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Laparoscopic Radical Prostatectomy with Lymphadenectomy

Minimally invasive surgical treatment of localized prostate cancer.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Laparoscopic Radical Prostatectomy with Lymphadenectomy?

Laparoscopic radical prostatectomy is a surgical procedure designed for prostate cancer confined to the prostate. The prostate, seminal vesicles and pelvic lymph nodes are excised through laparoscopic access via 4-5 trocars, with vesicourethral anastomosis at the end.

Extended pelvic lymphadenectomy includes obturator, internal iliac, external iliac and presacral lymph nodes. It is recommended when nomogram-predicted lymph-node involvement risk is >5%, particularly for intermediate- and high-risk patients.

Compared with open surgery, this procedure offers reduced blood loss, less postoperative pain, shorter hospital stay and earlier return to normal activity. Long-term oncologic and functional outcomes (continence, potency) are equivalent.

Symptoms

Localized prostate cancer (cT1-T2)
Selected high-risk localized cancer (cT3a)
Life expectancy ≥10 years
Acceptable comorbidity profile
Patient preference
PSA-detected localized disease

Risk Factors

Bleeding (vascular plexus)
Urinary incontinence (10-20%)
Erectile dysfunction (50-70%)
Vesicourethral anastomosis stricture
Lymphocele formation
Rectal injury (rare, <1%)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistently elevated PSA
  • Cancer detected on prostate biopsy
  • Suspicion or diagnosis of localized disease
  • Worsening urinary symptoms
  • Unintended weight loss and bone pain
  • Family history of prostate cancer

Treatment Methods

01
Laparoscopic radical prostatectomy (4-5 trocars)
02
Bilateral neurovascular bundle preservation (selective)
03
Extended pelvic lymphadenectomy
04
Vesicourethral anastomosis (continuous suture)
05
Postoperative pelvic floor exercises
06
PSA follow-up and adjuvant radiotherapy (if indicated)

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.