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Radical Prostatectomy Surgery | Safe & Secure Procedure

A radical prostatectomy is a surgical technique used to treat prostate cancer that involves the complete removal of the prostate gland and its surrounding tissues.

A radical prostatectomy is a surgical technique used to treat prostate cancer that ... Read More

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What Are The Types Of Radical Prostatectomy?

Open radical prostatectomy and robotic-assisted/minimally invasive radical prostatectomy are the two types of radical prostatectomy.

  • Open Radical Prostatectomy: A single, midline abdominal incision is made during an open radical prostatectomy to reach and remove the prostate gland. 
  • Robot-Assisted/Minimally Invasive Radical Prostatectomy: Robot-assisted/minimally invasive radical prostatectomies are performed using a clinical robotic surgical system, controlled by a surgeon. Instead of a single major incision, numerous tiny ones are made in the belly and pelvis during this treatment.
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What Happens In Radical Prostatectomy?

The prostate gland is removed during a radical prostatectomy by the surgeon via an incision in the lower abdomen or in the region between the anus and scrotum. In some cases, nearby tissues or lymph nodes may also be removed. After the surgery, patients may experience temporary urinary incontinence and erectile dysfunction, but these side effects can often be treated with medication or therapy.

Diagnosis Before Radical Prostatectomy

Before moving on to radical prostatectomy, the doctor may suggest the following diagnostic tests: 

  • Digital rectal exam (DRE): This is done to measure and examine the prostate’s size and form.
  • Prostate-specific antigen (PSA) test: This blood test examines the PSA concentration, which may reveal if the prostate is in trouble.
  • Biopsy: To check for cancer, a tiny sample of prostate tissue is removed and examined under a microscope.
  • Imaging tests: These may include an MRI, CT scan, or bone scan to determine if cancer has spread beyond the prostate.
  • Urine test: This may be done to check for infection or other problems with the urinary tract.
  • Blood tests: These tests could be carried out to look for anemia or other health issues that might influence the procedure.
  • Cardiac evaluation: An electrocardiogram (ECG) or stress test could be used to evaluate the patient’s cardiac condition and decide if they are healthy enough for surgery.
  • Pulmonary function tests: They might be used to evaluate the patient’s lung condition and decide if they are healthy enough for surgery.
  • Medical history and physical exam: This will make it easier for the physician to decide if any further health issues need attention before surgery.

During The Procedure

Some of the different types of radical prostatectomy are:

  • Open radical prostatectomy: This surgery involves making an incision in the lower part of the abdomen to remove the entire prostate gland and surrounding tissues.
  • Laparoscopic radical prostatectomy: This minimally invasive surgery involves making several small incisions in the abdomen through which a laparoscope and surgical instruments are used to remove the prostate gland.
  • Robot-assisted laparoscopic radical prostatectomy: This surgery is similar to laparoscopic surgery, but a robotic system is used to control the surgical instruments, providing greater precision and control.
  • Nerve-sparing radical prostatectomy: This surgery is performed to preserve the nerves that control erectile function. The surgeon carefully removes the prostate gland while trying to avoid damage to these nerves, which can help maintain sexual function after the surgery.

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How To Prepare For Radical Prostatectomy?

Here’s how you can prepare for radical prostatectomy:

  • Follow your surgeon’s instructions: You’ll get detailed instructions from your surgeon on how to get ready for surgery. To make sure you are ready for the operation, please follow the instructions. 
  • Get in shape: It’s crucial to be physically fit before surgery since it might be physically taxing. To get your body ready for the procedure, engage in regular exercise and a balanced diet.
  • Stop smoking: Smoking may make surgical complications more likely. Try to stop smoking before your procedure if you do.
  • Avoid alcohol and caffeine: Caffeine and alcohol both affect anesthesia negatively and increase the possibility of bleeding during surgery. Avoid consuming alcohol and caffeine starting a few days before the procedure.

What To Expect After Radical Prostatectomy?

Some of the issues you could feel after a Radical Prostatectomy are :

  • Your sexual and urogenital functioning will likely alter after radical prostatectomy.
  • You may experience urinary incontinence or leakage, which can improve over time with pelvic floor exercises and other treatments. 
  • You may also experience erectile dysfunction, which may or may not improve over time. 

It is important to discuss these potential changes with your surgeon and healthcare team and to seek support and resources to manage these changes.

What Are The Benefits Of Radical Prostatectomy?

