Prostatectomy surgery is a prostate removal surgery used usually as a prostate cancer treatment or a treatment for benign prostatic hyperplasia. Prostatectomy procedure is a quite common one, with thousands of men undergoing it every year all around the world. There are a few prostatectomy types, varying with regard to the scope and the technique of prostatectomy surgery.
Prostatectomy types are separated according to their scope and technique used by the medical team. As for the scope of prostatectomy surgery, we can separate it into:
• Partial prostatectomy surgery – in this prostatectomy procedure only a part of patient’s prostate is removed
• Radical prostatectomy – in radical prostatectomy procedure, not only patient’s prostate but also surrounding tissues are removed.
With regard to the technique of prostatectomy surgery, we can mention prostatectomy types such as:
• Laparoscopic prostatectomy – on of the newest prostatectomy types. In laparoscopic prostatectomy procedure, doctors use a laparoscope, a medical device with a camera which helps to see the operation site. Thanks to the laparoscope, laparoscopic prostatectomy requires only a few small incisions instead of a big one.
• Robotic prostatectomy – in robotic prostatectomy doctors utilize robots to see the operation site and operate.
• Open prostatectomy surgery – this is the classical prostatectomy procedure, with one big cut performed in order to remove the prostate.
Candidates for prostatectomy surgery are usually people with prostate cancer or benign prostatic hyperplasia. While prostatectomy procedure is just one of the few prostate cancer treatment options, it is often the only way to stop or slow down the advanced prostatic cancer.
Am I Suitable for Prostatectomy?
For some patients with advanced prostatic cancer, it may be too late to undergo a prostatectomy surgery since it may cause more harm than good.
Preparing for Prostatectomy
While preparations for different prostatectomy types may vary, there are some key common points in them worth mentioning. Patients about to undergo a prostatectomy surgery are asked to provide a list of other medical conditions and medications taken for them in order for prostatectomy procedure to be properly prepared. Additionally, fasting for several hours before the prostatectomy is usually requested. Finally, some prostatectomy surgery patients are expected to undergo enema.
How is Prostatectomy Performed?
Depending on prostatectomy types, the prostatectomy procedure may take different forms but in principle, it is always the same. No matter whether robotic prostatectomy, laparoscopic prostatectomy or open prostatectomy surgery, doctors attempt to remove part or the whole of one’s prostate, sometimes together with surrounding tissues. Some prostatectomy types take longer to perform than others but they guarantee shorter prostatectomy recovery time (it is especially true for robotic prostatectomy and laparoscopic prostatectomy).
Patient is required to stay 1 to 3 nights in the hospital
Duration of Operation
90 to 120 minutes
1 to 2 weeks
Prostatectomy recovery time varies between prostatectomy types. Both scope (partial or radical prostatectomy) as the method of prostatectomy procedure (robotic prostatectomy, laparoscopic prostatectomy, open prostatectomy) greatly affects the prostatectomy recovery. The shortest prostatectomy recovery time is estimated to be after robotic prostatectomy and laparoscopic prostatectomy. Similarly, prostatectomy recovery will last shorter after partial prostatectomy procedure rather than radical prostatectomy.
Prostatectomy Risks and Complications
While prostatectomy surgery is relatively safe, possible prostatectomy complications are worth taking under consideration. Prostatectomy complications may include excessive bleeding, infection, damage to nearby organs, as well as negative effects of anaesthesia.
Prostatectomy Side Effects
Apart from prostatectomy complications which are relatively rare, there are also prostatectomy side effects which may affect patients’ life after a prostatectomy. These include, among others:
• Erectile dysfunctions
• Urinary incontinence
Prostatectomy Success Rates
Success rates of prostatectomy surgery depend on prostatectomy types as well as on the type of medical conditions being the reason for prostatectomy procedure (prostate cancer or benign prostatic hyperplasia). However, generally speaking, more than 80% of prostate cancer patients survive more than 10 years after the procedure and 60% live 15 years and more.