Prostate Cancer

Prostate Cancer


PROSTATE SURGERY


What is prostate surgical operation for?

The prostate is a gland found under the bladder, in front of the rectum. It plays a vital role in the part of the male reproductive system that produces fluids that contain sperm.

Surgery for partial or total removal of the prostate is referred to as a prostatectomy. The most common reasons for prostate surgery are prostate cancer and an enlarged prostate, or benign prostatic hyperplasia (BPH).

Before treatment education is the first step to getting to decide about your treatment. All types of prostate surgical procedure can be done with general anesthesia, which puts you to sleep, or spinal anesthesia, which numbs the lower part of your body.

The purpose of your surgery is to:

Cure your condition

Minimize side effects

Maintain urinary continence

Maintain the ability to have erections

Minimize pain before, during and after surgery


Types of prostate surgery


The purpose of prostate surgery is also based on your condition. For instance, the purpose of prostate cancer surgery is to get rid of cancerous tissue. The purpose of prostate surgery is to eliminate prostate tissue and restore the regular flow of urine.


Open prostatectomy


Open prostatectomy is also called traditional open surgery or an open approach. Your surgeon will make an incision through your skin to remove prostate and close by tissues.


There are two major approaches:


Radical retropubic: Your surgeon will carry out the cut from your bellybutton to your pubic bone. In most cases, your surgeon will take away only the prostate. But if they suspect the cancer may have spread, they will take away some lymph nodes for testing. Your surgeon may not continue the surgical procedure if they find out that the cancer has spread.

Radical perineal approach: Your surgeon will carry out a cut in the space between the rectum and scrotum. This is mostly performed when you have other medical conditions that complicate retropubic surgery. In this position, your surgeon can’t take out the lymph nodes. This surgery does not take much time as retropubic surgery, but there is a bigger risk for erectile dysfunction.


Laparoscopic approach


Laparoscopic surgery is a minimum invasive method to prostate surgery. There are two main methods for this type of procedure as well:

Laparoscopic radical prostatectomy: This surgery needs multiple small cuts so the surgeon can insert small surgical instruments. Your surgeon will use a tiny tube with a camera to see into the area.


Other approaches


Prostate laser surgery
Prostate laser surgery basically treats enlarged prostrate without making any cuts outside of your body. Instead, your doctor will put in a fiber-optic scope through the tip of the penis and into your urethra. Then he will remove prostate tissue that’s blocking urine flow.

Endoscopic surgery
Similar to the laser surgery, endoscopic surgery doesn’t have any incisions. Your doctor will use a long, flexible tube with a light and lens to do away with parts of the prostate gland. This tube passes through the tip of the penis and is regarded less invasive.

Widening the urethra
Transurethral resection of the prostate (TURP) 
for enlarged prostrate: TURP is the standard surgical procedure for enlarged prostrate. The urologist will cut pieces of your enlarged prostate tissue with a wire loop. The tissue pieces will go into the bladder and wipe out when the procedure is finished.

Transurethral incision of the prostate (TUIP): This surgical procedure is made up of a few small cuts in the prostate and bladder neck to widen the urethra. Some urologists believe that TUIP has a lower risk of side effects than TURP.


What happens after the surgery?


Before you wake up from the surgery, the surgeon will place a catheter into your penis to assist drain your bladder. The catheter has to stay in for one to two weeks. You may have to continue to be in the hospital for some days, but basically you can go home after 24 hours. Your doctor will also give you instructions on how to handle your catheter and care for your surgical site.

Your doctor will remove the catheter after the healing process is over and you’ll be able to urinate normally.


Risk Factors


Whatever type of surgical treatment you had, the incision site will possibly be sore for a few days.

You may also experience:

blood in your urine

inflammation of the prostate

Urinary irritation

difficulty holding urine

urinary tract infections

These symptoms are normal for some days to a few weeks after recovery. Your recovery time will depend on the kind and length of surgery, your general health, and whether you follow your doctor’s instructions. You may additionally be advised to reduce activity levels, including sex.


Disclaimer: The information provided herein is for patient general knowledge only and should not be used during any medical emergency, for the diagnosis or treatment of any medical condition. Duplication for personal and commercial use must be authorized in writing by Surjen.com.


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