The Da Vinci Robot
Radical prostatectomy is best carried out by using the robot as a Robotic Radical Prostatectomy. The Robot provides the surgeon with a better view, magnification of the structures and precise control over the operation. This gives the following advantages:
- The Robot helps the surgeon achieve a low positive margin rate I.e the cancer is removed completely more often leading to higher cure rates. A positive margin is cancer is found next to the cut edge of the prostate when it has been removed. This may indicate that some cancer has been left behind. It is important o achieve a negative margin. The best surgeons have a very low incidence of a positive margin.
- The Robot helps the surgeon do a very precise join (anastomosis) of the bladder to the urethra. This gives better long term urinary control, with a lower chance of urinary incontinence or leakage of urine. Fewer men need to use pads long term.
- The Robot also helps the surgeon to spare the neuro-vascular bundle which has the nerves to the penis. This gives the man a greater chance of getting his erections back after the surgery.