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Prostate Cancer

    About the Treatment

    When we talk about prostate cancer, the main type of surgical procedure followed to cure it is the radical prostatectomy. In this procedure, the surgeon using advanced surgical instruments removes the entire prostate gland along with some of the tissue around it that shall or may also include the seminal vesicles. There are several ways of performing a radical prostatectomy such as open approaches, laparoscopic approaches, etc.

  • Ultrasound of prostate
  • Bone Scan
  • CT Scan of abdomen and pelvis
  • MRI
  • Serum PSA level
  • A digital rectal examination (DRE)
  • Prostate Biopsy

Radical prostatectomy is a surgical procedure followed to remove the entire prostate gland, and the connected seminal vesicles. Also, the ampulla of the vas deferens is removed. Sexual Function may be saved depending on the cancer type and patient's physical characteristics. Lymph nodes are also removed in case patient has high lymph node involvement (Lymphadenectomy). Radical prostatectomy may be performed using:

  • A retropubic or perineal incision
  • Or by using a laparoscopic technique
  • Or robotic-assisted technique.

  • Hospitalization will be for one to three days after surgery.
  • Patients are discharged with an indwelling urethral catheter for one to two
  • All patients are discharged with a urinary catheter
  • Please refrain from driving for one week after your surgery. 
  • Vigorous activities such as running, golf, exercising, riding motorcycles, etc. should be avoided for at least six weeks after surgery
  • Climbing of stairs as a form of exercise should be avoided.
  • Avoid sitting still in one position for more than 45 minutes
  • Avoid submerging yourself in water for bathing or relaxing purposes till the catheter is in place. Showering is fine.
  • Wound Care
  • Catheter Care
  • A PSA will have to be done twice a year for the first five years post surgery.  If your PSA remains undetectable, you can continue with an annual PSA later.

  • Abdominal Distention
  • Constipation
  • Bloating Bladder
  • Spasms
  • Blood draining from the Foley catheter or in the urine
  • Bruising around the port sites
  • Lower legs/ankle swelling
  • Perineal discomfort
  • Scrotal/Penile Swelling and
  • Bruising
  • Lymphocele (a collection of lymph fluid)
  • Urinary incontinence
  • Impotence (erectile dysfunction): This means you can't get an erection sufficient for sexual penetration.
  • Loss of fertility
  • Lymphedema
  • Inguinal hernia

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