Prostatectomy is a surgical procedure that involves the removal of the prostate gland, either partially or completely. The prostate is a small gland located below the bladder in men and plays a role in producing seminal fluid. Prostatectomy is performed to treat conditions such as prostate cancer, benign prostatic hyperplasia (BPH), and chronic prostatitis.
Types of Prostatectomy
Prostatectomy procedures are categorized based on the extent of removal and the approach used:
Radical Prostatectomy involves the removal of the entire prostate gland and surrounding tissues, often used for treating prostate cancer.
Simple or Partial Prostatectomy removes only the part of the prostate causing urinary obstruction, commonly used for BPH.
Transurethral Resection of the Prostate (TURP) removes the inner part of the prostate through the urethra, a less invasive approach for BPH.
Why Is Prostatectomy Done?
Prostatectomy is performed for several reasons, including:
Treating prostate cancer by removing cancerous tissues.
Relieving urinary symptoms caused by an enlarged prostate (BPH).
Addressing chronic prostatitis when other treatments are ineffective.
Preparation for Prostatectomy
Preparing for a prostatectomy involves several steps to ensure optimal outcomes:
A thorough medical evaluation, including blood tests and imaging studies, is conducted to assess overall health.
Discussion with the surgeon regarding the procedure, expected outcomes, and potential risks is essential.
Medications such as blood thinners may need to be temporarily discontinued to reduce surgical risks.
Patients are advised to follow preoperative instructions, including fasting before the procedure.
Lifestyle changes, such as quitting smoking and maintaining physical activity, are recommended to support recovery.
A support system should be arranged to assist during the postoperative period.
Results and Recovery
The outcomes of prostatectomy depend on the type and purpose of the procedure. Robotic prostatectomy offers benefits such as less pain, reduced blood loss, and faster recovery compared to traditional approaches. Most patients can return to normal activities within four weeks, with minor limitations. For BPH treatment, simple prostatectomy provides long-term relief from urinary symptoms. Serious complications are rare, and follow-up treatment is generally unnecessary.