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Prostate Cancer Treatment Guide

Treatment
Description
Prostate Cancer
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Prostate Cancer
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Prostate Cancer
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Prostatectomy

Prostate Surgery

Prostatectomy is the removal of the prostate by surgical incisions in abdomen or perineum, or small incisions and laparoscope use. Prostate Surgery

Prostatectomy is the removal of the prostate by surgical incisions in abdomen or perineum, or small incisions and laparoscope use.

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Prostatectomy Patients

Prostatectomy carries surgical risks and possible side effects so is usually recommended only for younger patients who are in otherwise good health. Prostatectomy Patients

Prostatectomy carries surgical risks and possible side effects so is usually recommended only for younger patients who are in otherwise good health.

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Prostate Removal

Length of prostatectomy surgeries, recovery times, and hospital stays vary according to specific prostatectomy procedure. Prostate Removal

Length of prostatectomy surgeries, recovery times, and hospital stays vary according to specific prostatectomy procedure.

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Prostatectomy
Survival Rates

Multiple long-term studies indicate recurrence-free success rates over 90%. Prostatectomy
Survival Rates

Multiple long-term studies indicate recurrence-free success rates over 90%.

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Risks of
Prostatectomy

Surgical complications, impotence, or incontinence may occur. Risks of
Prostatectomy

Surgical complications, impotence, or incontinence may occur.

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Prostate News

Click here for the latest news on Prostatectomy.Prostate News

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Prostatectomy
Videos

Click here to view Prostatectomy procedures. Prostatectomy
Videos

Click here to view Prostatectomy procedures.

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Prostatectomy
Experiences


Click here to share your Prostatectomy experiences.Prostatectomy
Experiencse

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Brachytherapy

Chemotherapy

Cryotherapy & Cryosurgery

Hormone
Therapy

Radiation
Therapy

Robotic Prostatectomy

Watchful
Waiting

Complementary
and
Alternative Medicine

High Intensity
Focused
Ultrasound (HIFU)

Emerging Technologies

 

Prostate Cancer Information:
Prostate Surgery and Prostatectomy

Prostate surgery or prostatectomy is the removal of the prostate gland. This prostate cancer treatment is an invasive procedure that can be performed by a single incision to the lower abdomen (retropubic) or perineum (perineal), or by a series of small incisions (laparoscopic and robotic).

Surgery’s Role in the Treatment of Prostate Cancer
Prostate surgery is one of the oldest prostate cancer treatments. The premise: “remove the cancerous organ to treat the patient.” Prostate surgery (the technical term is prostatectomy) will help only those patients who have confined, localized disease. The oldest type of surgery, the radical retropubic prostatectomy, uses pelvic lymph node dissection (PLND) before surgery to ensure that the disease has not metastasized out of the gland.

Radical prostatectomy is the removal of the entire prostate gland and possibly the seminal vesicles and surrounding nerves and veins. The part of the urethra travelling through the gland’s transition zone is also removed. The two ends of remaining urethra are reattached in a connection called the anastomosis. Excising part of the urethra may lead to a penile shrinkage or shortening.

Types of Prostate Surgery
There are three types of prostate surgeries: retropubic, perineal, and laparoscopic. They are classified according to the incision site.

  • Retropubic
    The retropubic incision is made in the center of the lower abdomen and could be called open prostate surgery. The incision is from 8 to 10 centimeters long. The advantages of this technique include PLND and nerve-sparing.
  • Perineal
    The 4 centimeter perineal incision is made in the perineum which comprises muscles and exterior skin between the scrotum and anal sphincter. Surgeons cannot perform the PLND during this procedure but is considered acceptable because PSA testing, DRE findings, and Gleason scoring are excellent indicators of lymph node metastasis.
  • Laparoscopic and Robotic
    The laparoscope is a slender, tube-like instrument which allows the surgeon to see inside the abdominal cavity and excise the prostate through a series of small incisions rather than a long single one. The robotic procedure uses the same incisions and tools but a surgeon uses robotic arms controlled by a console to perform the surgery remotely. From the patient’s point of view, the two are virtually identical.

Sex After Prostate Surgery
All prostate cancer treatments affect sexual potency. Physically, several factors affect the mechanics of the erection such as diversion of the blood flow or the nerve stimulations that trigger erections. Surgeons try to preserve nerve function through the nerve-sparing technique.

Nerve-sparing prostatectomy can be used only for patients who have small, localized tumors that do not touch the neurovascular nerve bundles. The technique helps men regain erectile function more quickly afterwards if they were potent beforehand. Only the open field of view available through an abdominal incision allows a surgeon to spare nerve bundles. Patients considering the nerve-sparing technique should find an experienced surgeon.

The History of the Prostatectomy
The radical perineal approach has been in use since the early 20th century. Not until the 1940’s did doctors begin to use the radical retropubic approach. Both of these approaches, however, engaged an unrefined surgical technique which resulted in significant blood loss for the patient. Once surgeons began clamping veins and refining surgical technique, patients immediately fared better. Until the 1980’s, the retropubic approach was the most commonly used.

Today, the laparoscopic and robotic procedures are quickly becoming popular. In this procedure, however, conversion to the abdominal incision may be used if complications arise during a laparoscope-assisted procedure.

 
 
 

 
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