Strategically important hardware
The prostate gland is located under the bladder. It's no bigger than a walnut. The gland covers the upper part of the urethral canal, acting as a sphincter that closes the exit from the bladder during erection. She has a complex neuromuscular apparatus that is sensitive to the slightest changes. It is responsible for erection, production of seminal fluid, ensures the viability and motility of spermatozoa, controls hormones (especially testosterone), etc.
As the neoplasm grows, the urethral canal is compressed, which leads to urinary retention and difficulty urinating. The growth of the tumor into the mucous membrane of the bladder and rectum causes blood to appear in the urine and semen. The spread of malignant cells throughout the body is fraught with the appearance of metastases in all vital organs.
Prostate cancer has no symptoms of prostate cancer in the early stages.
Diagnostics
The main diagnostic methods include:
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Finger rectal examination — the urologist examines the prostate through the wall of the rectum. Dense nodular formations are found in cancer;
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Blood test for PSA (prostate-specific antigen);
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Ultrasound, ultrasound (transurethral ultrasound);
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Puncture biopsy with histological analysis;
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CT, MRI — diagnostics for tumor visualization.
A fusion biopsy is performed at the EMC clinic. This is the gold standard of diagnosis verification — a modern technique in which MRI and ultrasound images are combined using a special program. An MRI scan shows the location of the tumor process. Ultrasound provides highly accurate navigation of the biopsy needle. The doctor not only receives reliable information about the location of the malignancy, but can also take a biomaterial in order to make an accurate diagnosis.
Prostate cancer treatment by Da Vinci robot
Radical prostatectomy (removal of the gland) is the standard treatment for prostate cancer. The essence of surgical treatment is to excise the prostate gland along with the tumor, seminal vesicles, and nearby lymph nodes. Not so long ago, a patient had a choice between classical abdominal surgery and laparoscopic surgery.
Robot-assisted radical prostatectomy allows surgery through micro-incisions, using miniature manipulators and high-resolution 3D cameras. The DA VINCI is much superior to the endoscope in terms of the clarity of the resulting image of the surgical field. The tenfold magnification of the image, the high detail of the surgical area, and the micro-tools moving in any direction make it possible to preserve the surrounding healthy tissues as much as possible, avoid large blood loss, and minimize the risk of urological problems or impotence.
This equipment makes it possible to preserve nerve fibers suitable for the penis. This preserves the patient's normal potency after surgery. You need to understand that the operation is not performed by an apparatus, but by a urologist-surgeon. Each aspect of the intervention is controlled by the surgeon. The da Vinci system does not make independent decisions. The doctor controls the robot, the technique scales the movements of the surgeon, converting them into the movement of instruments. This reduces the likelihood of inappropriate movements or involuntary hand trembling, allowing the intervention to be performed carefully, precisely and accurately.
Advantages of robot-assisted prostatectomy
- Oncological completeness of the intervention is the most accurate, complete excision of a malignant tumor, increasing the chance of recovery.
Preservation of the musculoskeletal system of the pelvic floor, which is a key tool for urine retention. Normal urination is restored in patients at an early stage after surgical treatment (on 2-3 days)
- One of the complications after classical surgical tactics is prolonged urination (on average— up to 6 weeks). Thanks to DA VINCI technology, you don't have to worry about that anymore.
- Recovery of a full-fledged, short period of sexual rehabilitation. The operation on the Da Vinci robot refers to minimally invasive technologies. This ensures early recovery of body functions, greatly shortens the rehabilitation period. You can get up on the first day after the intervention. Hospitalization takes no more than 2-3 days.
- Postoperative rehabilitation lasts 5-7 days, after which the person returns to his usual lifestyle, and after a month — to active sports.
- Robot-assisted prostatectomy is indicated for patients with localized prostate cancer. In some cases, it is performed with a locally advanced or metastatic form of the disease.;
Surgical treatment is often an integral component of combined treatment. After surgery, the patient may additionally be prescribed radiation therapy, in case of recurrence, hormonal or chemotherapy.
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