What is Radical Prostatectomy Surgery?

The radical prostatectomy is a significant surgical procedure that involves elimination of the entire prostate gland, and in some instances, surrounding lymph nodes and tissue. The aim is to eradicate cancer and lower the risk of repeat cancer. The procedure can be carried out with different methods, such as laparoscopic surgery, open surgical or robotic-assisted surgery. The decision to choose a method is based on many factors, such as the overall health of the patient as well as the stage of cancer, as well as the expertise of the surgeon.

Who Performs Your Surgery

The radical prostatectomy you undergo performed at Chirayu Super Speciality Hospital will be performed by a highly experienced Urologist who is specialized in cancer surgery. Our surgeons are skilled with the most advanced methods, including minimally-invasive and robotic assisted surgeries, which will ensure the most optimal outcome for the patients we treat. They work in conjunction with a multidisciplinary team including radiologists and oncologists to develop a customized treatment plan tailored to meet your requirements.

Indications for Radical Prostatectomy Surgery

• Localized Prostate : Cancer People with prostate cancer that is localized to the prostate, and is not spreading to other parts of the body.
• Younger patients : Often recommended for older men who are healthy and have a higher life expectancy.
• Cancer-related symptoms : Men experiencing symptoms such as urinary obstruction or extreme discomfort due to prostate cancer.

Types of Radical Prostatectomy Surgery

• Open Radical Prostatectomy : The most common method is an incision of a single, huge size to eliminate the prostate gland as well as its surrounding tissues.
• Laparoscopic Radical Prostatectomy : A minimally-invasive method that involves small incisions and a camera that will assist the surgeon to remove the prostate.
• Robot-Assisted Radical Prostatectomy : A innovative, minimally-invasive technique in which the surgeon is able to control robotic instruments to ensure the precise removal of prostate.

Symptoms Indicating the Need for Surgery

• A weak or difficult urine flow.
• The urine contains blood, or semen.
• Pain that persists throughout the hips, lower back or the thighs.
• Inability to maintain an erection.
• Increased prostate-specific antigen (PSA) levels are present in the blood.

Diagnosis Leading to Radical Prostatectomy

The decision to undergo radical prostatectomy depends upon a definitive diagnose of prostate cancer typically, it is based on an amalgamation of PSA screening and digital rectal examination (DRE) and prostate biopsy and imaging tests like MRI and CT scans. The surgeons will assess the stage and severity of cancer, and also the overall health of the patient, to determine whether radical prostatectomy is the most effective treatment choice.

Treatment Process

The procedure is usually carried out under general anesthesia. It can take up to several hours. The surgeon will remove the prostate gland, along with the surrounding tissues, and, in some cases adjacent lymph nodes. The procedure is performed with surgical open, laparoscopic, or robotic-assisted methods, based on the condition of the patient and the surgeon’s recommendations. After surgery the patient may have to stay in hospital for a couple of days to check their the recovery.

Care and Recovery After Surgery

Recovery after radical prostatectomy is the careful treatment of post-operative pain and gradual return to normal routine. Patients can suffer from urinary incontinence or Erectile dysfunction as short-term symptoms, but these will improve by using medication and physical therapy. It is important to adhere to the post-operative instructions, which include dressing wounds, limiting activity following-up appointment to track the healing process and identify any indications of the recurrence of symptoms.