A radical prostatectomy is a common operation for treating
prostate cancer. It used to be called total prostatectomy. This means using
surgery to remove all of the prostate gland through a cut in your abdomen or
the area between the testicles and the back passage (perineum). The aim of this
type of surgery is to cure the cancer. Your surgeon may suggest radical
prostatectomy if
·
Your cancer has not spread outside your
prostate
·
You are younger, rather than older, and
have a high grade tumour
How
radical prostatectomy is done
A radical prostatectomy is carried out by specialist
surgeons. They take out the whole prostate gland with the aim of getting rid of
all the cancer. The surgeon makes a cut in the abdomen (retropubic) or between
the testicles and the back passage (perineal). This operation is called open
prostatectomy. As well as the prostate gland, the surgeon also removes the
surrounding tissues and the tubes that carry semen (seminal vesicles). They
then close the wound.
Often, a radical
prostatectomy is done using keyhole (laparoscopic) surgery. The surgeon uses a
tube with a light and eyepiece to look inside the body. They fill the abdomen
with carbon dioxide gas so they can see the prostate clearly. A tiny video
camera gives a magnified view of the prostate gland on a video screen. The
surgeon cuts away the prostate gland from the surrounding tissues and puts it
in a small bag before removing it through one of the cuts in the abdomen. The main
difference with this surgery is that you won't have a big wound in your abdomen
afterwards. Instead you have several small cuts.
laparoscopic surgery is as good at treating prostate cancer
as open surgery. Men also lose less blood, have less pain, and spend less time
in hospital. Most men also recover and go back to normal activities more
quickly than with open radical prostatectomy surgery. Two of the most common
side effects of prostatectomy are problems with control over when to pass urine
(urinary incontinence) and inability to have an erection (impotence). There
doesn’t seem to be any difference in the number of men who have these side
effects after open prostatectomy or after laparoscopic prostatectomy.
What are the Benefits and Risks of Radical prostatectomy?
If you're young and in good health, the short-term risks of this
surgery are low. The hospital stay is usually 2 to 3 days, with the catheter
left in place for 2 to 3 weeks. You're usually able to go back to work in
about 1 month. You shouldn't have severe pain with this surgery. Most men
regain bladder control a few weeks to several months after the surgery.
The main advantage of surgery is that it offers the most certain
treatment. That is, if all of the cancer is removed during surgery, you are
probably cured. Also, the surgery provides your doctor with accurate
information about how advanced your cancer is, since the nearby lymph nodes
are taken out along with the tumor.
Surgery does have risks. The main risks of radical prostatectomy
are incontinence (loss of bladder control) and impotence (loss of the ability
to get or keep an erection long enough to have sex). Most bladder and
impotence problems improve with time.
For
more information visit: http://www.medworldindia.com
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