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A prostatectomy is a surgery to remove the prostate gland. The prostate gland is part of the male reproductive system.
It makes and stores the milky fluid that forms part of semen. The gland sits below the bladder and in front of the rectum. The urethra (the tube that flows urine out of the body) runs through the protate gland.
The procedure may be:
Simple prostatectomy—removal of part of prostate
prostatectomy—removal of entire prostate and some surrounding tissue
A simple prostatectomy may be done to remove an enlarged prostate that is non-cancerous. A common cause of this type of growth is called
benign prostatic hyperplasia
(BPH). It can interfere with the flow of urine out of the body. The surgery is done to allow urine to flow through again.
A radical prostatectomy may be done to remove a prostate gland containing
Open surgery—incision is made in the skin to allow the doctor to see the prostate
surgery—only very small incisions are needed; the surgery is done with specialized tools and a tiny camera that is passed through the incisions
surgery—similar to laparoscopic with use of small incisions but the surgery is done with robotic tools that the surgeon controls
An incision is made in the lower abdomen. The doctor will be able to see the prostate through this incision. The inner part of your prostate gland will then be removed. This procedure is not as common in the United States. It is considered when you have a non-cancerous enlargement of the prostate.
Radical Retropubic Prostatectomy
An incision will be made in the lower abdomen between the belly button and pubic bone. The prostate gland and pelvic lymph nodes will be visible through this incision. The prostate will be detached from the bladder and urethra. The urethra is then reattached to the bladder. A main goal of treatment is to try to preserve nerve function related to bladder function and erections. Lymph node tissue may also be removed for testing. Your doctor may use these test results to decide whether or not to remove more tissue.
Perineal Radical Prostatectomy
An incision is made in the skin between your anus and your scrotum. The prostate can be detached and removed through this incision. This is a less common surgical option because of some limits such as:
Five small, keyhole incisions are made in the abdomen. Robotic arms and a small camera will be passed through these incisions. The robotic tools allow wider and more flexible range of motion. The robotic arms will be controlled by a doctor at a console. The prostate and other tissue will be cut out with these robotic arms. This type of procedure may cause less scarring than other methods.
A catheter tube will be inserted to drain your bladder.
Water may be flushed through the catheter to reduce blood in the urine.
The catheter may be left in place for up to 3 weeks. This will let you urinate more easily during the healing period. After a radical prostatectomy, a
may also be placed to help fluid drain from the surgery site.
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