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Welcome to Our 3D Laparoscopic Radical Prostatectomy Resource

  • Prostate cancer is a significant health concern that affects millions of men worldwide. When faced with a prostate cancer diagnosis, understanding your treatment options is crucial. Among the advanced techniques available, 3D laparoscopic radical prostatectomy stands out as a remarkable advancement in the field of urology.

  • At RhodosUrology, we are committed to providing you with comprehensive information about 3D laparoscopic radical prostatectomy, a state-of-the-art surgical procedure that offers numerous benefits for patients facing prostate cancer. This webpage serves as a valuable resource for individuals seeking knowledge about the procedure, its advantages, and what to expect throughout the treatment journey.

  • Prostate cancer can be a daunting diagnosis, but with the right information and guidance, you can make informed decisions about your healthcare. Our dedicated team of medical professionals, led by experienced urologists, specializes in 3D laparoscopic radical prostatectomy, and we are here to provide you with the insights you need to navigate this critical aspect of your healthcare journey.

  • In this digital space, we aim to demystify 3D laparoscopic radical prostatectomy, offering a clear understanding of the procedure, its benefits, patient eligibility, and the comprehensive care you can expect at our medical facility. Whether you are a patient, a family member, or a healthcare provider seeking information for your patients, we invite you to explore the content presented here to gain a deeper insight into the world of 3D laparoscopic radical prostatectomy.

  • We understand that every patient's journey is unique, and our mission is to empower you with the knowledge and resources needed to make informed decisions about your prostate cancer treatment. By choosing 3D laparoscopic radical prostatectomy, you are taking a significant step toward improved outcomes and a better quality of life.

  • Thank you for visiting our 3D laparoscopic radical prostatectomy resource. We are here to support you at every stage of your journey, and we invite you to explore the wealth of information provided on this webpage. Together, we can navigate prostate cancer and work towards a healthier, brighter future.

Patient Eligibility

Patient Eligibility for Laparoscopic Radical Prostatectomy


Laparoscopic radical prostatectomy (LRP) is a minimally invasive surgical procedure used to treat prostate cancer by removing the prostate gland and some surrounding tissues. Not all patients with prostate cancer are suitable candidates for this procedure. Here are the key factors that determine patient eligibility:

1. Stage of Prostate Cancer
- Localized Prostate Cancer: LRP is typically recommended for patients with localized prostate cancer (stages T1 or T2), where the cancer is confined to the prostate gland.
- Locally Advanced Cancer: Some patients with locally advanced cancer (stage T3) may be considered if the tumor has not extensively invaded surrounding tissues or organs.

2. Overall Health and Fitness
- Good General Health: Candidates should be in good overall health, with no severe comorbid conditions that could increase surgical risk or impede recovery.
- Fitness for Surgery: Patients must be fit enough to undergo anesthesia and the physical demands of surgery. Preoperative evaluations may include cardiac and pulmonary assessments.

3. Life Expectancy
- Reasonable Life Expectancy: LRP is typically considered for patients with a life expectancy of at least 10 years, as the benefits of removing the prostate may not be significant for those with shorter life expectancies due to other health conditions.

4. Previous Treatments and Surgeries
- No Major Previous Pelvic Surgery: Patients who have not undergone extensive previous pelvic surgeries, which could complicate the laparoscopic approach due to scar tissue or anatomical changes.
- No Prior Radiation Therapy: Candidates ideally should not have received prior radiation therapy to the pelvic area, as this can increase the complexity and risk of the procedure.

5. Tumor Characteristics
- Tumor Size and Location: The size and location of the tumor should be such that it can be adequately accessed and removed laparoscopically.
- Absence of Metastasis: The cancer should not have metastasized to distant organs or lymph nodes outside the immediate surgical field.

6. Patient Preferences and Informed Consent
- Patient Choice: The patient should be well-informed about the benefits, risks, and alternatives to LRP and choose this method in consultation with their healthcare provider.
- Understanding of Risks: The patient must understand the potential complications and postoperative recovery process associated with laparoscopic surgery.

7. Urological and Oncological Evaluation
- Urologist’s Assessment: The patient should be evaluated by an experienced urologist who can determine if LRP is a suitable option based on detailed imaging studies, biopsies, and clinical examinations.
- Oncologist’s Input: Input from an oncologist may be necessary to assess the overall cancer management plan and ensure that LRP fits into the broader treatment strategy.

