Robotic Prostatectomy
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Well this model is very useful and particularly when we have patients in our rooms.
This is the bladder, a side view we’re looking at and this is the prostate, a small walnut sized organ, just underneath the bladder.
This is the seminal vesicle that attaches onto the bladder that helps produce fluid the semen bathes in.
This is the testicle here and this produces semen that then comes up through the vas deferens, comes up this way and then gets inserted into the prostate and that’s where semen comes from.
The testes also produces testereone which is a hormone that we use.
It’s a bit easier to understand this when we open up the model and you can see here is the bladder, a muscular organ that stores urine.
Urine comes from the kidney, down to the bladder and when the bladder fills it then contracts and urine comes through the bladder neck through the prostate and through the end of the penis.
So you can see the prostate situated in an area that can cause major problems.
As the prostate enlarges it can cause compression and affect the flow of the urine.
It’s also in a, you’ll note, in a very inaccessible area, it’s deep, very deep in the pelvis and hard to get access to.
So really for robotic surgery you can get very good access all the way down to this area and for surgery for BPH we go through the eye of the penis and for example with laser surgery we will use a laser fibre that cuts in this region and cuts in this region and you can imagine that like an apple core or larger that’s been taken out and so it get rids of the blockage and patients can pass urine much better.1
References
1. Anja C. Reichelt, Rodrigo Suarez-Ibarrola, Thomas R. W. Herrmann - Laser procedures in the treatment of BPH: a bibliometric study - World J Urol. 2021; 39(8): 2903–2911. doi: 10.1007/s00345-020-03532-1