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Radical Prostatectomy 

Laparoscopic and Robot-Assisted Prostate Surgery

Dr. Giorgi Khvadagiani, MD, FEBU
Head of Urology Department
Zhordania Medical Center – Tbilisi, Georgia

What is Radical Prostatectomy?

Radical Prostatectomy is a surgical procedure to remove the prostate gland and surrounding tissues for the treatment of localized prostate cancer.

Modern techniques include:

  • Laparoscopic Radical Prostatectomy 

  • Robot-Assisted Radical Prostatectomy (RARP) 

Both approaches aim to completely remove cancer, preserve urinary continence, and maintain erectile function when possible.

Why Choose Minimally Invasive or Robot-Assisted Surgery?

                            Open Surgery             Laparoscopic                   Robot-Assisted

Incisions             Large                               Small                               Small

Blood loss           Moderate                         Low                                 Very low

Hospital stay       5–7 days                         2–4 days                         1–3 days

Recovery time     Weeks                             2–4 weeks                      1–2 weeks

Precision              Good                               High                                 Very high

Nerve-sparing     Limited                           Possible                          Excellent

Advantages of Laparoscopic and Robot-Assisted Prostatectomy

  • Minimally invasive – less pain, smaller scars

  • Lower blood loss

  • Faster recovery

  • Precision nerve-sparing for erectile function

  • Shorter hospital stay

  • Excellent oncological outcomes comparable to open surgery

Who is a Candidate?

Patients with:

  • Localized prostate cancer (stage T1–T2)

  • No major contraindications for minimally invasive surgery

  • Desire for a minimally invasive approach or robot-assisted precision

Surgeon Experience Matters

Dr. Giorgi Khvadagiani:

  • Performs both laparoscopic and robot-assisted radical prostatectomy

  • Has extensive experience in minimally invasive urooncology

  • Leads the Urology Department at Zhordania Medical Center

  • Performs robot-assisted surgery at Innova Medical Center

High-volume experience is critical for oncological safety and functional outcomes.

Where is the Surgery Performed?

  • Laparoscopic Radical Prostatectomy: Zhordania Medical Center, Tbilisi

  • Robot-Assisted Radical Prostatectomy: Innova Medical Center, Tbilisi

Both centers are equipped with state-of-the-art operating rooms, modern imaging, and recovery facilities.

Frequently Asked Questions

Q: Will I need open surgery?
A: No. Most localized prostate cancers can be treated laparoscopically or robotically.

Q: How long is recovery?
A: Hospital stay is 1–4 days depending on procedure. Full recovery usually takes 2–4 weeks.

Q: What about continence and sexual function?
A: Nerve-sparing techniques are used when possible. Most patients regain urinary continence within months and sexual function may recover gradually.

Q: How do I know which procedure is right for me?
A: During consultation, Dr. Khvadagiani evaluates your cancer stage, anatomy, and overall health to recommend the optimal surgical approach.

Consultation

Schedule a consultation to discuss your treatment options for prostate cancer:

Dr. Giorgi Khvadagiani, MD, FEBU
Zhordania Medical Center | Innova Medical Center, Tbilisi, Georgia

📞 Mobile: +995 598 25 77 27
📞 Clinic: 0322 24 32 32

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