CHEW-LIN YIP UROLOGIST

(Robot-Assisted Laparoscopic Radical Prostatectomy. RALP, Da Vinci Prostatectomy)

Robotic Radical Prostatectomy is keyhole surgery for carrying out the complete removal of the prostate for cancer of the prostate. It utilises the latest technology in surgical technique, and represents cutting-edge technology for the treatment of carcinoma of the prostate.

Open surgery is associated with more bleeding, more post operative pain and a longer hospital stay.

Normal keyhole or laparoscopic surgery has a limited range of movements that make complex surgery very difficult.

The Robotic technique adds a wrist to the end of the laparoscopic instruments that allows a full range of movement which makes complex tasks, such as suturing, more straight forward. It also provides for binocular vision which gives a highly magnified three dimensional view of the operation site. The Neuro Vascular Bundle (NVB) passes on the postero-lateral aspect of the prostate. Preserving the nerves requires a precision dissection of the fascial coverings of the prostate to separate the nerves from the capsule of the prostate, without compromising the complete removal of all of the cancer.

The Robot facilitates the accurate removal of the prostate, and in particular allows accurate nerve sparing of the nerves to the penis.
The Robot was developed by the company Intuitive, and is called the Da Vinci Robot. The operating instruments are introduced into the abdomen through small incisions. The surgeon sits at a console in the operating theatre, and operates these instruments with hand controls.

The advantages of the Robot technique over conventional open surgery are:

• Less post-operative pain
• Less blood loss, with a low incidence of blood transfusion
• Shorter hospital stay
• Earlier return to work and normal activities
• The potential for an improved and more accurate nerve sparing procedure and preservation of continence.

UroLift® System is typically a one-time solution that provides rapid relief and recovery for men living with symptoms of an enlarged prostate. It breaks the cycle of medications and how they make a person feel, all without the risks of traditional surgery. The goal of the UroLift System treatment is to relieve symptoms so you can get back to your life and resume your daily activities.