Common Questions: The Procedure
Is there bleeding with laparoscopic radical prostatectomy?
There is very little bleeding with laparoscopic radical prostatectomy. This is one of two primary benefits of laparoscopic radical prostatectomy: 1) much less bleeding and 2) much less pain.
Less bleeding means a more stable patient in surgery. It means less need for transfusion and thus less risk of transfusion complications, such as allergic reactions and transfusion associated infections. It means less post-operative anemia, which means less fatigue. Less anemia also means less chance of serious cardiovascular complications. For many reasons, it is good to have little bleeding.
With laparoscopic prostate surgery in our hands, the typical blood loss is less than 100 milliliters. We have transfused less than one percent of our patients. Consequently, we do not request pre-operative blood donation.
By contrast, open prostate cancer surgery is typically associated with a blood loss approaching one liter. Reductions in blood loss may reduce the chance of transfusion, intra-operative blood pressure fluctuations, and risks of post-operative complications such as heart attack.