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When it comes to preventing and treating high blood pressure, one often-overlooked strategy is managing stress. Low back pain has many different causes, including the normal wear and tear that comes with aging. Mobility — the ability to move purposefully around your environment — is vitally important to health and well-being. If a growth or mole looks like a melanoma, the doctor will take a biopsy to confirm the diagnosis.
An overactive bladder (also known as urge incontinence) causes a sudden urge to urinate, even when your bladder isn't full.
It might seem like retirement is a time to take it easy and devote yourself to gardening, golfing, and napping.
Sleep shortfalls can lead to a range of health problems, from being more likely to catch a cold or gain weight to increased risk of developing heart disease or diabetes.
Laparoscopic prostatectomy entails removal of the entire prostate gland via a few small key-hole incisions.


Laparoscopic (key-hole) surgery achieves similar results without the need of a long incision. Laparoscopic extraperitoneal retropubic prostatectomy, performed directly by the surgeon mimicks all the surgical principles of the well established open prostatectomy technique with the advantage of small incisions and better accuracy during dissection. Our centre has been performing laparoscopic extra peritoneal prostatectomy since 2003 and we have the largest experience in Singapore. Surgery for cure in early prostate cancer can be done by open surgery, laparoscopic prostatectomy or robotic assisted laparoscopic prostatectomy. Laparoscopic prostatectomy can be done directly by the surgeon or with the assistance of a surgical robot. There are several possible side effects after prostatectomy, and many of them will depend on a patient's individual characteristics.
Incontinence (leakage of urine) of varying degrees will be initially experienced by most patients, but should improve over time. The advantage of laparoscopy is that the incision is small and recovery from surgery and return to work is much quicker. It achieves all the advantages of robotic prostatectomy without incurring huge expenses on capital cost (robot costs USD$1.2mil) and consumable items. Risk factors for impotence include age, pre-operative erectile dysfunction and sparing of the erectile function nerves during surgery.


The magnification under laparoscopy allows more accurate dissection and preservation of vital structures like the external urinary sphincter and neurovascular bundle. Some patients will be potent within a few weeks after surgery, while others will take up to 2 years to recover potency.
Otherwise, it is exactly the same as laparoscopic prostatectomy performed directly by the surgeon.
A bladder catheter (rubber tube) will be placed at the time of surgery to assist passage of urine and is generally removed one week later.
Robotic surgery has several inherent disadvantage as it does not allow dissection of the lymph nodes and usually necessitates entry into the peritoneum cavity. The techniques of laparoscopic is technically more demanding and usually performed by an experinced urologist, trained in the area of advanced laparoscopic surgery.
In addition, it is significantly more costly to perform as the capital cost of the robot as well as robotic consumables are always factored into the total surgical bill.



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