Prostatectomy is a surgical procedure performed to remove all or a part of the prostate gland.
This is an elective procedure.
There are two types of prostatectomies:
Indications for removal of a prostate include:
There are no absolute contraindications for a Prostatectomy. Caution is advised before performing this procedure in individuals with severe bleeding disorders and cardiovascular disease.
Investigation tests that are done before performing a Prostatectomy are:
Preoperatively before the Prostatectomy procedure:
The Prostatectomy can be performed either laparoscopically with a robot or through an open incision in the lower abdomen.
Anesthesia: General anesthesia.
Duration: A Prostatectomy can take up to 2 hours.
This is a minimally invasive procedure. Several small incisions are made on the abdomen. Robotic-assisted instruments are inserted through these incisions. The surgeon controls the motion of the surgical instruments by viewing on a monitor that displays a magnified view of the surgical area. After the prostate is removed all the surgical instruments are withdrawn slowly and the incisions are closed with sutures. The laparoscopic approach has advantages over Open Prostatectomy and they include small incisions, less risk of bleeding, less risk of infection, and shorter recovery time.
The abdomen is cleaned with an antiseptic solution. A large single incision is made in the lower abdomen to access the prostate. The incision that is made to reach the prostate may be either retropubic, suprapubic, or perineal. In retropubic incision, the prostate is accessed through an incision made in the lower abdomen behind the pubic bone. In suprapubic incision, the prostate is accessed through the urinary bladder. In the perineal, the prostate is accessed through an incision made between the rectum and scrotum. After reaching the prostate, the prostate is removed carefully without injuring the surrounding blood vessels and nerves. One or two drains are left in place. The incision is closed with sutures and a sterile bandage is applied over the incision.
When the procedure is done for the treatment of prostate cancer, pelvic lymph node dissection and removal are also done to remove the affected lymph nodes.
Postoperatively after Prostatectomy:
Aftercare instructions of Prostatectomy:
Risks and complications after this procedure include:
The overall prognosis of Prostatectomy is good. It is an effective procedure in the treatment of prostate enlargement that leads to various urinary complaints.
A procedure is performed in a hospital setting. Laparoscopic Prostatectomy also requires at least a one-day stay in the hospital. The length of stay after an open Prostatectomy depends upon the medical condition of the individual.