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Laparoscopic Radical Surgery with Nerve Preservation in Korea

Treatment Overview

Laparoscopic Radical Surgery with Nerve Preservation is a minimally invasive procedure designed to remove the prostate gland while preserving the neurovascular bundles critical for erectile function. This surgery is ideal for men with localized prostate cancer who prioritize both cancer control and quality of life. In Korea, hospitals utilize advanced laparoscopic and robotic-assisted systems to perform this procedure with high precision, ensuring minimal trauma, faster recovery, and optimal functional outcomes.

Purpose & Benefits

The primary goal of this procedure is to remove cancerous tissue while maintaining urinary and sexual function. Key benefits include:

  • Effective cancer removal in localized prostate cancer.
  • Preservation of erectile function through nerve-sparing techniques.
  • Minimally invasive approach resulting in smaller incisions, less pain, and reduced blood loss.
  • Shorter hospital stay and faster recovery compared to traditional open surgery.
  • Accurate surgical outcomes with advanced imaging and magnification.

Ideal Candidates

This surgery is suitable for:

  • Men with localized prostate cancer.
  • Patients who wish to preserve sexual and urinary function.
  • Individuals in good overall health suitable for minimally invasive surgery.
  • Patients with tumors not invading the neurovascular bundles, allowing safe nerve-sparing.

Possible Risks & Complications

Although laparoscopic nerve-preserving surgery is designed to minimize functional side effects, potential risks include:

  • Temporary or, rarely, long-term erectile dysfunction.
  • Urinary incontinence, which may improve with rehabilitation.
  • Bleeding or hematoma formation.
  • Infection at the incision site.
  • Rare injury to adjacent organs such as bladder or rectum.
  • Standard anesthesia-related risks.

Techniques & Technology Used

Korean hospitals performing this procedure use advanced laparoscopic and robotic technology:

  • Robotic-assisted laparoscopic surgery (da Vinci system): Provides 3D visualization and precise control for delicate nerve-sparing.
  • Standard laparoscopic surgery: Minimally invasive approach using specialized instruments and small incisions.
  • Nerve-sparing techniques: Protect neurovascular bundles to preserve erectile function.
  • Advanced energy devices: Minimize blood loss and tissue trauma.
  • Magnified visualization: Ensures precise removal of prostate tissue while sparing critical structures.

Treatment Process in Korea

The typical process includes:

  1. Consultation & Evaluation: PSA testing, MRI, biopsy review, and overall health assessment.
  2. Preoperative Preparation: Counseling on risks, surgical planning, and optimization of general health.
  3. Surgical Procedure: Performed under general anesthesia, typically lasting 2–4 hours depending on complexity.
  4. Postoperative Monitoring: Hospital stay of 1–3 days for minimally invasive surgery, monitoring for bleeding, urinary function, and early complications.
  5. Follow-up Visits: PSA monitoring, assessment of urinary continence, and evaluation of sexual function recovery.

Recovery & After-Care

Recovery after laparoscopic radical surgery with nerve preservation focuses on functional rehabilitation:

  • Hospital Stay: Usually 1–3 days.
  • Catheter Management: Urinary catheter removed 1–2 weeks post-surgery.
  • Pain Management: Oral or IV medications for post-op discomfort.
  • Physical Activity: Light activity encouraged after 1 week; full activity resumed in 4–6 weeks.
  • Long-Term Care: Pelvic floor exercises, sexual rehabilitation, and regular PSA testing to monitor recurrence.

Results & Longevity

This procedure offers excellent outcomes for both cancer control and functional preservation:

  • Cancer Control: High success rates in localized prostate cancer removal.
  • Functional Outcomes: Most patients regain urinary continence within months; nerve-sparing improves erectile function preservation.
  • Durability: Long-term survival rates and disease-free outcomes comparable to open radical prostatectomy.

Why Korea Is a Top Destination

Korea is a leading destination for this procedure due to:

  • Experienced Surgeons: Urologists skilled in laparoscopic and robotic nerve-sparing techniques.
  • Advanced Hospitals: Equipped with high-precision laparoscopic and robotic surgical systems.
  • Comprehensive Care: Seamless integration of evaluation, surgery, and post-op rehabilitation.
  • Affordable Treatment: High-quality care at competitive prices for international patients.
  • Medical Tourism Support: English-speaking coordinators, travel assistance, and personalized care services.

Cost Range

The cost of Laparoscopic Radical Surgery with Nerve Preservation in Korea typically ranges from $10,000 to $18,000, depending on hospital, surgeon experience, and additional services such as accommodation and postoperative care.

Popular Clinics in Korea

Top hospitals offering this procedure for international patients include:

  • Samsung Medical Center, Seoul – Expertise in robotic and laparoscopic nerve-sparing prostate surgery.
  • Asan Medical Center, Seoul – High-volume center for minimally invasive prostate cancer treatment.
  • Severance Hospital, Seoul – Specialized in advanced urology procedures and functional preservation.
  • Seoul St. Mary’s Hospital – Comprehensive care for prostate cancer patients.
  • CHA Bundang Medical Center – Renowned for international patient support and surgical expertise.

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