Our consultant urological surgeons at Ross Hall share their opinions of what the unique benefits of having robotic-assisted radical prostatectomy are below:
Mr Jaimin Bhatt, consultant urological surgeon:
"As an experienced cancer surgeon, I have been trained in robotic surgery for prostate cancer in Oxford and Toronto, both world-leading centres of excellence, and am one of a few robotic surgeons in the West of Scotland. Previously, before the robotic approach became available, we used to do open surgery. However, with robotic surgery, my patients have smaller incisions which are barely visible, significantly less pain, far less blood loss, shorter stay in hospital of one to two days, faster recovery and excellent outcomes. The enhanced optics are 3-D and magnified which means I can perform surgery even more precisely."
“Robotic Surgery has revolutionised care for men with prostate cancer. It is the standard of care for patients undergoing radical prostatectomy, with lower incidence of pain, less bleeding and quicker return to pre-operative levels. It allows me to better spare the delicate nerves around prostate that control erectile function, as well as preserve the anatomical structures that influence continence outcomes. Personally, I wouldn't dream of doing a prostatectomy without a robotic system, since I know how beneficial it is for the patient.”
“The use of the surgical robot in urology has been used increasingly since its inception in the early 2000’s. Since then, the robotic platform has seen many improvements, in a similar fashion to how other IT related technology has improved over the last 20 years. It is an instrument that has allowed prostate cancer surgery to make a gigantic leap forward, combining the benefits of traditional keyhole surgery to its augmented precision, improved vision and visual magnification. This has progressively increased our understanding of the “details” of anatomy, which has in turn led to a significant improvement in functional outcomes. In the setting of robotic assisted radical prostatectomy (RALP), we have been able to progressively improve functional outcomes, such as early return to urinary continence and erectile function recovery after the surgery, whilst maintaining oncological outcomes (cancer removal) and reducing postoperative stay, blood loss and postoperative pain.
However, we should not be led to think that the robot is an automated tool that does its work independently. In truth it mimics the movements that the surgeon does outside of the patient’s body on a much smaller scale inside the patient. What this means is that the use of the robot will not automatically translate into improved outcomes, but will rather enable surgeons to optimally implement their expertise and understanding of the anatomy to obtain the aforementioned improved results.”