March 9

Prostate Cancer Surgery Options That You Have


Prostate cancer occurs in the prostate, a walnut-shaped gland that plays a vital role in the male reproductive system. Prostate cancer is one of the most common types. It grows slowly and is mainly confined to the prostate gland without causing any serious harm. However, some types of prostate cancer may not need any treatment; others are aggressive and spread quickly. The ones which can be detected early are treated successfully. It may not show any signs in the early stages, making it difficult to see easily.

Sometimes, prostate cancer becomes so advanced that it may require surgery to remove a part or complete prostate. There are treatment options for prostate cancer that varies accordingly.

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Prostate cancer surgery

A cancer specialist recommends prostate cancer surgery in Sarasota keeping several factors in mind, including age, health, and the stage. Not every man with prostate cancer receives surgery.

Prostate cancer grows slowly, so doctors do active surveillance if there are no significant symptoms. Watchful waiting is often done in older men who cannot have treatment for various reasons. Surgery is only recommended if it is the last option and is necessary.

Active surveillance includes conducting regular tests for identifying the growth of the cancer cells and whether there is a need for treatment.

Types of surgery

There are three types of prostate cancer surgery: radical prostatectomy, pelvic lymphadenectomy, and transurethral resection of the prostate (TURP). Each one of them is discussed in detail below:

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Radical prostatectomy This kind of surgery benefits those men whose health is in good condition except for cancer. However, if the prostate cancer has spread outside, this might not be a suitable surgery.

The surgeon removes the entire prostate gland with cancerous cells in a radical prostatectomy. The seminal vesicles might also be removed. In radical prostatectomy, there are subtypes including:

  • Retropubic prostatectomy

The prostate is removed by making an incision on the abdomen wall. The nearby lymph nodes are also removed with the same incision to reduce the risk of spreading cancer cells.

  • Perineal prostatectomy

The surgeon removes the prostate gland by incision between the anus and testicles. The lymph nodes are removed through a separate incision.

  • Laparoscopic prostatectomy
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The surgeon makes five or six incisions in the abdomen. The procedure is performed by hand, with a camera and lighted tube to help.

  • Robotic prostatectomy

The surgeon uses the computer to control the automated tool with four arms. In this, the laparoscopic procedure is performed by a robot.

The type used depends on the expertise and the resources of the hospital.

 Risk and side effects

The side effects of TURP are the following:

  • Retrograde ejaculation – semen flows into the bladder, not in the penis
  • Erectile dysfunction
  • Urinary incontinence
  • Urethral stricture

Radical prostatectomy comes with risks that include:

  • Bleeding
  • Injury to nearby organs like nerves and bowels
  • Infection
  • Blood clots
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The side effects include urinary incontinence and erectile dysfunction.

  1. Pelvic lymphadenectomy

This procedure is carried out before performing radical prostatectomy to check if intensive surgery is required.

The surgeon removes the lymph nodes from the pelvis. Some of the nodes are taken to biopsy to check the cancerous cells. A radical prostatectomy might be needed if the biopsy confirms the cancerous cells.

  1. Transurethral resection of the prostate (TURP) 

This surgery doesn’t cure cancer but helps resolve the issues arising in passing out of urine. This happens in the case of an enlarged prostate which presses against the urethra, reducing the opening.

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TURP is performed under general anesthesia. A thin metal tube is passed through the penis to the urethra with a camera attached to it.

The surgeon inserts a small loop of wire through the tube to remove the parts of prostate tissue by applying heat. To flush away the removed tissue, fluid is passed through the bladder.



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