. http://bit.ly/2b2m5xHexternal icon In a #radiation emergency, #radiation could affect the body in a number of ways. Learn how: http://ow.ly/SitAaexternal icon In a #radiation emergency, you can take steps to remove #radioactive material from your body. http://ow.ly/SitkGexternal icon Food and water safety is important after a #radiation emergency. Learn more: http://ow.ly/Sitp3external icon

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