Prostate Cancer

The laparoscopic prostatectomy is done through small incisions where Dr Al Sameraaii inserts surgical instruments and a camera which he controls with his hands.

Dr Al Sameraaii will peel off the nerves for erection and continence and remove the prostate. Dr Al Sameraaii will then reattach the urethra to the bladder neck. 

The patient will generally spend approximately 3 nights in the hospital following the surgery. 

The surgery time is approximately 3 hours. 

Locations: St Vincent’s Private Hospital (Sydney) – Performed by Dr Al-Sameraaii and Dr Raji Kooner 

The Da Vinci Robot RARP is relatively straightforward. After the patient is put to sleep by the anaesthetist, tiny incisions are made in the abdomen and instruments are inserted into the ports inside the abdomen. The abdomen is inflated with a gas that is generally a higher pressure than the veins pressure to minimise bleeding. 

We then control the Da Vinci Robot which gives us a 3D like image inside the abdomen and four “arms” inside the abdomen which is similar to having a spare set of hands inside. The robot allows us up to 10x magnification and we can move the cameras inside the abdomen to see around corners. 

Using the robot, we can peel off the nerves for erection and remove the prostate. At the end, we can do an extremely accurate anastomosis between the bladder and urethra to ensure that we have exact opposition which gives fewer complications. 

The procedure generally takes 1.5-2.5 hours. 

The advantages of RARP:

-  Improved preservation of nerves for erectile function

-  Improved preservation of nerves for long-term continence results

-  Reduced hospital stay and a short return to work date

-  Very low complication rate with decreased blood loss