How Much Does Robotic Prostatectomy Cost?

Last Modified: July 14, 2023  |   Created on: May 24, 2023

The use of new robotic technology has greatly aided surgeons in performing radical prostatectomy. The technology enables better visualization and precision during the surgery, which leads to improved outcomes.

Surgeons are able to perform the surgery with smaller incisions, resulting in less blood loss, reduced pain, and a quicker recovery.

  • Robotic prostatectomy is a minimally invasive procedure performed with the help of advanced surgical technology by an experienced laparoscopic surgery team.
  • Robotic radical prostatectomy is a surgery in which the entire prostate is removed using surgical robotic equipment. This gland is located below the urinary bladder in the lower abdomen of men.
  • The primary use for it is to treat locally advanced prostate cancer.
  • Typically, a radical prostatectomy is performed to remove the entire dangerous prostate organ. This approach aims to remove the organ before it spreads to other body parts or metastasizes.
  • Alternatively, it is also called Radical retropubic prostatectomy, radical perineal prostatectomy, or robotic-assisted radical prostatectomy.
  • Shorter recovery times, fewer complications, and shorter hospital stays are all benefits of using the robotic laparoscopic technique rather than large incisions.
  • Advanced clinical technology is combined with minimally invasive procedures in surgical robotics and offers 3D vision and pinpoint guidance to spare nerves. A sural graft of the nerve is an option in cases where wide excision of the prostate and nerve is planned ahead of time and discussed with the patient.
  • Robotic-assisted radical laparoscopic prostatectomy is performed with the da Vinci® Surgical System, a sophisticated robotic surgery system that allows surgeons to operate on the prostate with enhanced vision, control, and precision.

Types of Surgery Performed to Remove Prostate Cancer

For the treatment of prostate cancer, there are three primary surgical approaches.

  • Open surgery: It is a type of conventional surgery in which a significant incision is made to allow the surgeon access to the body’s interior and the organ that needs to be removed.
  • Laparoscopic surgery: A few tiny incisions are made during laparoscopic surgery to allow the surgeon access to the internal organs. Laparoscopic procedures can be carried out manually or with a robot’s help.
  • Robotic surgery: A few tiny incisions are made to gain access to the body’s interior. A doctor controls a highly accurate and skilled robot to carry out the required extraction.

Due to an array of benefits, robotic surgery is preferred to conventional open surgery for the removal of the prostate. Surgery outcomes are improved as a result of the use of robotic technology, which gives the surgeon better visualization and precision.

Today, robotic surgery has largely replaced open surgery as the preferred method of treating prostate cancer.

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Cost of Robotic Prostatectomy

  • Robotic Radical Prostatectomy surgery cost starts from $6500 in India. This cost can be less or more depending upon the hospital, experience of doctors and many more parameters.
  • During their hospital stay, the patient receives first-rate care and feels at home.
  • Due to its many benefits and lack of negative side effects, robotic radical prostatectomy is becoming more and more popular, despite having a slightly higher cost than TURP.

About The Da Vinci Surgical System

The Da Vinci® Surgical System is a sophisticated robotic surgery system that enables surgeons to operate on the prostate with enhanced vision, control, and precision, is used to perform robotic-assisted radical laparoscopic prostatectomy.

How does DaVinci robotic surgery work?

The Da Vinci robotic system is driven by highly sophisticated and advanced robotic technology used to carry out various types of surgeries with extreme precision being a minimally invasive complex surgery.

Due to its effectiveness and safety, the da Vinci robotic surgical system is now utilized all over the world. With the aid of this system, the surgeon is given the dexterity and complete control necessary to perform the surgery through a precise incision of 1 to 2 cm.

  • The parts of the da Vinci robotic system include:
  • A surgical console with an ergonomic design
  • A cart for the patient
  • Four robotic arms that can interact
  • Instruments for an endowment that can bend and rotate
  • A powerful vision system that gives the surgeon a 3D HD view of the patient’s body.

It increases the surgeon’s recognition and control of small blood vessels, enlarging the surgical field up to 15 times and minimize blood loss.

Due to this some of the major benefits experienced by surgeons using the Da Vinci Surgical System over traditional approaches are:

  • Greater surgical precision,
  • Increased range of motion,
  • Improved dexterity,
  • Enhanced visualization,
  • Improved access.

Currently, the Da Vinci Surgical System is being used in hundreds of locations worldwide, in major centres in India, Malaysia, Thailand, United Arab Emirates.

Approximately 1.5 million procedures including general, urologic, gynecologic, thoracoscopic, and thoracoscopically-assisted cardiotomy procedures have been performed using the da Vinci Surgical System.

Roughly, three out of four prostatectomy patients are choosing the Da Vinci system for surgical procedures around the world.

Who can be a good candidate for Robotic Prostatectomy?

  • Patients with prostate cancer who are in the early stages of the illness and have a chance of full recovery may be advised to have a robotic prostatectomy.
  • It may also be advised for patients whose other treatments, such as radiation therapy, failed and their prostate cancer returned.
  • When prostate cancer is in state T1 or T2 (meaning that it is confined to the prostate), robotic radical prostatectomy yields the best results.
  • Patients who have a life expectancy exceeding ten years, and lower BMI
  • Patients who have discussed all other treatment options with the doctors.
  • There is no cut-off, though, and lots of people do benefit from the procedure even when their cancer is in a more advanced stage.

