Laparoscopic Radical  Prostatectomy:  Fact or Fiction

Treatment Options

Surgical Methods for Removal of the Prostate

Rationale

Rationale (continued)

Likelihood of PSA Recurrence by Clinical Stage

Likelihood of PSA Recurrence by Preoperative Serum PSA

Likelihood of PSA Recurrence by Gleason Score

Laparoscopic Applications in Urology

Accepted Advantages of Laparoscopic Surgery

History of Laparoscopic Radical Prostatectomy

Modern Era of Laparoscopic Radical Prostatectomy

Results:  France

Complications

Results

Results

Oncologic Results

Results:  Germany

Pathology Results

Reducing the learning curve

Reducing the learning curve

Technique

Technique

Technique

Urethra with Catheter exiting cut end

1^st of 6 to 8 stitches through urethra which will join to bladder neck (anastomosis)

Continuing the Anastomosis

Nerve Sparing Procedure

“Irrational Exuberance?”

Conclusion