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Prostate Cancer: Surgery

If diagnostic tests indicate that the cancer affects only the prostate, could be a radical prostatectomy (total), an operation that removes the entire gland. Your surgeon will give detailed instructions on how to prepare for the operation. After surgery, you are told how to care for yourself while recovering at home. Be sure to ask all the questions you have about the operation and recovery.

Before the operation

    • Get the laboratory tests as instructed by your surgeon.
    • Do not eat or drink anything after midnight before surgery.
    • You may be given a laxative or enema the day before the operation.
    • The anesthesiologist will talk with you about your anesthesia (drugs that block pain sensation).

    Methods to perform the operation

    • The operation can be performed through an incision in the abdomen (retropubic approach) or behind the scrotum (perineal approach) may also be performed laparoscopically, with surgical tools inserted through tiny incisions in the abdomen.
    • The urologist may remove and examine lymph nodes near the prostate to determine if cancer has spread. (If the cancer has spread, the urologist may decide not to remove the prostate.)
    • Next, remove the prostate with seminal vesicles and part of the urethra.
    • Could be employed in certain conservation techniques to protect nerves in erectile function (ie, the ability to achieve and maintain an erection).

    After surgery

      • The urine is drained through the catheter into a sterile bag. It may at first be bloody or cloudy urine.
      • You may be prescribed to control pain (analgesics).
      • We will start the probe when you return home, give you instructions on how to care.
      • Entre I removed the probe and the points on a postoperative checkup, which usually happens between 1-2 1.2 weeks after the operation.
      • Often takes a few weeks to several months to regain bladder control. The improvement may take up to one year.

      Call your doctor if:

      • You have fever or chills.
      • The incision is draining or becomes increasingly painful or red.
      • He begins to inflate the leg or ankle.
      • Urine is not draining the tube.
      • You can not urinate after you remove the probe.

      Risks and Complications of Prostatectomy

        • Erectile dysfunction (difficulty achieving or maintaining an erection)
        • Incontinence (loss of bladder control)
        • Infection
        • Excessive bleeding
        • Difficulty urinating
        • Pneumonia
        • Blood clots

         

         

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