Targeted fascicular biopsy in a patient with prostate cancer
The prostate is a gland located underneath the bladder, in front of the rectum. It plays an important role in the part of the male reproductive system that produces fluids that carry sperm. Surgery for partial or complete removal of the prostate is called a prostatectomy. The most common causes for prostate surgery are prostate cancer and an enlarged prostate, or benign prostatic hyperplasia BPH.
Pretreatment education is the first step to making a decisions about your treatment. All types of prostate surgery can be done with general anesthesia, which puts you to sleep, or spinal anesthesia, which numbs the lower half of your body. The goal of prostate surgery also depends on your condition.
For example, the goal of prostate cancer surgery is to remove cancerous tissue. The goal of BPH surgery is to remove prostate tissue and restore the normal flow of urine. Open prostatectomy is also known as traditional open surgery or an open approach. Your surgeon will make an incision through your skin to remove the prostate and nearby tissues. Radical retropubic: Your surgeon will make the cut from your bellybutton to your pubic bone.
In most cases, your surgeon will remove only the prostate. But if they suspect Video Prostata-Operation cancer may have spread, they will remove some lymph nodes for testing. Your surgeon may not continue the surgery if they discover that the cancer has spread.
Radical perineal approach: Your surgeon will make a cut in the space between the rectum and scrotum. This is often done when you have other medical conditions that complicate retropubic surgery. This surgery takes less time than retropubic surgery, but there is a Video Prostata-Operation risk for erectile dysfunction.
Laparoscopic surgery is a minimally invasive approach to prostate Video Prostata-Operation. There are two main approaches for this kind of procedure as well:. Laparoscopic radical prostatectomy: This surgery requires multiple tiny cuts so the surgeon can insert small surgical instruments. Your surgeon will use a thin tube with a camera to see into the area. Robotic-assisted laparoscopic radical Video Prostata-Operation Some surgeries include a robotic interface. Video Prostata-Operation this type of surgery, the surgeon sits in an operating room and directs a robotic arm while viewing a computer monitor.
A robotic arm may provide more maneuverability and precision than the other procedures. According to a review of different surgery types for prostate cancer, the outcomes for open radical prostatectomy ORPlaparoscopic LRPand robotic-assisted prostatectomy RALRP are not significantly different. Also, people who choose RALRP report faster recovery in continence the ability to control the bladder and bowels and decreased hospital stay, in comparison to LRP.
What is a radical prostatectomy for prostate Video Prostata-Operation Prostate laser surgery primarily treats BPH without making any cuts outside of your body. Instead, your doctor will insert a fiber-optic scope through the tip of the penis and into your urethra. Laser surgery may not be as effective. Your doctor will use a long, flexible tube with a light and lens to remove parts of the prostate gland.
This tube goes through the tip of the penis and is considered less invasive. A urologist will cut pieces of your enlarged prostate tissue with a wire loop. The tissue Video Prostata-Operation will go into the bladder and flush out at the end of Video Prostata-Operation procedure. Transurethral incision of the prostate TUIP : This Video Prostata-Operation procedure consists of a few small cuts in the Video Prostata-Operation and bladder neck to widen the urethra.
Before you wake up from the surgery, the surgeon will place a catheter into your penis to help drain your bladder. Video Prostata-Operation catheter needs to stay in for one to two weeks. You may need to stay in the hospital for a few days, but generally you can go home after 24 hours.
Your doctor or nurse will also give you instructions on how to handle your catheter and care for your surgical site. Whatever type of surgery you had, the incision site will probably be sore for a few days. You may also experience:. These symptoms are normal for a few days to a few weeks after recovery. You may be advised to decrease activity levels, including sex. Signs that you may have infection include fever, chills, swelling, or drainage from the incision.
Call your doctor if your urine is blocked, or if the blood in your urine is thick or getting worse. Urinary problems : This includes painful urination, difficulty urinating, and urinary incontinence, or problems controlling urine. These problems typically go away several months after surgery. The chances of long-term ED increase if your nerves are injured. One UCLA study found that choosing a doctor who has performed at least 1, surgeries increases the chances of post-surgery recovery of erectile function.
A surgeon who is gentle and handles the nerves delicately also can minimize this side effect. Some men noticed a slight decrease in penis length due to the shortening of the urethra. Sexual dysfunction : You may experience changes in orgasm and loss in fertility. This is because your doctor removes the semen glands during the procedure. Video Prostata-Operation to your doctor if this is a concern for you. Other side effects: The Video Prostata-Operation of accumulating fluid in the lymph nodes lymphedema in the genital area or legs, or developing a groin hernia Video Prostata-Operation also possible.
This can cause pain and swelling, but both can be improved with treatment. Give yourself time to rest, as you may feel more tired post-surgery. To help with constipation, drink fluids, add fiber to your diet, and exercise. If your scrotum starts to swell after surgery, you can create a sling with a rolled towel Video Prostata-Operation lessen the swelling. There's a spectrum of treatments for prostate cancer. Deciding on the right approach should be a shared decision Video Prostata-Operation you and Video Prostata-Operation doctor.
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