Overview

Laparoscopic radical prostatectomy is a surgical treatment/procedure medically introduced as a minimally invasive surgery that eliminates the prostate gland in patients with prostate cancer. It involves less trauma as compared to open surgery, utilizing small incisions on the abdominal wall along with advanced laparoscopic instruments and a camera for a magnified view of the area of operation. This results in better precision, less blood loss, faster recovery, and less postoperative pain.

LRP is distinguished especially for men affected with localized prostate cancer, where the disease does not spread outside the prostate gland. Surgery aims to excise the prostate and some surrounding tissues while preserving urinary control and erectile function as much as possible.

Why is it needed?

  • To damage or remove cancerous tissues from the prostate gland.
  • To prevent further spread of cancer beyond the prostate.
  • To increase the chances of survival in men with localized prostate cancer.
  • For long-term control of cancer while attaining better postoperative recovery benefits, as compared to open surgery.

Before the Surgery

  • Preoperative Evaluation: Patients undergo imaging tests (MRI, CT, bone scan) and blood tests to ascertain PSA levels and confirm the cancer stage.
  • Counseling: Detailed consultations with the urologic oncologist help the patient understand the benefits, risks, and possible outcomes associated with the surgery.
  • Preparation: The patient may learn to stop certain medications, follow bowel preparation, and fast for the surgery.

What to Expect During the Surgery

  • Complete anesthesia.
  • Several minor keyhole incisions happen in the lower abdomen.
  • Insertion of a laparoscope and some special instruments (a thin tube fitted with a high definition camera).
  • The surgeon then carefully completes glandular prostate removal and surrounding tissues, and sometimes, nearby lymph node removal.
  • The subsequent reconstruction of the urinary pathway follows it by reconnecting the bladder and urethra.

After the Surgery

  • A usual discharge occurs two to four days following surgery.
  • The catheter remains for almost one week or two weeks for healing.
  • The initial recovery involves mild discomfort, temporary urinary incontinence, or erectile dysfunction that tends to resolve with rehabilitation gradually.
  • Subsequent follow-up involves PSA testing to ensure cancer control.

Benefits

  • Minimal scarring with a smaller incision
  • Reduced blood loss and, therefore, fewer transfusions
  • Earlier discharge from the hospital, quick recovery to normal activities
  • Fewer postoperative complications
  • Better visualization in removing cancer

Risks & Complications

  • Temporary or long-lasting urinary incontinence
  • Impotence (with nerve-sparing approach, erectile function is preservable)
  • Infection or bleeding (sporadic)
  • Rarely, damage to neighboring structures, including the bladder or rectum

Recovery

  • Most importantly, gentle movements may start after two to three weeks.
  • Total healing takes around six to eight weeks.
  • Pelvic floor (Kegel) exercises would strengthen urinary control.
  • Regular PSA testing would help to detect recurrence early.

Postoperative Care

  • Do not engage in heavy lifting or rigorous workout exercises until your doctor approves.
  • Eat plenty of healthy foods and keep hydrated.
  • Engage in pelvic floor workouts to build strength.
  • Be vigilant about attending regular follow-ups to monitor your progress.

FAQs

Who is suitable for Laparoscopic Radical Prostatectomy?

Those men with localized prostate cancer (confined to the prostate gland) and in good overall health are suitable candidates.

How is LRP different from open surgery?

Because of its small incisions and minimally invasive nature, the recovery is faster and the postoperative pain is less severe than for open surgery.

Will urinary continence return after surgery?

Most men regain control of their urine within weeks to months after surgery, aided by pelvic floor exercises.

Can erectile function be preserved?

Yes, nerve-sparing methods preserve erection in cases where the cancer has not extended into the nerves.

After how long can normal activities be resumed?

Activities can resume within 2-3 weeks, with normalcy fully achieved within 2 months.

How will I know about complete recovery from cancer?

Health care professionals will monitor PSA levels very closely after surgery. Cancer is considered under control if it stays low for a sustained period.

Why choose Tender Palm Hospital for Laparoscopic Radical Prostatectomy in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Laparoscopic Radical Prostatectomy in Lucknow, India. Our experienced uro-oncologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Laparoscopic Radical Prostatectomy cost suitable for patients seeking high quality urologic cancer treatment in Lucknow, India.

To seek an Expert Consultation for Laparoscopic Radical Prostatectomy in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

Request an Appointment
Mon - Sat 9:00 AM to 6:00 PM IST

Our Experts

Dr. Feroz Moh. Khan
Dr. Feroz Moh. Khan
Associate Director - Urology

Awards & Accreditations