By carefully assessing these factors, healthcare providers can determine whether laparoscopic radical prostatectomy is an appropriate treatment option for a given patient, ensuring the best possible outcomes and minimizing the risks associated with the procedure.

The Operating Room And Equipment


At RhodosUrology, we are committed to providing our patients with the highest level of surgical care. Our operating rooms are equipped with the latest technology and tools to ensure precision and safety in every procedure, including 3D Laparoscopic Radical Prostatectomy.

Here is an overview of our surgical room and the advanced equipment we use:

Surgical Room at Lefkos Stavros Athinon
Our surgical room is located at the renowned White Cross medical center. White Cross is a leading healthcare organization known for its commitment to excellence and patient-centered care. You can learn more about White Cross by visiting their website.

Advanced Laparoscopic Equipment: Karl Storz 3D 4k Laparoscopic Set
In our surgical room, we use the pioneering Karl Storz 3D 4k laparoscopic system. This advanced laparoscopic system offers unparalleled clarity and precision during surgical procedures. The equipment includes a high-definition 3D camera that provides surgeons with a three-dimensional view of the surgical field. This enhanced visualization allows for greater accuracy during 3D Laparoscopic Radical Prostatectomy.
- The Karl Storz laparoscopic system is designed to minimize tissue trauma, reduce blood loss, and improve patient outcomes. This is a testament to our commitment to being at the forefront of medical technology to provide our patients with the best possible care.

Patient Safety and Comfort
Our surgical room is maintained with meticulous precision to meet the highest standards of cleanliness and safety. We prioritize patient comfort and well-being throughout the surgical experience. Our team of skilled professionals, including surgeons, anesthesiologists, nurses, and support staff, work harmoniously to ensure that every procedure is performed with the utmost care and accuracy.

At RhodosUrology, we take pride in our advanced surgical room and the Karl Storz laparoscopic system, which enable us to provide exceptional care to our patients. We are dedicated to delivering the most advanced and effective treatments while prioritizing patient safety and comfort.

When you choose RhodosUrology for 3D Laparoscopic Radical Prostatectomy, you can trust that you are in capable hands and benefiting from advanced technology in a state-of-the-art surgical environment.

Preparation and Preoperative Care

Preparation and Preoperative Care for Laparoscopic Radical Prostatectomy


Preparing for laparoscopic radical prostatectomy is crucial to ensure a successful surgery and smooth recovery. Here are the key steps involved in preparation and preoperative care:

1. Medical Evaluation
- Consultation: Schedule an initial consultation with your urologist to discuss the procedure, review your medical history, and assess your overall health.
- Physical Examination: A thorough physical examination will be conducted to evaluate your fitness for surgery.
- Imaging and Tests: Preoperative imaging studies, such as MRI, CT scans, or ultrasounds, may be ordered to assess the extent of the prostate cancer. Blood tests, urine tests, and possibly an electrocardiogram (EKG) will also be performed.

2. Medication Review
- Current Medications: Provide a complete list of all medications, supplements, and herbal remedies you are taking. Some medications, especially blood thinners, may need to be discontinued or adjusted prior to surgery.
- Preoperative Medications: Your doctor may prescribe specific medications to be taken before the surgery, including antibiotics to prevent infection and medications to manage underlying health conditions.

3. Lifestyle Adjustments
- Smoking Cessation: If you smoke, it is highly recommended to stop smoking several weeks before the surgery to improve healing and reduce the risk of complications.
- Healthy Diet: Maintain a healthy diet to ensure your body is in the best possible condition for surgery and recovery. Your doctor may provide specific dietary guidelines.

4. Preoperative Instructions
- Fasting: You will likely be instructed to fast for a specific period (usually 6-8 hours) before the surgery to reduce the risk of aspiration during anesthesia.
- Bowel Preparation: Some surgeons may recommend a bowel preparation regimen to clear the intestines before surgery. Follow your surgeon’s instructions carefully.
- Hygiene: Take a shower or bath with antibacterial soap the night before or the morning of the surgery to reduce the risk of infection.

5. Day of Surgery
- Arrival: Arrive at the hospital or surgical center at the designated time to complete any remaining paperwork and preparations.
- Clothing: Wear loose, comfortable clothing and remove any jewelry, contact lenses, and dentures before surgery.
- Support: Arrange for someone to drive you to and from the hospital, as you will not be able to drive yourself after the procedure.

