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general anesthesia or pneumoperitoneum (severe cardiopulmonary disease)","Uncorrected bleeding disorder","Active untreated urinary tract infection","Metastatic disease or limited life expectancy (relative)","Prior extensive pelvic surgery or radiation (relative)"],"days_in_clinic":{"min":1,"max":3,"unit":"nights","qualifier":"Typical hospital stay after uncomplicated laparoscopic radical prostatectomy; some centers discharge the next day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Walk lightly early; avoid heavy lifting, straining and vigorous exercise for about 4-8 weeks."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Time for urinary continence to largely stabilize; erectile function recovery, if it occurs, may take longer."},"fly_home_after_days":{"min":10,"max":14,"unit":"days","qualifier":"Usually after urinary catheter removal and wound check; longer if catheter stays, complications occur, or thrombosis risk is high."},"follow_up_visits":[{"purpose":"other","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Urinary catheter removal, often with wound check; may include a cystogram."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of final pathology (margins, stage) and discussion of further treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":90,"unit":"days","qualifier":"First postoperative PSA check, then periodic PSA surveillance; continence and sexual function assessment."}}],"indications":["Clinically localized prostate cancer","Selected locally advanced prostate cancer within multimodal treatment"],"main_risks":["Urinary incontinence (stress), usually improving over months","Erectile dysfunction","Bleeding, possible transfusion","Infection or urinary tract infection","Anastomotic urine leak or bladder neck stricture","Lymphocele or lymphatic complications if lymph node dissection performed","Inguinal hernia or port-site hernia","Injury to rectum, ureter, bowel or vessels","Venous thromboembolism","Risks of general anesthesia and pneumoperitoneum","Conversion to open surgery","Infertility and dry orgasm (loss of ejaculation)"],"pain":"Mild to moderate pain from port sites and abdominal/shoulder discomfort, typically controlled with oral analgesics within days; catheter discomfort and bladder spasms are common until removal.","preparation":["Preoperative staging (biopsy, MRI) and anesthesia fitness assessment","Blood tests and urine culture","Review of current medicines with the surgical team","Fasting before general anesthesia","Counseling on continence and erectile outcomes; pelvic floor exercise teaching","Bowel preparation only if requested by the surgeon","Stop smoking"],"recovery_timeline":[{"phase":"Hospital stay (day 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Recurrence risk depends on stage, grade and margins. Continence gains are generally permanent once stabilized.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Secondary procedures such as bladder neck stricture treatment, reoperation or hernia repair; excludes adjuvant radiotherapy."},"scars":"Several small port-site scars (about 5-6 incisions of roughly 0.5-1.2 cm) plus a slightly larger incision (about 3-5 cm) for specimen extraction, usually fading well.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks are listed separately."},"stages":[{"code":"surgery","label":"Laparoscopic radical prostatectomy (with or without pelvic lymph node dissection)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of surgery."}}],"qualifier":"Single-stage procedure."},"success":{"metric":"Pad-free urinary continence","value":85,"unit":"percent of patients","horizon":"12 months after surgery","population":"Adults with localized prostate cancer undergoing laparoscopic radical prostatectomy","evidence_status":"limited"},"techniques":[{"name":"Standard laparoscopic radical prostatectomy (transperitoneal)","suits_whom":"Patients with localized prostate cancer suitable for surgery.","recovery":"Typically 1-3 nights in hospital; catheter about 7-14 days."},{"name":"Extraperitoneal laparoscopic approach","suits_whom":"Selected patients, particularly those with previous abdominal surgery, at surgeon discretion.","recovery":"Similar recovery course."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Operating time for laparoscopic radical prostatectomy; longer with extended pelvic lymph node dissection or in complex cases."},"initial_assessment_documents":["Prostate biopsy pathology report","Recent PSA results with dates","Prostate MRI report and images","Bone scan or PSMA PET report (if available)","Recent urologist letter or discharge summaries","List of blood thinners"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 10-14 days to cover hospital stay and catheter removal. Later PSA checks are done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that you are able to ask the team questions about your treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you are satisfied with the facilities and standards where you will be 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