The prostate is male reproductive gland and is responsible for producing the fluid that carries sperm in times during ejaculation. Surrounding urethra, trough which urine passes out of the body, in same cases gland grows bigger, pressing it, and causing bladder and urination problems. This state is called Prostate enlargement or Benign prostatic hyperplasia - BPH, and happens to almost all man in their older age. Half of man will experience prostatitis (infection) of prostate even once in their lifetime.
Based on the severity of your symptoms, various treatments can be recommended, from lifestyle changes, medications, and in some cases, even surgery.
In case of surgery, procedure is called Radical prostatectomy. This procedure is usually used in cancer cases, when cancer is not spread outside of prostate (stages I and II), and it is in early stage. There ate typically two types of performing this surgery; laparoscopic surgery and open surgery.
In case of laparoscopic surgery, an instrument called a laparoscope in inserted through small incision in the belly. Then surgeon removes your prostate through incision. This procedure is relatively new, and patient better respond to it, because of less blood loss, and recover faster. This procedure is still relatively new, and it can be also performed by robotic-assisted laparoscope. Goal of this type of radical prostatectomy is to remove all of prostate, and is it used especially in cases of cancer or just the parts of tissue affected by cancer.
In case of open surgery, surgeon also makes incisions, either on groin between the scrotum and anus, or on lower belly. He than removes the prostate, together with the parts of lymph nodes, which are used latter to test for cancer 1.
Radical prostatectomy is usually requires general anesthesia, and 2-4 days hospital recovery time. You will be need catheter (flexible tube that is inserted in your bladder), for 1-3 weeks, together with instructions about post operative care and annual check up with your doctor, especially in cases of cancer. This may include:
-digital rectal exams
-biopsies, in cases of something is suspected on the tissue
-specifics set of tests (like PSA – prostate-specific antigen test), to determine speed of PSA level changes, etc.
If detected on time, radical prostatectomy lowers the risk of cancer spreading or growing. You can expect a years of normal life in that case, after successful surgery.
There are some post-operative problems and possible complications, which you may experience after the prostatectomy procedure. These complications may include:
-some level of damage to the rectum
-damage to the urethra
-urinary incontinence (up to 50% of men in post-operative period of 1 year, experience to some degree, problems with urinary incontinence, from occasional dribbling to urinary pads)
-erection problems (up to 80% of men in post-operative period, depending of their age – older men over 60 years – while younger men can restore their ability to have erections).