Advanced Prostate Surgery

Robotic Prostatectomy

At Z Urology, we offer state-of-the-art robotic prostatectomy procedures to treat various prostate conditions, including prostate cancer and benign prostatic hyperplasia (BPH). Our expert urologists use cutting-edge robotic technology to provide precise, minimally invasive surgical solutions for optimal patient outcomes.

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What is a Prostatectomy?

A prostatectomy is a surgical procedure that removes part or all of the prostate gland.

Your prostate is a small walnut-shaped gland that’s part of the male reproductive system. It surrounds the urethra, which is the tube through which semen (ejaculate) and urine (pee) flow out of your body. Fluid (semen) from your prostate enters the urethra during ejaculation, and muscles surrounding the urethra contract to push semen out of the urethra when you orgasm.

A prostatectomy is a common surgery for prostate cancer that has not yet spread outside your prostate. Healthcare providers perform about 90,000 prostatectomies each year in the United States.

Prostate cancer is the second most common cancer that affects men and people AMAB (assigned male at birth). It affects about 1 in 8 men, at an average age of 66.

Types of Prostatectomy

Two main types of prostatectomy define the severity of prostate removal: radical and simple prostatectomy.

Simple Prostatectomy

A simple prostatectomy removes the inner part of the prostate gland, typically used to treat BPH (or an enlarged prostate).

For patients with severe BPH symptoms who haven't responded to medication, a simple robotic prostatectomy may be recommended.

This procedure removes the inner portion of the enlarged prostate, relieving urinary symptoms while preserving sexual function.

Radical Prostatectomy

A radical prostatectomy is the complete removal of the prostate gland and some of the surrounding tissues that may be affected by prostate cancer.

Radical prostatectomy may be performed in several unique methods, but the common goal is the complete and curative management of prostate cancer.

Additionally, there are several different methods of performing a radical prostatectomy. The approach will vary depending on the diagnosis, severity, and treatment plan.

Open Radical Prostatectomy: The surgeon makes an incision in the lower abdomen to surgically remove the prostate.
Laparoscopic Radical Prostatectomy: The doctor views the prostate using a laparoscope (camera) that’s inserted through small incisions in the abdomen. Small, long-handled tools are placed through the incisions to remove the prostate gland.
Robot-Assisted Laparoscopic (Radical) Prostatectomy: Similar to the laparoscopic radical prostatectomy, the surgeon uses a laparoscope to operate with the assistance of a robotic machine to remove the prostate gland with precision and control. This technique allows for much quicker recovery times and better outcomes, with most patients safely arriving home on the same day after their surgery. At Z Urology, we use the DaVinci Robotic Surgery System for Robot-Assisted Laparoscopic Prostatectomy (RALP).

Common Signs and Symptoms of Prostate Cancer

Prostate cancer is the most common cancer in men. Early detection can lead to successful treatment. Common symptoms of prostate problems include:

Frequent urination, especially at night
Difficulty starting or stopping urination
Weak or interrupted urine flow
Pain or burning during urination
Blood in urine or semen
Pain in the lower back, hips, or thighs

It's important to note that non-cancerous conditions can also cause similar symptoms. Regular check-ups and screenings are crucial for early detection and treatment of prostate issues.

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What Happens During a Robotic-Assisted Prostatectomy?

At Z Urology, we specialize in robotic-assisted prostatectomy using the advanced Da Vinci Surgical System. This minimally invasive approach offers several benefits over traditional open surgery:

Smaller incisions
Less blood loss
Reduced pain
Shorter hospital stay
Faster recovery time
Improved precision and visualization for the surgeon

Most patients can return home within 24 hours after surgery, with the vast majority of patients arriving back home on the same day. Full recovery typically takes 2-4 weeks, with a gradual return to normal activities. Our team at Z Urology provides comprehensive post-operative care and support throughout your recovery journey.

Life After a Prostate Removal

Many people will have temporary urinary incontinence after a prostatectomy. Incontinence rates are higher after radical prostatectomy than for simple prostatectomy. Types of incontinence may include:

Urge incontinence: Urge incontinence is a sudden, uncontrollable urge to urinate.
Stress incontinence: Stress incontinence is involuntary urination during physical exertion, such as exercising, coughing, or sneezing.
Orgasmic incontinence (climacturia): Orgasmic incontinence is when urine leaks when you’re sexually excited. You may also ejaculate urine when you orgasm.

Many people have excellent control of their urine stream once a provider removes their catheter, but some may leak varying amounts for several weeks. Most have good urinary control around six to 12 weeks after the procedure.

Many men can resume having sex once they’ve healed after a prostatectomy, which may take four to six weeks.

Can You Still Get Erections After Prostatectomy?

Most patients still achieve an erection after recovery from simple (or partial) prostatectomy.

Almost all patients experience sexual dysfunction after a radical (or complete) prostatectomy for prostate cancer. This is because the removal of the cancerous prostate and surrounding tissue can involve bruising, damage, or removal of the nerves that enable erections.

Fortunately, there are advanced technologies and operative techniques today that allow surgeons to preserve some or all of the nerves involved in erection. This will depend on the severity of your condition and the treatment required to remove prostate cancer.