6. Anesthesia Consultation
- Meeting with Anesthesiologist: You will meet with the anesthesiologist to discuss the type of anesthesia that will be used, review any allergies or previous reactions to anesthesia, and address any concerns you may have.

7. Informed Consent
- Signing Consent Forms: You will be asked to sign consent forms indicating that you understand the procedure, the risks involved, and the expected outcomes. Be sure to ask any questions you may have before signing.

8. Mental and Emotional Preparation
- Stress Management: Practice relaxation techniques such as deep breathing, meditation, or gentle exercises to manage any anxiety or stress related to the surgery.
- Support System: Discuss your upcoming surgery with family and friends who can provide emotional support and assistance during your recovery.

By following these preparation and preoperative care guidelines, you can help ensure that you are in the best possible condition for laparoscopic radical prostatectomy, which can lead to a more successful surgery and quicker recovery. Always follow the specific instructions provided by your healthcare team.

Intraoperative Details

Intraoperative Details for Laparoscopic Radical Prostatectomy


Laparoscopic radical prostatectomy is a complex procedure that involves the precise removal of the prostate gland and some surrounding tissues. Here are the key intraoperative details:

1. Anesthesia
- General Anesthesia: The patient is placed under general anesthesia, ensuring they are unconscious and pain-free throughout the procedure.

2. Patient Positioning
- Positioning: The patient is positioned in the lithotomy position (lying on the back with legs elevated and spread apart) and tilted head-down (Trendelenburg position) to provide better access to the pelvic area.

3. Sterilization and Preparation
- Sterilization: The surgical area is thoroughly cleaned and sterilized to reduce the risk of infection.
- Draping: Sterile drapes are placed around the surgical site to maintain a sterile environment.

4. Trocar Insertion
- Port Placement: Several small incisions (usually 5-6) are made in the lower abdomen to insert trocars, which are small tubes that provide access for the laparoscopic instruments.
- Insufflation: Carbon dioxide gas is used to inflate the abdomen, creating a working space for the surgeons to operate.

5. Insertion of Laparoscopic Instruments
- Camera Insertion: A high-definition 3D laparoscopic camera is inserted through one of the trocars, providing a clear view of the surgical field on a monitor.
- Instrument Insertion: Specialized laparoscopic instruments are inserted through the other trocars, allowing the surgeon to manipulate tissues and perform the surgery.

6. Dissection and Removal of the Prostate
- Bladder and Urethra Dissection: The bladder is separated from the prostate, and the urethra is carefully dissected to preserve as much length as possible for reconstruction.
- Nerve-Sparing Technique: If appropriate and feasible, nerve-sparing techniques are used to preserve the nerves responsible for erectile function.
- Seminal Vesicle Removal: The seminal vesicles are detached from the prostate and removed.

7. Division of the Prostate
- Apex Dissection: The apex of the prostate (where it connects to the urethra) is carefully dissected.
- Division of the Urethra: The urethra is divided, and the prostate is detached from the bladder and urethra.

8. Lymph Node Dissection (if necessary)
- Pelvic Lymph Node Dissection: Depending on the patient's cancer stage and risk factors, nearby lymph nodes may be removed and sent for pathological examination to check for the spread of cancer.

9. Reconstruction
- Urethrovesical Anastomosis: The bladder neck is reconnected to the remaining urethra, creating a new passage for urine flow. This step requires precise suturing to ensure a secure and leak-proof connection.

10. Hemostasis and Closure
- Hemostasis: Bleeding is carefully controlled throughout the procedure using cauterization or suturing.
- Drain Placement: A surgical drain may be placed near the surgical site to remove any excess fluids and prevent fluid accumulation.
- Closure of Incisions: The trocars are removed, and the small incisions are closed with sutures or surgical staples. Sterile dressings are applied to the incision sites.

11. Postoperative Care
- Waking from Anesthesia: The patient is gradually awakened from anesthesia and monitored in the recovery room.
- Initial Monitoring: Vital signs, fluid balance, and pain levels are closely monitored. The patient may receive pain medication and antibiotics to prevent infection.
- Catheter Placement: A urinary catheter is placed to allow urine drainage while the urethrovesical anastomosis heals. The catheter typically remains in place for 1-2 weeks.

By adhering to these detailed intraoperative steps, the surgical team ensures the precise and safe removal of the prostate gland, aiming to achieve the best possible outcomes for the patient.