Preparing Before the Procedure

  • General or regional anesthesia is used during the procedure.
    The doctor helps the patient through each step of the surgical procedure because every patient is different.
  • Detailed instructions are provided, on how to get ready for surgery.
  • There are, however, a few typical ways that patients get ready for surgery. This entails altering the diet, getting the bowels ready, and changing the supplements and medication routine.
  • The day before surgery, instructions are given to limit intake to clear liquids only. The night before surgery, doctors advise against drinking anything after midnight.
  • It is advised to take any medication that the doctor has prescribed with a small sip of water.

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  • General or regional anesthesia is used during the procedure.
  • The advanced surgical system enables the surgeon to precisely remove the prostate and surrounding tissues by inserting miniature robotic instruments through a number of tiny keyhole incisions in the patient’s abdomen.
  • Compared to a traditional radical retropubic prostatectomy, which requires an abdominal incision that extends from the belly button to the pubic bone, this procedure is significantly less invasive.
  • A three-dimensional endoscope and image processing tools are used during robotic-assisted radical prostatectomy to show a magnified view of the delicate structures surrounding the prostate gland (such as nerves, blood vessels, and muscles), enabling the best preservation of these important structures.
  • One of the keyhole incisions is eventually used to remove the prostate.
  • The majority of the surgery is performed while the surgeon is seated at a computer console and works with tiny wristed instruments that have a much wider range of motion than a human wrist.
  • The procedure is carried out without the doctor’s hands touching the patient’s internal organs.
  • In order to reduce the possibility of any complications, the surgeon performs intracorporeal suturing.
  • Typically, the procedure takes two to three hours to complete.
  • The patient will then be directed to the recovery area. The medical staff keeps an eye on things and aids in recovery from complications and pain following surgery.

Benefits for the patients after Robotic Radical Prostatectomy

  • Minimal invasion results in less scarring & fewer chances of infection.
  • Minimal blood loss.
  • A minimal amount of anesthesia is required.
  • Shorter duration of a hospital stay.
  • Improved and early return from incontinence and sexual functions
  • Better results as compared to traditional procedures.
  • Less pain and discomfort.
  • Reduced trauma.
  • Quick recovery.
  • Better preservation of the physical appearance of the patient.
  • Less risk of deep vein thrombosis.
  • Quick return to normal activities.

Risks of Robotic Prostatectomy

Robotic prostatectomy is a major procedure, and like all surgeries, there is a chance that complications could arise. Reactions to anesthesia, bleeding, or infection are a few examples of common complications.

Among the frequent side effects of robotic prostatectomy are:

  • Incisional hernia.
  • Erectile dysfunction.
  • Urinary incontinence (a tendency to leak urine).
  • Bleeding from the incision site
  • Infection.
  • Swelling around the incision.
  • Nausea.
  • Scrotal or penile swelling and bruising.
  • Perineal discomfort.
  • Bladder spasms.
  • Bloating.
  • Fatigue
  • Pain

The gland is close to the urinary bladder, so doctors must be careful when performing the procedure. Urine can leak out of the bladder if it sustains any kind of damage.

In some situations where doctors must remove the entire gland, they may need to rebuild some of the urinary bladder.

In these situations, they may attach a pipe to the patient to allow for simple removal of urine for a few days. Therefore, it is imperative to have an experienced surgeon and a hospital of good repute for such a procedure to avoid such risks and ensure a higher success rate.

Recovery after Robotic Prostatectomy

  • Patients may need to stay in the hospital for one or two days following a robotic prostatectomy.
  • To ensure a quick recovery during their stay in the hospital, patients are required to walk the day after surgery.
  • In order to open up the lungs and avoid infections, the medical staff might also give instructions for some breathing exercises.
  • When the patient leaves the hospital, the urinary catheter will still be in place.
  • It will be taken out at the subsequent follow-up appointment, which is typically ten days later.
  • The robotic prostatectomy recovery period typically lasts four to six weeks.

The surgeon will also offer a thorough post-operative care package to aid in a quick recovery. These may consist of:

  • For at least four weeks, refrain from strenuous physical activity such as jogging, heavy lifting, and more.
  • Get enough rest.
  • Take all prescribed medications as directed by your doctor on time.
  • Take four weeks off from driving.
  • Keep up a fit lifestyle
  • Take proper care of the wounds to reduce the chance of an infection.
  • Put on comfortable, loose clothing.
  • Consume a healthy diet as directed by the doctor.
  • Stay away from sexual activity for at least four to six weeks.

Following a robotic prostatectomy, patients must schedule follow-up visits with their surgeon to check on their progress.

To make sure the cancer has not returned, the surgeon typically performs a PSA test after surgery. If cancer returns, patients might also require additional therapies like radiation therapy.

Success Rate of Robotic Prostatectomy

Patients who have a robotic prostatectomy have excellent outcomes. The majority of patients fully recover from surgery and go on to live cancer-free. Only a small percentage of patients with high-grade disease might need adjuvant therapy after surgery.

It is carried out in the safest and most efficient manner possible and has a high success rate 90% to 98% of surgeries in India are successful.

Thus, the surgery has a high rate of success in removing cancerous tissue and a low risk of complications.

Following the surgery, patients may experience some side effects, including incontinence and impotence. These side effects can be treated with medication or therapy, though they are typically transient.

Consequently, the robotic radical prostatectomy procedure extends many benefits over open surgery.

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