(Prostate Gland Removal)
- Simple prostatectomy—removal of part of prostate
- Radical prostatectomy—removal of entire prostate and some surrounding tissue
|Anatomy of the Prostate|
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Reasons for Procedure
- Inability to control urinary stream—incontinence
- Inability to get an erection (impotence) and other sexual difficulties
- Blood clots in the legs or lungs
- Injury to the rectum or other nearby structures
- Additional surgery to repair a hernia of the groin
What to Expect
Prior to Procedure
- Arrange for a ride home.
- Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.
- The night before, have a light meal. Do not eat or drink anything after midnight.
Description of Procedure
- Open surgery—incision is made in the skin to allow the doctor to see the prostate
- Laparoscopic surgery—only very small incisions are needed; the surgery is done with specialized tools and a tiny camera that is passed through the incisions
- Robot-assisted surgery—similar to laparoscopic with use of small incisions but the surgery is done with robotic tools that the surgeon controls
- Lack of access to the lymph nodes
- Higher risk of nerve damage
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Pain medication
- Medications to prevent blood clots
- Antibiotics if an infection is present or possible
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Persitent nausea and/or vomiting
- Pain that you cannot control with medications
- Pain, burning, urgency or frequency of urination, or persistent blood in the urine
- Poor drainage from Foley catheter
- Abdominal swelling or pain
- Cough, shortness of breath, or chest pain
- Headaches, muscle aches, lightheadedness, or general ill feeling
- New or worsening
National Cancer Institute http://www.cancer.gov
Urology Care Foundation http://www.urologyhealth.org
Health Canada http://www.hc-sc.gc.ca
Prostate Cancer Canada http://www.prostatecancer.ca
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Le CQ, Gettman MT. Laparoscopic and robotic radical prostatectomy. Exper Rev Anticancer Ther. 2006;6:1003-1011.
Mitchell RE, Lee BT, Cookson MS, et al. Immediate surgical outcomes for radical prostatectomy in the University HealthSystem Consortium Clinical Data Base: the impact of hospital case volume, hospital size and geographical region on 48,000 patients. BJU Int. 2009;104(10):1442-1445.
Benign prostatic hypertrophy (BPH). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 27, 2014. Accessed September 25, 2014.
Prostate cancer. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated July 10, 2014. Accessed September 25, 2014.
General information about prostate cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/types/prostate. Accessed September 25, 2014.
6/2/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
10/21/2013 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: O'Reilly EA, Burke JP, O'Connell PR. A meta-analysis of surgical morbidity and recurrence after laparoscopic and open repair of primary unilateral inguinal hernia. Ann Surg. 2012 May;255(5):846-53.
- Reviewer: Mohei Abouzied, MD
- Review Date: 08/2014 -
- Update Date: 09/30/2013 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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