Postoperative Care and Recovery

Postoperative Care and Recovery for Laparoscopic Radical Prostatectomy


Postoperative care and recovery are critical for ensuring successful outcomes and minimizing complications after a laparoscopic radical prostatectomy. Here are the key aspects of postoperative care and recovery:

1. Immediate Postoperative Care
- Recovery Room: After the surgery, the patient is moved to a recovery room where vital signs (heart rate, blood pressure, oxygen levels) are closely monitored as they wake up from anesthesia.
- Pain Management: Pain and discomfort are managed with prescribed medications. Patients may have a patient-controlled analgesia (PCA) pump or receive regular doses of pain relievers.
- Hydration and Nutrition: Intravenous (IV) fluids are administered initially, and clear liquids are gradually introduced once bowel function begins to return.

2. Hospital Stay
- Length of Stay: Most patients stay in the hospital for 1-2 days after surgery, but this may vary depending on individual recovery and any complications.
- Monitoring: Continuous monitoring for signs of infection, bleeding, or other complications. Blood tests and imaging may be conducted as needed.
- Catheter Care: The urinary catheter will remain in place for about 1-2 weeks to allow the urethrovesical anastomosis to heal. Proper catheter care instructions are provided to prevent infection.

3. Managing Side Effects
- Swelling and Bruising: Some swelling and bruising around the incision sites are normal. Cold packs can help reduce swelling.
- Constipation: Pain medications and reduced mobility can cause constipation. Stool softeners and a high-fiber diet are recommended to ease bowel movements.

4. Discharge Instructions
- Activity Restrictions: Patients are advised to avoid heavy lifting, strenuous activities, and driving for a few weeks. Gentle walking is encouraged to promote circulation and prevent blood clots.
- Incision Care: Keep the surgical sites clean and dry. Follow instructions on when and how to change dressings. Watch for signs of infection, such as increased redness, swelling, or drainage.
- Medication Management: Take all prescribed medications as directed, including pain relievers, antibiotics, and any other medications to manage underlying health conditions.

5. At-Home Recovery
- Gradual Increase in Activity: Gradually increase physical activity as tolerated. Start with short walks and gradually extend the distance and duration.
- Hydration and Diet: Drink plenty of fluids and maintain a healthy diet to support healing. Avoid alcohol and caffeinated beverages initially.
- Catheter Care: Follow specific instructions for caring for the urinary catheter. Monitor for any signs of infection or issues with urine flow.

6. Follow-Up Appointments
- Initial Follow-Up: Typically scheduled within 1-2 weeks after discharge to remove the catheter and check on the healing process.
- Regular Monitoring: Additional follow-up appointments will be scheduled to monitor PSA levels, assess recovery, and detect any signs of cancer recurrence.

7. Potential Complications and Management
- Infection: Monitor for signs of infection, including fever, chills, increased pain, or unusual discharge from the incisions. Contact your healthcare provider if any of these symptoms occur.
- Urinary Issues: Some patients may experience urinary incontinence or difficulty urinating initially. Pelvic floor exercises, such as Kegel exercises, may help improve urinary control.
- Erectile Dysfunction: Erectile dysfunction is a common side effect. Discuss potential treatments with your healthcare provider, including medications, vacuum devices, or other therapies.

8. Long-Term Recovery and Monitoring
- Physical Rehabilitation: Engage in physical therapy or rehabilitation programs if recommended to regain strength and improve overall function.
- Emotional Support: Consider joining a support group or seeking counseling to help cope with the emotional aspects of recovery and adjust to any lifestyle changes.
- Cancer Surveillance: Regular PSA tests and follow-up appointments with your urologist and oncologist are essential for monitoring your long-term health and detecting any recurrence of cancer.

By following these postoperative care and recovery guidelines, patients can enhance their recovery, minimize complications, and improve their overall outcomes after a laparoscopic radical prostatectomy. Always follow the specific instructions provided by your healthcare team.


Benefits of Laparoscopic Radical Prostatectomy


Laparoscopic radical prostatectomy (LRP) offers numerous benefits compared to traditional open surgery for the treatment of prostate cancer. Here are the key advantages:

1. Minimally Invasive Approach
- Smaller Incisions: LRP involves small incisions instead of a large open cut, which reduces trauma to the body.
- Less Scarring: The smaller incisions result in minimal scarring, improving cosmetic outcomes.

2. Reduced Pain and Discomfort
- Less Postoperative Pain:Patients typically experience less pain after LRP compared to open surgery due to the smaller incisions and reduced tissue trauma.
- Lower Need for Pain Medication: Reduced pain often leads to a decreased need for postoperative pain medications.

