Overview
Prostatectomy (Surgery)
A surgical approach toward the treatment of prostate cancer can be used to remove all or part of the prostate. Typically, men with early-stage disease or cancer that is confined to the prostate will undergo radical prostatectomy, or surgical removal of the entire prostate gland plus some surrounding tissue. This procedure is described below. Other surgical procedures may be performed on men with advanced or recurrent disease.
In the most common type of prostatectomy, known as radical retropubic prostatectomy, an incision is made in the abdomen and the prostate is cut out from behind the pubic bone. After removing the prostate, the surgeon stitches the urethra directly to the bladder so urine is able to flow.
Because it typically takes a few days for the body to get used to this new setup, the surgeon will insert a catheter, or tube, into the bladder. With this in place, urine flows automatically out of the bladder, down the urethra, and into a collection bag without the need for conscious control of the sphincter. The catheter is usually kept in place for about a week to 10 days.
Another type of surgery, known as radical perineal prostatectomy, is performed less frequently these days. In this approach, the surgeon makes the incision in the perineum, or the space between the scrotum and the anus, and the prostate is removed from behind.
Indications
The indications for TURP or open (simple) prostatectomy include the following:
- Acute urinary retention
- Persistent or recurrent urinary tract infections
- Significant hemorrhage or recurrent hematuria
- Bladder calculi secondary to bladder outlet obstruction
- Significant symptoms from bladder outlet obstruction not responsive to medical or minimally invasive therapy
- Renal insufficiency secondary to chronic bladder outlet obstruction
Consider open (simple) prostatectomy, using either the retropubic or suprapubic approach, when the prostate is larger than 75 g or larger than the surgeon can resect reliably with TURP in 60-90 minutes. In patients with concomitant bladder pathology that complicates their outlet obstruction (eg, a large or hard bladder calculus, symptomatic bladder diverticulum), open prostatectomy remains the procedure of choice. Additionally, patients with musculoskeletal disease that precludes proper patient positioning in the dorsal lithotomy position for TURP may benefit from an open prostatectomy.
Open (simple) prostatectomy is contraindicated in the presence of prostate cancer. If cancer is suspected, a formal prostate biopsy should be performed prior to considering surgery.
Open prostatectomy has 3 different approaches, including retropubic prostatectomy, suprapubic prostatectomy (open, laparoscopic, or robotic), and perineal prostatectomy.
For more information, medical assessment and medical quote
as email attachment to
Email : - info@wecareindia.com
Contact Center Tel. (+91) 9029304141 (10 am. To 8 pm. IST)
(Only for international patients seeking treatment in India)
Circumcision 
Hydrocele Operation 
Penis Frenuloplasty 
Prostatectomy
Vasectomy 
Vasectomy Reversal 
