It remains in place for about a day to help urine drain while the prostate heals. You can usually leave the hospital after 1 to 2 days and return to normal activities in 1 to 2 weeks.
Other possible side effects from TURP include infection and any risks that come with the type of anesthesia used. The risks with any type of radical prostatectomy are much like those of any major surgery. Problems during or shortly after the operation can include:. Rarely, part of the intestine might be injured during surgery, which could lead to infections in the abdomen and might require more surgery to fix.
Injuries to the intestines are more common with laparoscopic and robotic surgeries than with the open approach. If lymph nodes are removed, a collection of lymph fluid called a lymphocele can form and may need to be drained. In extremely rare cases, a man can die because of complications of this operation. Your risk depends, in part, on your overall health, your age, and the skill of your surgical team. The major possible side effects of radical prostatectomy are urinary incontinence being unable to control urine and erectile dysfunction impotence; problems getting or keeping erections.
These side effects can also occur with other forms of prostate cancer treatment. Urinary incontinence: You may not be able to control your urine or you may have leakage or dribbling. Being incontinent can affect you not only physically but emotionally and socially as well. These are the major types of incontinence:. After surgery for prostate cancer, normal bladder control usually returns within several weeks or months.
This recovery usually occurs slowly over time. In general, older men tend to have more incontinence problems than younger men. Large cancer centers, where prostate surgery is done often and surgeons have a lot of experience, generally report fewer problems with incontinence. Incontinence can be treated.
To learn about managing and living with incontinence, see Bladder and Bowel Incontinence. Erections are controlled by 2 tiny bundles of nerves that run on either side of the prostate.
If you can have erections before surgery, the surgeon will try not to injure these nerves during the prostatectomy. This is known as a nerve-sparing approach. But if the cancer is growing into or very close to the nerves, the surgeon will need to remove them.
If the nerves on only one side are removed, you might still have erections, but the chance is lower than if neither were removed. Mayo Clinic urologists use advanced endoscopic techniques to address these symptoms without incisions in most cases.
Your surgical team will discuss the advantages and disadvantages of each technique, as well as your preferences, to determine which approach is best for you. At Mayo Clinic, the urologists who perform prostatectomy procedures have advanced training and extensive experience in all aspects of the surgery. Much of this expertise stems from the high numbers of patients treated: More robotic surgery is performed at Mayo Clinic than anywhere else in the world.
Additionally, Mayo's multidisciplinary approach ensures the lowest complication rates and delivers the best outcomes possible for people who have this surgery. Although simple prostatectomy works well at relieving urinary symptoms, it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures such as transurethral resection of the prostate TURP , laser PVP surgery or holmium laser prostate surgery HoLEP.
Before surgery, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder cystoscopy. Cystoscopy lets your doctor check the size of your prostate and examine your urinary system. Your doctor may also want to perform other tests, such as blood tests or tests to specifically measure your prostate and to measure urine flow.
Follow your doctor's instructions on what to do before your treatment. Here are some issues to discuss with your doctor:. Ask your doctor how long you'll be in the hospital. You'll want to arrange in advance for a ride home, because you won't be able to drive immediately following surgery. You may not be able to work or do strenuous activities for several weeks after surgery.
Ask your doctor how much recovery time you may need. Prostatectomy is usually done using general anesthesia, which means you're not awake during the procedure. Your doctor may also give you an antibiotic right before surgery to help prevent infection. During an open prostatectomy, one large incision is made in your abdomen left. During a robotic prostatectomy, several smaller incisions are made in the abdomen right.
Robot-assisted radical prostatectomy. Your surgeon sits at a remote-control console a short distance from you and the operating table and precisely controls the motion of the surgical instruments using two hand-and-finger control devices.
The console displays a magnified, 3D view of the surgical area that enables the surgeon to visualize the procedure in much greater detail than in traditional laparoscopic surgery. The robotic system allows smaller and more-precise incisions, which for some men promotes faster recovery than traditional open surgery does. Just as with open retropubic surgery, the robotic approach enables nerve-sparing techniques that may preserve both sexual potency and continence in the appropriately selected person.
Simple prostatectomy. At the start of the procedure, your doctor may insert a long, flexible viewing scope cystoscope through the tip of your penis to see inside the urethra, bladder and prostate area. Your doctor will then insert a tube Foley catheter into the tip of your penis that extends into your bladder to drain urine during the procedure. The location of incisions will depend on what technique your doctor uses.
If you also have a hernia or bladder problem, your doctor may use the surgery as an opportunity to repair it. Once your doctor has removed the part of your prostate causing symptoms, one to two temporary drain tubes may be inserted through punctures in your skin near the surgery site. One tube goes directly into your bladder suprapubic tube , and the other tube goes into the area where the prostate was removed pelvic drain. Make sure you understand the post-surgery steps you need to take, and any restrictions such as driving or lifting heavy things:.
Robot-assisted prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. You usually can return to normal activity, with minor restrictions, around four weeks after surgery.
Simple prostatectomy provides long-term relief of urinary symptoms due to an enlarged prostate. Although it's the most invasive procedure to treat an enlarged prostate, serious complications are rare. Most men who have the procedure generally don't need any follow-up treatment for their BPH. Explore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions.
If you're an older man with a slow growing prostate cancer, this type of surgery may not be necessary for you. This is because your cancer might grow so slowly that you're more likely to die of old age or other causes than from prostate cancer. You have the operation under general anaesthetic. This means you'll be asleep for the whole operation. Your surgeon removes the prostate gland, surrounding tissues and the tubes that carry semen seminal vesicles.
This is a radical prostatectomy. They might also remove nearby lymph nodes. This depends on how likely it is that you have cancer cells in your lymph nodes. Nerve sparing surgery is for early prostate cancer that is inside the prostate localised prostate cancer. This surgery aims to avoid the nerves that control erections. Your surgeon cuts the prostate tissue away from the nerve bundles without damaging them. If your cancer is growing close to the nerves, they'll have to remove them.
This is because your cancer won't be cured if the surgeon leaves cancer behind whilst trying to spare the nerves. Speak to your surgeon before the operation if you might have this type of surgery. During your operation your surgeon examines the prostate and surrounding area. They may take out some of the lymph nodes from the area between the hip bones pelvis. This is a bilateral pelvic lymph node dissection. Your surgeon takes out lymph nodes in case they contain cancer cells.
Taking the nodes out reduces the risk of your cancer coming back in the future. It also helps your doctor to decide what further treatment you may need.
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