Radical prostatectomy has several benefits, including:

  • Improved Survival Rates: Radical prostatectomy has been shown to improve survival rates in men with prostate cancer. Studies have found that men who undergo this surgery have a lower risk of dying from prostate cancer than those who do not.
  • Cure for Prostate Cancer: Radical prostatectomy is often curative for prostate cancer. In many cases, the cancer is completely removed during the surgery, and the patient is cancer-free afterward.
  • Improved Quality of Life: Prostate cancer can cause a range of symptoms that can significantly impact a man’s quality of life. These symptoms can include urinary incontinence, erectile dysfunction, and bowel problems. Radical prostatectomy can help to alleviate these symptoms, improving a patient’s quality of life.
  • Minimally Invasive Techniques: Advances in surgical techniques have made radical prostatectomy a minimally invasive procedure. This implies that the procedure may be carried out with just little incisions, which will cause less discomfort, scars, and a quicker recovery.

Risks And Complications Of Radical Prostatectomy

The risks and complications of radical prostatectomy surgery may include:

  • Bleeding: Blood loss during surgery can occur, and in rare cases, a blood transfusion may be needed.
  • Infection: Any surgery carries a risk of infection, and antibiotics are usually given before and after surgery to reduce the risk.
  • Urinary incontinence: Incontinence, or the loss of bladder control, can occur after surgery due to damage to the nerves or muscles that control the bladder.
  • Erectile dysfunction: Surgery can damage the nerves that control erections, leading to difficulty achieving or maintaining an erection.
  • Rectal injury: In rare cases, the rectum can be injured during surgery, leading to bleeding or infection.
  • Lymphedema: Lymphedema, or swelling in the legs, can occur due to the removal of lymph nodes during surgery.
  • Anesthesia complications: The use of anesthesia during surgery carries a risk of complications, such as allergic reactions or breathing difficulties.

Who Can Undergo Radical Prostatectomy?

Men who have been diagnosed with prostate cancer and have localized cancer that has not spread beyond the prostate gland may undergo radical prostatectomy surgery. Nevertheless, the choice to have surgery should be taken after consulting a medical professional and may be influenced by things like age, general health, and the stage and aggressiveness of the malignancy.

What Happens If Radical Prostatectomy Is Not Done On Time?

If radical prostatectomy is not performed on time:

  • Cancer can spread to nearby tissues and organs, such as the bladder, rectum, and bones, leading to complications and potentially life-threatening conditions. 
  • In advanced stages, prostate cancer can cause severe pain, difficulty urinating, and loss of bladder control. 
  • If left untreated for a prolonged period, prostate cancer can become untreatable and ultimately fatal.

What Not To Do After Radical Prostatectomy

Things you should avoid after Radical Prostatectomy may include:

  • Lift big things or do demanding tasks.
  • Drive or use heavy equipment.
  • Use tobacco products or alcohol, which might hinder the healing process.
  • Perform activities that increase the risk of infection such as swimming or hot tub use.
  • Engage in sexual activities until cleared by your doctor.
  • Refrain from taking aspirin or blood-thinning medications without consulting your doctor.
  • Ignore any infections, and seek medical help.

Are There Any Alternatives For Radical Prostatectomy?

Alternative treatment options include:

  • Active surveillance: Active surveillance may be advised if the cancer is in the early stages and not producing any symptoms. This entails constantly monitoring the cancer with frequent examinations, blood tests, and imaging studies.
  • Radiation therapy: High-energy X-rays or other types of radiation are used in radiation treatment to destroy cancer cells. It may be administered orally or externally (external beam radiation treatment) (brachytherapy).
  • Hormone therapy: In hormone treatment, the synthesis of male hormones (such as testosterone) that promote the development of prostate cancer cells is either stopped or suppressed. The testicles may be removed surgically or with medicine (orchidectomy).
  • Cryotherapy: To eliminate cancer cells, cryotherapy involves freezing the prostate gland. This is accomplished by passing a chilly gas through the prostate via tiny needles.
  • High-intensity focused ultrasound (HIFU): High-frequency ultrasound technology (HIFU) is used to heat and kill prostate cancer cells. It is a non-invasive procedure that is performed using local anesthesia.
  • Chemotherapy: Chemotherapy uses medications to destroy cancer cells. It is often only used in situations of advanced prostate cancer that have progressed to other body areas.
  • Immunotherapy: The immune system of the body is used in immunotherapy to combat cancer. It can be done through medication or by using a vaccine to stimulate the immune system to attack cancer cells.

