29 March 2023 


A 73-year-old diabetic and hypertensive man was undergoing a challenging time due to urinary incontinence, weak urine stream and nocturia (condition when one wakes up during the night to urinate). The Patient had visited several hospitals in the past and was undergoing treatment for benign prostatic disease. However, after his health condition failed to improve, he approached Dr Rohit Dadhwal, Consultant, Department of Urology, Andrology and Robotic Surgery, Fortis Hospital Mohali, in February this year.

A prostate-specific antigen (PSA) blood test showed that the patient’s serum levels were elevated. Further medical evaluation revealed that the patient had localized prostate cancer (left lobe) without any other organ or site involvement. To remove the tumour, Dr Dadhwal and his team performed Robot-assisted Radical Prostatectomy (RARP) through the world’s most advanced 4th Generation Robot – Da Vinci Xi. Robot-assisted Radical Prostatectomy is consideredas the gold standard treatment in such cases.

Discussing the case, Dr Dadhwal, said, “The prostate is the male reproductive gland and sometimes gets enlarged owing to hormonal changes in elderly men. These enlargements can be cancerous in nature sometimes. However, the gland can be removed and the cancer can be cured if the diseases is diagnosed early. Robot-aided Surgery is the latest form of minimal invasive surgery and provides a 3D view of the operative field via a special camera inserted into the body of the patient. Parts of the body which are difficult to reach with the human hand can be accessed through robot-assisted arms that can rotate 360 degrees.”The Patient was able to walk on the next day of the surgery and his histopathology report showed complete removal of the tumour, besides the PSA had come down.Hehas recovered fully and leading a normal life today.


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