If you have questions or concerns, reach out to the Z Urology team.

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Patient Feedback for Z Urology

Our patients are the reason we strive for exceptional urological care and treatment! Here’s what some of our South Florida patients are saying about their experience at our clinics.

I have recommended many people to this office and each one has thanked me. On a scale of 1 to 5 (5 being the best), Dr. Z and his staff are a 12.
– Alex S.
The wait was not long. I was greeted by a friendly nurse who took my sonogram of the kidneys and bladder. The doctor came in after a short time. Dr. Hollowell has a gentle voice and great bedside manner. He is very informative about my issues and I left feeling relieved and hopeful for future visits. The receptionists were also helpful and friendly. I recommend this office. Just wish it was closer to home.
– Allison T.
"I found Doctor Varghese through my insurance provider network and read reviews in Healthgrades. Dr. Varghese is terrific. She explains things so they are easy to understand. I feel she is on top of several medical problems I’m having. I had a cystoscopy and was offered nitric oxide (mild gas). It was perfect. I have had the procedure in the past but it was the most uncomfortable feeling I ever experienced. Not this time. Doctor Varghese is an excellent listener and remembers what I tell her from the previous visits.

Let me sum up my feelings about being under Dr. Varghese's care. I have new health insurance now so I can see doctors near my home, but instead I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL [to see her].”
– Jeffery P.
“I've been coming here for cancer for 10 years and I've had nothing but good visits every time. Staff is friendly and the doctors and PA'S are great. Dr. Z takes the time to ask questions and explain everything. He is amazing.”

– Bill S.
“El Dr. Pedro Espino Grosso es un médico especialista en Urología es también especialista en entender, comprender y atender la preocupación de su paciente. Gracias por su profesionalismo como para todo el staff y las enfermeras por su amable y compasivo trato. Por favor no cambien!”
– Ana L.
I have new health insurance now so I can see doctors near my home, but instead, I’ll continue to drive 75 miles each way to and from Pompano Beach to Stuart, FL to visit Z Urology!
– Jeffery P.
“Dr. Mini Varghese of Z Urology is without a doubt the best Urologist in South Florida. She not only takes care of my father but now she's taking care of all my needs too. The team she has behind her at Z Urology is amazing, they go up and beyond their call of duty. A big shoutout to Z Urology in Pompano Beach, FL, thanks for keeping the pipes flowing...you gals are the Best!!!! Thanks Dr. Varghese.”
– Brent S.
“Dr. Brar was awesome! He was very thorough with everything to ensure we got to the bottom of my issue! I felt like he cared and listened. I will be going back. The office was busy and some people were waiting a while but I was seen fairly quickly, I did fill out all the paperwork ahead of time so not sure if that helped! The person who helped me at the front desk was great and helped me with all my questions.”
– Britney C.
Everyone seemed nice, friendly and welcoming. I was also impressed with the examination and the way the staff treated me. Dr. Mike took the time with me to listen and advise me as to what treatment plan might be needed.
– Jimmy Z.
Great specialist, hard to find a more personable and efficient medical office anywhere else. I was welcome from the moment I came in, everyone was very friendly and all my questions and needs were expertly attended to. Never been to a urologist so this was new to me, but I definitely felt comfortable and heard. It was a drive from neighboring Miami but well worth it. Highly recommend. Thanks, Dr. Z!
– Jose T.
Thank you Dr. Michael Zahalsky for the surgery, you changed my life completely. I'm so happy, now no more pain and I'm feeling better than ever, thanks again for the great staff in your office. Very professional. Felt like family.
– Frank C.
They are very friendly. My surgeon went through the same procedure and read my mind of all my concerns. He reassured me everything would be okay and life would go on.
– Jeremy C.
Three words: Kind, Caring and Compassionate! This office is the best of the best. The front desk employees are super friendly and the doctors are professional and spoke to me in a down-to-earth & making it easier for me to understand what was going on. I am able to make informed decisions with the material that was provided to me.
– A.D.Z.
I had a great first visit with Dr. Z and his staff. I was seen within a reasonable amount of time. Dr. Z was personable and, after hearing my history and doing a targeted physical exam, directed his staff to perform ultrasound and bladder testing which was done efficiently and with discretion. Dr. Z then came in and spent a good amount of time explaining a clinical treatment plan. I left feeling I was in the hands of a total professional office from the top down.
– Harvey A.
Z urology is the best and I have to say Dr. Zahalsky is extremely knowledgeable and such a humble and pleasant human being. I always feel welcome at Z Urology.
– Kimaro W.

In Network with Most Insurance Plans

Our clinic accepts most major insurance plans and offers flexible financing options to ensure you receive the care you need. Our team will work with you to maximize your benefits and minimize out-of-pocket costs.

Questions about insurance coverage?

Contact our office at (954) 714-8200. Additionally, we encourage you to call your insurance provider to confirm what your coverage includes.

Schedule an Appointment Today

If you're experiencing prostate-related symptoms or have been diagnosed with prostate cancer, don't wait to seek treatment. Contact Z Urology today to schedule a consultation with our expert team and learn if robotic prostatectomy is right for you.

Schedule an Appointment
or Call (954) 714-8200