Robotic Prostatectomy (prostate removal): All you need to know

Written by: Mr Wissam Abou-Chedid
Published:
Edited by: Carlota Pano

As a leading figure in the field of urological surgery, specialising in robotic techniques for prostate cancer treatment, Mr Wissam Abou-Chedid has performed over 350 robotic prostatectomy cases in the last two years alone.

 

One of the techniques he specialises in is the Retzius-sparing Prostatectomy, a method that not only ensures the removal of cancerous cells but also prioritises patient comfort and better postoperative outcomes.

 

 

Why and when might robotic prostatectomy be recommended?

 

Robotic prostatectomy stands as a pivotal treatment option for localised prostate cancer. When cancer cells are confined within the prostate gland and haven’t spread to other areas of the body, this procedure offers a comprehensive solution by aiming to completely remove the affected gland, thereby eradicating cancer cells.

 

What tests are performed before robotic prostatectomy?

 

Before embarking on a robotic prostatectomy journey, patients undergo a series of diagnostic tests. These tests include the prostate-specific antigen (PSA) test, digital rectal examination, MRI scan, and biopsy. These assessments provide crucial insights into the extent of the condition and help in devising the most suitable surgical approach.

 

How Is robotic prostatectomy performed?

 

Robotic prostatectomy involves the meticulous removal of the entire prostate gland, as well as the seminal vesicles. Through the use of robotic arms controlled by the surgeon, the procedure is performed through small incisions. This innovative approach enhances precision and manoeuvrability, ultimately leading to better surgical outcomes for patients.

 

What are the potential risks and complications associated with prostatectomy?

 

As with any surgical procedure, robotic prostatectomy carries potential risks and complications, including bleeding, infection, blood clots, urinary incontinence, erectile dysfunction, and damage to nearby organs or tissues. However, with meticulous surgical technique and postoperative care, these risks are minimised.

 

Will the patient need any additional treatments after prostatectomy?

 

Following robotic prostatectomy, some patients may require additional treatments such as radiation therapy or hormone therapy. The need for these treatments depends on factors such as cancer aggressiveness and risk of recurrence. These supplementary therapies aim to further eliminate any remaining cancer cells and reduce the likelihood of cancer recurrence.

 

How soon after prostatectomy can patients resume normal activities?

 

Recovery time after robotic prostatectomy varies for each patient but typically involves a gradual return to normal activities. Most patients can resume light activities such as walking soon after surgery, with full recovery expected over several weeks.

 

Will the patient experience changes in urinary or sexual function after prostatectomy?

 

Robotic prostatectomy can impact urinary and sexual function due to the proximity of the prostate gland to structures involved in these functions. Potential changes may include urinary incontinence and erectile dysfunction. However, with advanced surgical techniques such as Retzius-sparing Prostatectomy, these impacts can be minimised, leading to better postoperative functional outcomes for patients.

 

In conclusion, robotic prostatectomy offers a comprehensive and effective treatment solution for localised prostate cancer. Through advanced techniques and personalised care, we aim to ensure optimal outcomes and improved quality of life for our patients. If you're considering robotic prostatectomy as a treatment option, I encourage you to reach out and schedule a consultation to discuss your individual needs and concerns.

 

 

To schedule an appointment with Mr Wissam Abou-Chedid, head on over to his Top Doctors profile today.

By Mr Wissam Abou-Chedid
Urology

Mr Wissam Abou-Chedid earned his medical degree from the University of Saint Joseph in Beirut before completing his urology specialist training at Henry Mondor University Hospital in Paris. He further honed his skills through fellowships in minimally invasive and robotic surgery at Saint Augustin Clinic in Bordeaux and the Royal Surrey NHS Foundation Trust in Guildford.

He was then appointed as a consultant urological surgeon at the Royal Surrey NHS Foundation Trust in February 2022. His robust academic background, including multiple postgraduate diplomas in Andrology, Laparoscopic surgery, urodynamics and pelviperineology, a master's degree in biomedical sciences and a fellowship from the Royal College of Surgeons of Edinburgh, provides a solid foundation for his work.

Mr Wissam Abou-Chedid has distinguished himself as a leader in the field, particularly in robotic-assisted surgery and minimally invasive procedures for prostate cancer and benign prostatic enlargement. His exceptional track record is marked by his significant contribution to the volume of surgeries performed, with over 400 cases completed in the last two years alone, making him one of the highest-volume consultants for robotic prostate surgery in the UK during that period.

Beyond sheer volume, Mr Abou-Chedid's expertise extends to specialised techniques, notably in retzius sparing prostatectomy, where he is recognised as one of the highest-volume surgeons in Europe. This recognition underscores his proficiency in advanced surgical methods that prioritize patient outcomes and quality of life. In addition to his clinical practice, Mr Abou-Chedid serves as a robotic and minimal invasive urological surgery trainer at IRCAD, a renowned international center for research and training in minimally invasive surgery.

Here, he shares his extensive knowledge and skills with surgeons from around the world, emphasizing the importance of adopting the latest technologies and techniques to achieve optimal patient outcomes. Mr Abou-Chedid's commitment to innovation is evident in his pioneering work, such as day case robotic prostatectomy and the concept of self-removal of catheters post-prostatectomy. These groundbreaking advancements not only demonstrate his dedication to pushing the frontiers of urological surgery but also highlight his focus on improving patient recovery and quality of life.

Mr Wissam Abou-Chedid is not only dedicated to advancing prostate cancer care but also continually seeks new and modern techniques for the treatment of benign enlargement of the prostate, aiming to improve the quality of life for men experiencing urinary symptoms. Recognizing the importance of staying at the forefront of medical technology, he has championed the use of innovative treatments such as Rezum, Echolaser, Optilume, and Exime, among other cutting-edge technologies. By integrating these advanced methods into his practice, Mr. Abou-Chedid ensures that his patients have access to the most effective and minimally invasive treatments available.

His proactive approach to embracing new technologies underscores his commitment to delivering the highest standard of care and improving outcomes for men with urological conditions. Outside of his professional pursuits, Mr. Abou-Chedid is deeply involved in community outreach programs aimed at raising awareness about prostate cancer screening and prevention. Through these initiatives, he seeks to empower individuals to take charge of their health and advocate for early detection and intervention.

Mr Abou-Chedid's commitment to these causes extends to his active involvement with charities such as Prostate Cancer UK and The Prostate Project. He serves as a Prostate Cancer UK National Clinical Champion, leveraging his expertise to support the organization's mission of providing vital services, raising awareness, and funding research.

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