William M. Dean, MD
Board Certified
Urologist
 

Dr. Dean:   The
Robotic Advantage


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Prostatectomy

The gold standard treatment option for men under 70 with early-stage, organ-confined cancer is surgical removal of the prostate using nerve-sparing radical prostatectomy. Prostatectomy is also the most widely used treatment for prostate cancer today in the US.1

The primary goal of prostatectomy is removal of the cancer. A secondary goal is to preserve urinary function and -- when applicable -- erectile function. Preservation of the nerves necessary for erections can be an extremely important goal for patients. These nerves run alongside the prostate and are often damaged when removing the prostate. A nerve-sparing prostatectomy attempts to preserve these nerves so that the patient may be able to return to his prior erectile function.

Types of Prostatectomy:

Approaches to this procedure include traditional open surgery, conventional laparoscopic surgery or da Vinci ® Prostatectomy, which is a robot-assisted laparoscopic surgery.

With a traditional open procedure, your surgeon uses an 8-10 inch incision to access the prostate. This approach often results in substantial blood loss, a lengthy, uncomfortable recovery and a risk of impotence and incontinence.

Conventional laparoscopy uses a specialized surgical camera and rigid instruments to access and remove the prostate using a series of small incisions. This approach provides your surgeon with better visualization than an open approach. In addition, it provides patients the benefits of a minimally invasive procedure.

Despite these advantages, conventional laparoscopy relies on rigid instruments and standard 2D video, technical limitations that can be challenging for the surgeon. Because of these drawbacks, conventional laparoscopy doesn’t lend itself well to complex procedures like prostatectomy. Therefore, very few urologists use this approach for prostatectomy. Moreover, neither laparoscopy nor open surgery can provide adequate visualization for a very precise, nerve-sparing prostatectomy.

Learn More: Read about the potentially most effective, least invasive approach to prostatectomy – da Vinci ® Prostatectomy.
  1. The National Prostate Cancer Coalition: www.fightprostatecancer.org home > treatment & research > treatment options > surgery
While clinical studies support the effectiveness of the da Vinci ® System when used in minimally invasive surgery, individual results may vary. Surgery with the da Vinci Surgical System may not be appropriate for every individual. Always ask your doctor about all treatment options, as well as their risks and benefits.

For additional information on minimally invasive surgery with the da Vinci ® Surgical System visit www.davincisurgery.com

This website is provided for general information purposes only. Consult with your doctor about whether da Vinci ® Prostatectomy may be appropriate for your condidtion. If you have questions about the da Vinci ® Surgical System or the procedure, consult with your doctor.



WILLIAM M. DEAN, MD
Specializing in Robotic Prostatectomy

Contact (Tacoma office):
314 Martin Luther King, Jr. Way, Suite 103
Tacoma, WA
98335-1700

Contact (Gig Harbor office):
4545 Point Fosdick Drive NW,
Suite 250
Gig Harbor, WA
98335-1700

Appointments
(Tacoma or Gig Harbor):
Tel: 253.272.4013
Fax: 253.627.5367


Office Hours

Tacoma: (Office is closed for lunch daily from 12-1)
Monday: 9-12 & 1-5
Tuesday: 9-12 & 1-5
Wednesday: Closed
Thursday: 9-12 & 1-5
Friday: 9-12 & 1-5

Gig Harbor:
Monday: Closed
Tuesday: Closed
Wednesday: Closed
Thursday: Closed
Friday: 1-5 on 1st & 3rd Friday Of Each Month
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