3. Shorter Hospital Stay
- Quick Recovery: Patients usually have a shorter hospital stay, often 1-2 days, compared to a longer stay required for open surgery.
- Faster Return to Daily Activities: The minimally invasive nature of LRP allows patients to resume their normal activities sooner.

4. Lower Risk of Complications
- Reduced Blood Loss: LRP is associated with less intraoperative blood loss, decreasing the need for blood transfusions.
- Lower Infection Risk: The smaller incisions reduce the risk of wound infections and other complications.

5. Enhanced Precision and Visualization
- Improved Surgical Accuracy: The use of high-definition 3D laparoscopic cameras provides surgeons with a magnified view of the surgical area, enhancing precision during the procedure.
- Better Nerve Sparing: Enhanced visualization allows for more precise nerve-sparing techniques, which can improve postoperative erectile function and urinary continence.

6. Faster Recovery and Rehabilitation
- Quicker Healing: The reduced trauma and smaller incisions lead to faster wound healing.
- Early Mobilization: Patients are encouraged to start moving soon after surgery, which helps prevent complications such as deep vein thrombosis (DVT).

7. Improved Patient Outcomes
- High Success Rates: LRP has high success rates in terms of cancer control, with comparable oncological outcomes to open surgery.
- Positive Long-Term Outcomes: Patients often experience positive long-term outcomes in terms of cancer remission and quality of life.

8. Patient Comfort and Convenience
- Less Postoperative Discomfort: The minimally invasive approach leads to less postoperative discomfort and a more comfortable recovery.
- Shorter Catheterization Period: Patients often require a urinary catheter for a shorter duration compared to open surgery.

9. Cosmetic Benefits
- Minimal Scarring: The small incisions result in minimal visible scarring, which is preferred by many patients for cosmetic reasons.

10. Lower Overall Healthcare Costs
- Reduced Hospitalization Costs: Shorter hospital stays and quicker recovery times can reduce overall healthcare costs.
- Less Need for Follow-Up Treatments: The precision of LRP can lead to fewer complications and less need for additional treatments or interventions.

By offering these benefits, laparoscopic radical prostatectomy provides an effective and patient-friendly option for the treatment of prostate cancer, enhancing both short-term recovery and long-term outcomes.

Meet Our Team


At RhodosUrology, we take pride in our exceptional surgical team, renowned for their expertise and contributions to the field of urology. Our team is led by the distinguished Professor Evangelos Liatsikos, who serves as President of both the European Association of Urology and the Hellenic Urological Association. Let us introduce you to the notable members of our surgical team:

1. Prof. Evangelos Liatsikos, MD, PhD, FEBU (Chairman, European Association of Urology and Hellenic Urological Association)
   - Professor Evangelos Liatsikos is a globally recognized urologist and a leading authority in his field. His extensive experience and dedication to advancing urological care have earned him the prestigious positions of President at both the European Association of Urology and the Hellenic Urological Association. Professor Liatsikos has made significant contributions to urological research and education, making him a respected figure in the international medical community.

2. Dr. Marinos Vasilas, MD, PhDc (Urologist)
   - Dr. Marinos Vasilas is a highly skilled urologist specializing in minimally invasive techniques, including 3D Laparoscopic Radical Prostatectomy. His commitment to patient care, attention to detail, and surgical expertise make him an integral part of our surgical team.

3. Dr. Jason Kyriazis, MD, PhD, FEBU (Urologist)
   - Dr. Jason Kyriazis brings his specialized knowledge and experience in urology to our team. His dedication to providing personalized care and staying updated with medical advancements ensures that our patients receive the highest quality treatment.

Our surgical team, led by Prof. Evangelos Liatsikos, is dedicated to advancing the field of urology while prioritizing the well-being of our patients. With a focus on 3D Laparoscopic Radical Prostatectomy, our specialists combine their collective knowledge, advanced technology, and patient-centered approach to deliver outstanding results.

We understand that your health is of utmost importance, and our team is here to answer your questions, address your concerns, and guide you through every step of your journey. By choosing RhodosUrology, you are entrusting your care to a surgical team that combines excellence in urology with a commitment to your overall well-being.

We look forward to serving you with the highest level of expertise, compassion, and dedication. Your health and comfort are our top priorities, and it is our honor to have you as a member of our patient community.

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