Laparoscopic Radical Prostatectomy

Prostate cancer is one of the most common malignant tumors in men, both in Israel and across the Western world. Every year, about 2,000 new cases are diagnosed in Israel, and around 500 men die from this disease annually. Prostate cancer typically affects men over the age of 50 and usually progresses slowly.

Although the exact cause is still unknown, environmental factors and diet are believed to play a significant role in the development of prostate cancer.

Today, most patients are diagnosed at an early stage, when the tumor is still localized within the prostate and has not spread. The cancer stage is assessed based on several factors, including the Gleason Score from a biopsy, PSA (prostate-specific antigen) levels in the blood, and physical examination findings. Additional imaging studies, such as bone scintigraphy, CT, and MRI, may also be conducted when needed.

Laparoscopic radical prostatectomy is indicated for patients with localized cancer. During surgery, the entire prostate gland is removed with the goal of complete cure.

Until recently, radical prostatectomy was performed via an open incision in the lower abdomen. In recent years, however, laparoscopic radical prostatectomy has become a preferred option. The procedure is carried out without opening the abdominal cavity, offering the same effectiveness and safety, with additional benefits:

• Reduced intraoperative blood loss

• Less postoperative pain

• Shorter hospitalization

• Faster return to normal activities

This approach is part of modern prostate cancer surgery in Israel.

Other options for treating localized prostate cancer include:

• External or internal radiation (brachytherapy)

• Cryotherapy

• High-intensity focused ultrasound (HIFU)

• Active surveillance (PSA monitoring and periodic biopsies)

The decision regarding the preferred treatment—whether laparoscopic prostatectomy in Israel or another method—is made based on PSA levels, Gleason Score, patient age, comorbidities, urinary function, and prostate size.

• Type of anesthesia: General anesthesia
• Duration of surgery: 2 to 4 hours

The chance of complete cure through prostate cancer treatment surgery alone is up to 80%. Success rates depend on the stage of the disease, tumor differentiation, and PSA growth rate prior to surgery. If necessary, radiation therapy may be recommended post-surgery to improve outcomes.

Patients are usually discharged 2–7 days after surgery. This depends on clinical findings and the patient’s overall condition. It’s important to maintain hygiene at the surgical site by washing with soap and water (preferably twice daily). A body temperature over 38°C should be reported to the hospital. If necessary, patients should visit the emergency department.