Radical prostatectomy is one of the current treatment options for prostate cancer. This surgery involves the removal of the prostate gland and the seminal vesicles, which are small glands located immediately on the prostate that produce seminal fluid.
Once the surgery is complete, a thin tube (catheter) is inserted into the urethra to drain urine from the bladder. The catheter will remain in place for one to three weeks, according to the surgeon, while the sites of the incision heal.
- 1 What is radical prostatectomy?
- 1.1 What treatment options are there?
- 1.2 Who is the operation for?
- 1.3 Infection
- 1.4 Deep vein thrombosis (DVT)
- 1.5 Impotence (erectile dysfunction)
- 1.6 Urinary incontinence
- 1.7 Urinary obstruction
- 1.8 Laparoscopic radical prostatectomies
- 1.9 Robotic radical prostatectomy
- 1.10 Radical perineal prostatectomy
What is radical prostatectomy?
The prostate is part of the male reproductive system. This ring-shaped gland surrounds the urethra and its main function is to produce a liquid that protects and nourishes the sperm. The prostate produces approximately half the fluid that forms the ejaculate.
What treatment options are there?
Treatment options include a surgical operation (radical prostatectomy), radiation therapy or, in some cases, no treatment (watchful waiting) or active surveillance, which includes repeated tests of prostate-specific antigen (PSA) and prostate biopsies to control cancer.
Who is the operation for?
Radical prostatectomy is not suitable for all people with prostate cancer. The goal of a radical prostatectomy is to eliminate cancer before it spreads.
This can occur at the site of the wound, in the urinary tract or chest, or through an intravenous needle (intravenously or drip). The treatment may include antibiotics.
Deep vein thrombosis (DVT)
This happens when blood clots form. This can be life-threatening if the clot breaks off inside a blood vessel and travels to the lungs (pulmonary embolism). People receive special means to wear during the period of operation and recovery. They are also given anticoagulant medication to prevent this complication. If it happens, the treatment may include more anticoagulant medications.
Impotence (erectile dysfunction)
Approximately seven or eight men out of 10 who undergo surgery will experience impotence to a certain extent. This is because radical prostatectomies can damage some of the nerves that serve the penis. The treatments for impotence are available. The age of the person and some surgical factors, related to the evolution of the disease, are also important factors.
This is the involuntary passage of urine. The urine is kept inside the bladder by the urinary sphincter, located at the apex or end of the prostate. Radical prostatectomy can cause a sphincter injury. In addition, nerve injuries can cause incontinence. About a third of men who undergo surgery have some degree of urinary incontinence. In most cases, incontinence improves with time and is not serious. Approximately between 2-5 of every 100 men, incontinence is severe enough to require more surgery. The improvement can take from three to 12 months. You may need to use continence pads.
In rare cases, scar tissue is formed at the point where the urethra reattached to the neck of the bladder and this can interfere with the flow of urine. Surgery may be necessary to remove scar tissue. This usually happens with incontinence problems.
Laparoscopic radical prostatectomies
Laparoscopy is also known as “keyhole surgery”. A thin viewing instrument (laparoscope) is inserted through a small incision in the navel (navel). Other surgical instruments can be inserted through other small incisions in the abdomen. This procedure may be associated with a shorter recovery time. It can also be done with the help of a robot.
Robotic radical prostatectomy
The da Vinci robot is used to perform a radical robotic prostatectomy. The advantage is that it is more accurate than standard open and laparoscopic surgery, so there is less pain.
Radical perineal prostatectomy
The surgeon makes the incision in the area between the scrotum and the anus (perineum). This is done on rare occasions. Once the surgery is complete, a thin tube (catheter) is inserted into the urethra to drain urine from the bladder. The catheter will remain in place for one to three weeks, according to the surgeon, while the sites of the incision heal. Regardless of the surgical technique used, there seems to be no difference in the complication rate of surgery, so these procedures are considered equivalent treatments for prostate cancer.
You may have blood tests for PSA (a protein produced by prostate cells, present at higher levels in men with prostate cancer or other prostate disorders) several times after this, to verify that there is no cancer recurrence. If there is the recurrence, additional treatment will be recommended(Radical prostatectomy)