Radical prostatectomy is surgery to remove all of the prostate gland and some of the tissue around it, to treat prostate cancer.
See also: Prostate resection - minimally invasive
Alternative NamesProstatectomy - radical; Radical retropubic prostatectomy; Radical perineal prostatectomy; Laparoscopic radical prostatectomy; LRP; Robotic-assisted laparoscopic prostatectomy; RALP; Pelvic lymphadenectomy
DescriptionThere are four main types of radical prostatectomy surgery. These procedures take about 3 to 4 hours:
For these procedures, you will be asleep (under general anesthesia) or receive medicine to numb the lower half of your body (spinal or epidural anesthesia).
Radical prostatectomy is most often done when the cancer has not spread beyond the prostate gland. Healthy men who will probably live 10 or more years often have this procedure.
Other treatment options for prostate cancer are:
Sometimes, your doctor may recommend one treatment for you because of what is known about your type of cancer and your risk factors. Other times, your doctor will talk with you about two or more treatments that could be good for your cancer.
RisksRisks for any surgery are:
Risks of this procedure are:
You will have many visits with your doctor and tests before your surgery:
If you smoke, you should stop several weeks before the surgery. Your doctor or nurse can help.
Always tell your doctor or nurse what drugs, vitamins, and other supplements you are taking, even ones you bought without a prescription.
During the weeks before your surgery:
On the day of your surgery:
Prepare your home for when you come home after the surgery.
After the ProcedureYou may stay in the hospital for about 1 to 4 days. After laparoscopic or robotic surgery, you may go home the day after surgery.
You may need to stay in bed until the morning after surgery. Afterwards, you will be encouraged to move around as much as possible.
Your nurse will help you change positions in bed, show you exercises to keep blood flowing, and recommend coughing or deep breathing to prevent pneumonia. You should do these every 3 to 4 hours. You may need to use a breathing device to keep your lungs clear. You may also:
The surgery should remove all of the cancer cells, but your doctor will watch you carefully to make sure the cancer does not come back. You should have regular checkups, including prostate specific antigen (PSA) blood tests.
ReferencesSu L, Smith JA. Laparoscopic and robotic-assisted laparoscopic radical prostatectomy and pelvic lymphadenectomy. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 99.
Walsh PC, Partin AW. Anatomic radical retropubic prostatectomy. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 97.
Hartke DM, Resnick MI. Radical perineal prostatectomy. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 98.
Radical perineal prostatectomy is sometimes used when the cancer is limited to the prostate and there is no need to spare nerves
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Partial prostatectomy is an open surgery to remove part of the prostate gland, leaving the posterior portion intact. Partial prostatectomy is usually performed through an incision in the lower abdomen (retropubic prostatectomy). Open prostatectomy is a surgery to remove all or part of the prostate by making an incision in the patient's lower abdomen or perineum. Open prostatectomy can be either a partial or radical procedure. Radical prostatectomy is an pen surgery to remove the entire prostate gland along with nearby tissues such as the seminal vesicles. Radical prostatectomy can be performed through an incision either in the lower abdomen (retropubic prostatectomy) or in the space between the scrotum and the anus (perineal prostatectomy).
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When one undergoes a radiscal prostatectomy, their prostate is removed. The prostate is a part of the male reproductive system. This operation is done to save a sufferer of prostate cancer.
A radical prostatecomy is when the prostate gland, nerves that control erection and some surrounding tissue are removed due to prostate cancer. In many cases, men who have a radical prostatectomy are not able to achieve an erection suitable for sexual intercourse.
mine seems to be working, that is i can flex it and palpate it working but it has virtually no affect on my urine flow. i still have good orgasms though.
That would be a Radical Prostatectomy.
Yes, in some cases of prostate cancer surgery, the prostate gland may be removed. This procedure is called a radical prostatectomy.
Prostatectomy refers to the removal of the prostate gland.A resection is when they cut something out, and a resection of the complete prostate gland is called a prostatectomy.1.Prostatectomy.
A radical is a root.A radical is a root.A radical is a root.A radical is a root.
Well, honey, in a prostatectomy, the whole prostate gland is typically removed. It's like plucking a pesky weed from the garden - you want to get the whole thing out to prevent it from causing any more trouble. So, yes, when they say they're going to remove your prostate, they mean the whole shebang.