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Prostatectomy
Urology
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What Is Prostatectomy?
Prostatectomy is a surgical procedure that involves removing the prostate gland, whether partially or completely. The method of extraction (open, laparoscopic, or robotic) is determined by the individual case. The prostate gland is situated in the male pelvis beneath the urinary bladder and surrounds the urethra. Its main role is to produce nourishing fluid for semen and aid in its transportation.
With Krescent Healthcare's expert urologists, you can get advanced prostatectomy surgery at an affordable price for conditions like prostate cancer and benign prostatic hyperplasia.
Procedure
A prostatectomy procedure varies depending on the technique used, such as:
Robot-assisted Radical Prostatectomy: The latest method of performing a prostatectomy, widely used today, involves the surgeon sitting at a remote-control console situated away from the operating table. By using two hand-and-finger control devices, the surgeon can manipulate the equipment with precision. This technique provides the doctor with a magnified, three-dimensional view of the surgical site, resulting in more precise incisions and faster recovery time compared to other methods. Additionally, this approach includes nerve-sparing techniques that aid in preserving sexual function and continence for the patient.
Open Simple Prostatectomy: Through the urethra, a long and flexible cystoscope (a viewing scope) is inserted to reach the bladder and prostate. In order to drain all the urine out of your bladder, your doctor inserts a tube called a Foley Catheter through the tip of your penis.
Laser Prostatectomy: The laser prostatectomy procedure has several advantages over other procedures, including a lower risk of bleeding, a shorter hospital stay, faster recovery, and so on. Doctors insert a scope through the urethra to perform this procedure. A laser is passed through the scope, which delivers energy that shrinks or removes excess tissue from an enlarged prostate and relieves its symptoms.
Open Radical Prostatectomy: By making an incision above the pelvic bone of your lower abdomen, the surgeon can access your prostate gland, which is carefully dissected from the surrounding nerves and blood vessels. A suture is used to seal the incision after the gland is removed along with surrounding tissue.
Recovery & After Care
A urinary catheter will be placed in your bladder when you return home. Most men need a catheter for seven to ten days after surgery. It can take up to a year for full urinary control to be restored.
Doctors will remove the pelvic drain and prepare you for discharge on the same day if you're fit to return home. However, you might have to return for staple removal.
Once the IV is removed, you'll be given prescription painkillers to take.
On the day of surgery, the doctor will help you walk and teach you some foot exercises to do on the bed.
You can speed up your recovery after surgery by taking some precautionary measures. Here are some tips:
If you have had a simple prostatectomy, you will ejaculate with little to no semen but still have an orgasm. If you have had a radical prostatectomy, complete recovery of erectile function could take up to 18 months.
Within a week or two after the surgery, you can resume your normal activities.
Regularly perform kegel exercises.
Start driving only after your urologist has approved it. Do not drive for at least a week after the procedure.
We recommend seeing your doctor every three months for the first year after surgery to rule out any complications.
Surgery Tests
Prostate Biopsy: In this test, the doctor collects prostate cells and studies them under a microscope to determine their cellular structure and confirm or rule out prostate cancer.
Ultrasound: In an ultrasound for prostatectomy, a small probe is inserted into the rectum to produce images of the prostate gland. The images help doctors determine the prostate gland's exact size and shape.
Magnetic Resonance Imaging (MRI): If your doctor suspects aggressive prostate cancer, an MRI scan will give you a more detailed picture of the prostate gland.
Prostate-specific antigen (PSA) test: The PSA test is one of the most accurate and reliable tests available for prostate pathology. When the prostate is enlarged, the amount of PSA (a protein made by the prostate gland) increases.
Digital rectal exam (DRE):
A gloved and lubricated finger is inserted in the rectum to look for abnormal growths and to assess the prostate gland's shape, size, and texture.
Benefits of Prostatectomy
Benefits of prostate surgery include:
1. As the prostate tissue and surrounding structures are completely removed, cancer cells are permanently removed from the body.
2. The procedure relieves the patient of various urinary symptoms associated with BPH, including:
Infections of the urinary tract on a regular basis
Maintaining a urine stream is difficult
Having frequent urges to urinate, especially at night
Feelings of fullness in the bladder, etc.
In order to avoid postoperative complications, Krescent Healthcare's urologists perform prostatectomy procedures with the utmost precision. In addition to being extensively trained in performing advanced prostatectomy treatments, they take all safety precautions to minimise the risk of complications.