Prostate is a gland located before the base of the urinary bladder in males. Prostatectomy is a procedure for partial or complete removal of the gland. About 90,000 prostatectomies are performed annually in USA.
There are two types of prostatectomy like:
Prostatectomy is performed either under general anesthesia or general anaesthesia accompanied by intrathecal injection. Depending upon the procedure your doctor makes the incisions to operate.
Radical prostatectomy
Simple prostatectomy
Radical prostatectomy is indicated for males for the treatment of localized prostate cancer in addition to chemotherapy and radiation therapy.
Simple prostatectomy is used to help treat the symptoms of enlargement of prostate which include:
Before the surgery your doctor would like to run a few tests to measure the size of your prostate and evaluate your urine flow. To visualize your urethra and bladder your doctor might perform a cystoscopy. A set of routine blood tests might be ordered to check for your fitness for the surgery.
Your doctor would like to know about the medications that you’ve been taking and might ask you to stop taking some of them like blood thinners and over-the-counter pain relief medications. You are also requested to inform your doctor about any clotting disorder that you might have or have a family history of. The doctor would also like to know about allergy to any medications that you’ve experienced so far. About 12 hours before the surgery your doctor will ask you to stop ingesting solid meals and restrict yourself to a liquid diet. From the night before the surgery you will be advised to not ingest fluids too. Your surgeon may also prescribe a laxative or give you an enema kit to ensure that you have a clean bowel on the day of the surgery.
The risks of complications in simple open prostatectomy are more than those seen in the newer methods like Trans Urethral Resection of Prostate (TURP) or Holmium Laser Prostate Surgery (HoLEP).
After the surgery, you will be taken to the recovery room where your vitals will be monitored as the effect of the anesthesia wears off. You will also be administered pain medications via an intravenous. After the effect of anesthesia is over you will be encouraged to walk to prevent the formation of blood clots after the surgery. A catheter will be in place when you go home. Most men need the catheter for about 8-10 days. You are advised to arrange for someone to drive you home from the hospital as it is not advised to drive with the catheter in place. At home, you are advised to gradually resume your day to day activities. You will be able to return to the normal activity level in about four to six weeks. You are advised not to engage in strenuous activity until you doctor says it is okay to do so.