Prostatectomy
| Discussion in 'All Categories' started by Keshav - Jul 14th, 2024 6:28 am. | |
Keshav
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What are the different types of options for prostectomy surgery? What will be the surgical procedure? How will it be done? |
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re: Prostatectomy
by Dr. B. S. Bhalla -
Jul 14th, 2024
6:36 am
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Dr. B. S. Bhalla
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A prostatectomy is a surgical procedure for the removal of part or all of the prostate gland. There are several types of prostatectomy surgeries, each with different techniques and indications. Here are the primary options: Types of Prostatectomy Surgeries Radical Prostatectomy: Open Radical Prostatectomy: Retropubic Prostatectomy: Involves an incision in the lower abdomen to remove the prostate gland. Perineal Prostatectomy: Involves an incision between the anus and scrotum. Less commonly used due to limited access to pelvic lymph nodes. Laparoscopic Radical Prostatectomy: Uses several small incisions and a camera (laparoscope) to guide the surgeon in removing the prostate. Robotic-Assisted Laparoscopic Prostatectomy: Similar to laparoscopic surgery but performed with the assistance of a robotic system, offering greater precision and control. Simple Prostatectomy (also known as Subtotal Prostatectomy): Often used to treat benign prostatic hyperplasia (BPH). Only part of the prostate causing obstruction is removed, not the entire gland. Surgical Procedures 1. Open Radical Retropubic Prostatectomy: Anesthesia: General or spinal anesthesia. Incision: A single large incision in the lower abdomen. Procedure: The prostate gland is carefully separated from the bladder and urethra. The seminal vesicles and surrounding tissues are often removed. The urethra is reattached to the bladder neck. A catheter is placed to allow urine to drain while the area heals. Recovery: Hospital stay of 1-2 days; catheter for 1-2 weeks. 2. Open Radical Perineal Prostatectomy: Anesthesia: General or spinal anesthesia. Incision: Between the anus and scrotum. Procedure: Similar to retropubic, but with a different approach, less common. Limited access to pelvic lymph nodes. Recovery: Similar to retropubic, but may have less pain and quicker recovery due to smaller incision. 3. Laparoscopic Radical Prostatectomy: Anesthesia: General anesthesia. Incisions: Several small incisions in the abdomen. Procedure: A laparoscope and surgical instruments are inserted through the incisions. The surgeon performs the operation while viewing a magnified image on a screen. Recovery: Less invasive, shorter hospital stay, faster recovery, and less pain. 4. Robotic-Assisted Laparoscopic Prostatectomy: Anesthesia: General anesthesia. Incisions: Several small incisions in the abdomen. Procedure: Similar to laparoscopic but with robotic arms controlled by the surgeon from a console. Provides high precision, flexibility, and control. Recovery: Similar to laparoscopic with potential for even better outcomes in terms of precision and recovery. 5. Simple Prostatectomy: Anesthesia: General or spinal anesthesia. Incision: Either an open approach with an incision or a minimally invasive approach. Procedure: Only the obstructive part of the prostate is removed. Typically involves removing the inner portion of the prostate, leaving the outer portion intact. Recovery: Depends on the surgical approach; less extensive than radical prostatectomy. General Post-Operative Care Hospital Stay: Varies from same-day discharge to a few days, depending on the type of surgery. Catheter: A catheter will be left in place for 1-2 weeks to allow the area to heal. Recovery Time: Full recovery can take several weeks. Patients are advised to avoid strenuous activities and heavy lifting during this period. Follow-Up: Regular follow-up appointments to monitor healing, manage any complications, and ensure the cancer has been effectively treated. Risks and Complications Common Risks: Bleeding, infection, urinary incontinence, erectile dysfunction, blood clots. Long-Term Risks: Chronic urinary problems, se-xual dysfunction, changes in bowel habits. |