Prostatectomy

"The Da Vinci robot is a sophisticated tool that assists the surgeon in performing radical prostatectomy. The patient recovers much better from the procedure".

DR. LUIS LABAIRU
SPECIALIST. UROLOGY DEPARTMENT

Prostatectomy is the surgical procedure to remove all or part of the prostate gland. It is performed when the patient suffers from prostate cancer or benign prostatic hyperplasia

Prostate enlargement is a disease with a high incidence.

It is estimated to affect 25% of men over 50 years. This proportion increases to half of the male population aged 60 years and 80% of men over 80 years.

The Clinic is a pioneer and has one of the greatest experiences in performing this intervention by means of robotic surgery, which entails important advantages for the patient.

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When is prostatectomy indicated?

Surgical treatment that includes various alternatives:

  • Conventional open surgery, simple prostatectomy
  • Endoscopic surgery: The patient is operated through the urine duct, performing a transurethral resection of the prostate.

The Clinic has the Da Vinci® robot, latest generation robotic technology, to perform this type of operation with minimum risk and maximum precision.

The advantages for the patient are better control of urination, reduced risk of suffering sexual impotence after the operation and less bleeding during surgery.

The Clinic has pioneered the use of the Da Vinci robot in prostatectomy, among other surgeries.

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Learn what prostate cancer is and how it is treated (only in spanish).

Most frequent indications for this treatment:

Do you have any of these diseases?

You may need to have a prostatectomy

ROBOT DA VINCI®

Robotic Surgery

Greater surgical precision, a less invasive procedure, elimination of the surgeon's natural hand tremor and better visualization of the anatomical field being operated on are the main advantages provided by the Da Vinci® robot.

Learn more about prostatectomy

In the case of benign pathology (hyperplasia) the surgical treatment is minimally invasive (by removing the prostatic tissue through the urethra or Transurethral Resection of the Prostate).

Only in the case of large prostates does the indication for open surgery (adenomectomy) remain in effect. It requires an admission of between 2 and 4 days. The risk of transfusion occurs between 3 and 7% of cases, incontinence in 0.5% and impotence in 5%.

For large prostate hyperplasia (greater than 80 cubic centimeters), open surgery is indicated in most cases. The intervention involves an admission that varies from 5 to 7 days and a risk of requiring blood transfusion located between 13 and 20% of cases.

In addition, open surgery applied to benign prostate hyperplasia can cause incontinence in about 4% of patients and impotence in a percentage of 8 to 15%.

For hyperplasia of less than 80 cubic centimeters, a situation that accounts for between 80 and 85% of cases, the technique of choice is transurethral resection. The procedure is performed through the urethra, using a resector that uses electrical energy to remove the hyperplastic tissue of the gland.

In prostate cancer, the prostate and seminal vesicles are removed. It can be done through open, laparoscopic and robot-assisted laparoscopic surgery.

The latter two are the most frequently performed in our Department, since they are less aggressive techniques than conventional surgery. It requires admission between 3-4 days.

The need for transfusion is around 0.5%, some degree of urinary loss in 8% of cases and erectile dysfunction in 35% of cases.

Where do we do it?

IN NAVARRA AND MADRID

The Department of Urology
of the Clínica Universidad de Navarra

The Department of Urology of the University of Navarra Clinic offers the patient a medical team, composed of first-rate professionals, and state-of-the-art diagnostic and therapeutic means such as the Da Vinci® robotic surgery.

The Department of Urology possesses the certificate of accreditation of the European Board of Urology, a reinforcement of the excellence of the service at the level of care, teaching and research, which in Spain only three hospital centers possess.

Diseases we treat:

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Why at the Clinica?

  • A team of top-level professionals trained in international centers.
  • State-of-the-art technology for diagnosis and treatment.
  • In 24-48 hours you can start the most appropriate treatment.

Safer than ever to continue taking care of you

We update safety protocols weekly with the latest scientific evidence and the knowledge of the best international centers with which we collaborate.