Radical Prostatectomy

Radical prostatectomy is a surgical procedure aimed at removing the prostate gland and some of the tissue around it, including the seminal vesicles. This operation is primarily used to treat localized prostate cancer and is considered when the cancer is confined within the prostate gland, offering a potential cure for the disease.

Types of Radical Prostatectomy

There are several surgical approaches to performing a radical prostatectomy, each with its own benefits and risks:

Open Radical Prostatectomy: This traditional approach can either be performed through a retropubic (low abdominal incision) or perineal (incision between the anus and scrotum) route. The retropubic approach may also allow for pelvic lymph node dissection if there's a concern about cancer spread.
Laparoscopic Radical Prostatectomy: This is a minimally invasive technique where the prostate is removed through several small incisions in the abdomen using long instruments and a camera to guide the surgery.
Robotic-Assisted Laparoscopic Prostatectomy: Increasingly popular, this approach uses a robotic system controlled by the surgeon to perform the surgery through small incisions. The robotic system provides more precision, flexibility, and control than traditional laparoscopic instruments.

Indications

Localized Prostate Cancer: Ideal candidates for radical prostatectomy are men with cancer confined to the prostate gland, who are healthy enough for surgery, and have a life expectancy of at least 10 years.

Risks and Complications

Like all major surgeries, radical prostatectomy carries potential risks and complications:

Urinary Incontinence: Some men experience involuntary leakage of urine post-surgery, which often improves with time and pelvic floor exercises.
Erectile Dysfunction: Nerve damage during surgery can affect erectile function, though nerve-sparing techniques have reduced this risk.
Surgical Risks: Including bleeding, infection, and reactions to anesthesia.
Stricture: Narrowing of the urethra or bladder neck can occur, potentially requiring further treatment.

Recovery and Outcome

Hospital Stay: Typically, 1-2 days in the hospital post-surgery.
Recovery: Complete recovery and return to normal activities can take several weeks to a few months.
Follow-up Care: Regular follow-up appointments are necessary to monitor for signs of cancer recurrence through PSA tests and to manage any long-term complications.

Postoperative Care

Management of catheters, wound care, and gradual increase in activity levels are critical aspects of postoperative care. Patients are advised on pelvic floor muscle exercises to aid in the recovery of urinary control and given guidelines on how to manage erectile function post-surgery.

Long-Term Outcomes

Radical prostatectomy offers excellent long-term outcomes for patients with localized prostate cancer, particularly in terms of cancer control and survival rates. Decisions about the best surgical approach should be made in consultation with a urologist and based on factors like the stage and grade of cancer, prostate size, patient’s overall health, and personal preferences.

In the hands of experienced surgeons, especially with the advent of robotic technology, radical prostatectomy has become a highly effective treatment for prostate cancer with minimized risks and improved recovery times.

Choosing Dr. Saurabh Mishra for radical prostatectomy means entrusting your care to a dedicated professional who is committed to providing the highest standard of treatment for prostate cancer. His attention to detail and patient-centered philosophy make him a preferred choice for patients seeking expert surgical care

Dr. Mishra’s patients benefit from his extensive expertise in urological oncology, experiencing high rates of cancer control and positive quality-of-life outcomes. His commitment to employing the latest surgical innovations, coupled with a compassionate approach to patient care, ensures optimal outcomes for those undergoing radical prostatectomy.