Recovery After Radical Prostatectomy

After a radical prostatectomy, the recovery process varies depending on the individual and the specific procedure. However, some common tips for recovering after surgery include:

  • Follow instructions: Follow your doctor’s post-operative instructions carefully, as they can help speed up your recovery and reduce the risk of complications.
  • Rest and relax: Give your body adequate rest time. Allow your body to heal by taking time off work or other activities and engaging in light activity as recommended by your doctor.
  • Stay hydrated: The healing process and sustaining excellent health both benefit from drinking adequate water.
  • Follow a healthy diet: Eat a healthy diet filled with nutrient-rich foods and foods that are easy to digest to help your body heal.
  • Take prescribed medication: Take any prescribed medications as instructed by your doctor to manage pain, reduce inflammation, or prevent infection.
  • Attend follow-up appointments: Attending follow-up appointments with your doctor is important for monitoring your progress and addressing any unforeseen complications.

FAQs Around Radical Prostatectomy

How is a radical prostatectomy different from a regular prostatectomy?

Radical prostatectomy involves the removal of the entire prostate gland, including surrounding tissues, while a regular prostatectomy may only remove part of the gland.

Can a radical prostatectomy cure prostate cancer, or is it only a temporary solution?

If cancer has not gone beyond the prostate gland, a radical prostatectomy may be able to cure it. Unfortunately, it may not work in more complex circumstances.

How do doctors decide who is a good candidate for radical prostatectomy?

To determine whether a radical prostatectomy is a suitable course of therapy, doctors take into account the patient’s age, general health, and the kind, stage, and location of the prostate cancer.

Can a patient still have sex after a radical prostatectomy?

There may be some physical limitations and temporary loss of sexual function after a radical prostatectomy, but many patients can resume sexual activity soon after recovery.

Can cancer return after a radical prostatectomy? What are the signs to look out for?

There is a possibility that cancer may return after radical prostatectomy, and signs of recurrence may include rising PSA levels, new symptoms such as bone pain, or abnormal imaging results.

How does a radical prostatectomy impact urinary and bowel function, and are there any long-term effects?

Radical prostatectomy can temporarily impact urinary and bowel function, but most patients regain normal function within a few months. Some long-term effects may include occasional urinary incontinence and erectile dysfunction.

Are there any lifestyle changes that patients should make after a radical prostatectomy?

Patients may benefit from maintaining a healthy diet and exercise routine after radical prostatectomy as they help promote overall health and recovery. A doctor should be consulted before making any particular lifestyle adjustments since they may differ based on the circumstances of each person.

Our Patient Love Us

  • HR

    Hemlata Roshan

    5/5

    Pristyn Care has been a beacon of hope in my battle against prostate enlargement. The discomfort and inconvenience I experienced were overwhelming, and I knew I needed a solution. Pristyn Care came highly recommended, and my experience with them surpassed all expectations. The surgery itself was quick and virtually painless, and I was impressed by how smoothly it went. The post-operative care provided by Pristyn Care was top-notch. Their team made sure I had all the information and support I needed to ensure a smooth recovery.

    City : VISAKHAPATNAM
  • SB

    Smita Bachchan

    5/5

    I underwent prostate enlargement treatment (BPH) at Pristyn Care, and I'm impressed with the level of care I received. The urologist was knowledgeable and compassionate. The treatment options were explained thoroughly, and the one I chose has significantly improved my quality of life. Highly recommend Pristyn Care for urological issues.

    City : PATNA
  • TG

    Tanay Gandhi

    5/5

    Dealing with prostate enlargement was concerning, but Pristyn Care's urologist provided excellent care. The prescribed treatment was effective, and I'm experiencing relief from urinary issues. Pristyn Care's expertise in managing prostate conditions is commendable.

    City : MADURAI
  • NS

    Nageena Saha

    5/5

    Pristyn Care's prostate enlargement treatment was exceptional. The urologist was knowledgeable and approachable, providing clear explanations about the condition and the available treatment options. They recommended a surgical procedure to address my enlarged prostate, and it was performed with great care. Pristyn Care's attentive care during my recovery was commendable, and I experienced minimal discomfort. Thanks to their support, I am now free from the urinary issues caused by prostate enlargement.

    City : PUNE
  • UL

    Utkarsh Lakhotia

    5/5

    Dealing with prostate enlargement was concerning, but Pristyn Care's urologist provided excellent care. The prescribed treatment was effective, and I'm experiencing relief from urinary issues. Pristyn Care's expertise in managing prostate conditions is commendable.

    City : HYDERABAD
  • RP

    Ranjana Patil

    5/5

    I had been struggling with prostate enlargement for a while, and it was affecting my overall quality of life. When I came across Pristyn Care, I was intrigued by their reputation for providing outstanding urological care. From my very first visit, I could see why they were highly recommended. On the day of the surgery, the surgical team was incredibly professional and reassuring, which helped alleviate my anxiety. The procedure went smoothly, and the recovery was quicker than I had anticipated. Throughout my healing process, Pristyn Care's team was readily available to provide guidance and support, making my journey to recovery smoother.

    City : KOLKATA

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