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What Is Prostatectomy?

Prostatectomy is the surgical removal of the prostate gland. In some cases, the surgeons extract the complete gland. However, in other cases, partial removal is considered enough. This procedure can be performed through open, laparoscopic, or robotic techniques, depending upon the requirement of the case. The prostate gland is located in the male pelvis, right below the urinary bladder. This gland surrounds the urethra, and its chief function is to produce a fluid that nourishes the semen and transports it.

Conditions like prostate cancer and benign prostatic hyperplasia or BPH are generally corrected through this procedure. Get in touch with Pristine Care’s expert urologists to get advanced prostatectomy surgery at cost-effective prices.

USFDA Approved Procedures

USFDA Approved Procedures

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No Cuts. No Wounds. Painless*.

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1 Day Procedure

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Best Doctors For Prostatectomy

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Best Clinics For Prostatectomy

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    Pristyncare Clinic image : No A 24  Hauz Khas Delhi Delhi - Delhi

    Pristyn Care Hauz Khas

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    Pristyncare Clinic image : Plot No. 86, RTC Colony Trimulgherry Secunderabad Hyderabad Hyderabad -...

    Pristyn Care Secunderabad

    Plot No. 86, RTC Colony Trimulgherry Secunderabad Hyderabad Hyderabad -...

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    Pristyncare Clinic image : No B 6, Jayesh Apartment Chandavarkar Road Borivali West Mumbai...

    Pristyn Care Borivali West

    No B 6, Jayesh Apartment Chandavarkar Road Borivali West Mumbai...

  • 4/5
    Pristyncare Clinic image : SCO 309, 2nd Floor Sector 29, Huda Market Road Huda...

    Pristyn Care Huda Market

    SCO 309, 2nd Floor Sector 29, Huda Market Road Huda...

Pristyn Care - Best Hospital For Prostatectomy?

Pristyn Care - Best Hospital For Prostatectomy?

Pristyn Care curates an all-around surgical experience for patients through its partnership with the best Prostatectomy hospitals in the country. The treatment hospitals have world-class infrastructure, marked by state-of-the-art technology and all amenities. The properties are well-maintained and the non-medical staff, in addition to Pristyn Care’s dedicated team, take all measures to keep the patient at ease throughout.

The urologists are highly-trained in performing advanced prostatectomy procedures to ensure minimal surgery discomfort and hassle-free recovery. They constantly level up their treatment techniques through advanced training sessions. Also, they offer specialized care to the patient while being absolutely compassionate towards the patient. Book your appointment with our urologists today.

What Are The Different Types of Prostatectomy?

What Are The Different Types of Prostatectomy?

Prostatectomy is generally divided into: 

Radical prostatectomy

This method involves the removal of the entire prostate gland, in addition to the surrounding tissues and lymph nodes. It is usually recommended to patients with prostate cancer, and the risk of metastasis is present. 

Simple prostatectomy

This procedure involves the removal of the affected part of the prostate that is obstructing the urethra. This procedure is preferred in the case of BPH. The risk of complications associated with open prostatectomy is much higher, and the recovery period is also much longer. Therefore, that procedure isn’t widely performed.

What happens in the surgery?

What happens in the surgery?

Diagnostic Tests: 

The doctor might suggest the following tests before prostatectomy surgery: 

Digital rectal exam (DRE)

In this test, the surgeon inserts a gloved and lubricated finger in the rectum to look for any abnormal growths and the prostate gland’s shape, size, and texture. This helps the surgeon assess the extent of the condition. 

Prostate-specific antigen (PSA) test

This is one of the most accurate and reliable tests for prostate pathology. When the prostate is enlarged, the amount of PSA (a protein made by the prostate gland) increases. Its concentration depends upon the severity of the condition. 

Cystoscopy

In this test, the doctor inserts a visual scope into the urethra and bladder to determine the prostate gland’s size. This is generally performed before the surgery. 

Ultrasound

An ultrasound for prostatectomy involves inserting a small probe into the rectum. It produces images of the gland that help doctors determine the exact shape and size of the prostate gland. 

Magnetic Resonance Imaging (MRI)

MRI scans give a more detailed picture of the prostate gland. It is generally suggested if the doctor suspects aggressive prostate cancer. 

Prostate Biopsy

This is the most accurate test for confirming the presence of prostate cancer. In this test, the doctor collects cells from the prostate cells and studies them under a microscope to determine their cellular structure and confirm or rule out prostate cancer. 

Preparation

Being prepared before prostatectomy surgery helps in having a seamless surgery, and even lowers the risk of complications during and after the surgery. Here are a few things that you should take care of before a prostatectomy: 

  • Keep your bowel clean and empty before the surgery. 
  • Take care of your dietary habits and make modifications in what you eat as directed by the doctor. 
  • The doctor might ask you to do a bowel prep. This includes using laxatives and enemas to clear out the bowel. 
  • If you smoke, it’s better to stop it about 2 weeks before the surgery. Smoking delays the healing and recovery process. The doctor might also suggest ways to quit smoking. 
  • Talk to your doctor about the medicines you’re taking, as some medicines can affect the effectiveness of the surgery. The doctor might ask you to discontinue certain medicines for a few days before the surgery. 

 

  • Procedure

The prostatectomy procedure varies based on the type of technique being used, such as: 

Laser Prostatectomy: Laser prostatectomy has several advantages over other techniques, such as it has a lower risk of bleeding, requires short hospital stay, ensures quicker recovery, and so on. In this technique, the doctor inserts a scope through the urethra. A laser is passed through the scope, which delivers energy that shrinks or removes the excess tissue from the enlarged prostate and relieves the symptoms. 

Robot-assisted Radical Prostatectomy: This is the most advanced prostatectomy technique, which is performed widely now. In this procedure, the surgeon sits on a remote-control console placed at a distance from the operating table. The motion of the equipment is controlled with two hand-and-finger control devices. The doctor gets a magnified, 3D view of the area to be operated on, which allows them to perform the procedure with greater precision. The surgeon can make smaller and much more accurate incisions, which allows quicker recovery than other methods. This technique involves nerve-sparing methods that help preserve sexual potency and continence in the patient. 

Open Radical Prostatectomy: In this technique, the surgeon makes incisions in your lower abdomen, right above your pelvic bone. Upon accessing the prostate gland, the surgeon carefully dissects it from the surrounding nerves and blood vessels. Finally, the gland is removed along with the nearby tissue, and the incision is sealed with sutures. 

Open Simple Prostatectomy: The first step of this procedure involves inserting a long and flexible cystoscope (a viewing scope) through the urethra to the bladder and prostate area. Then, the doctor inserts a tube called a Foley Catheter through the tip of the penis, which reaches your bladder to drain it all the urine.

Next, the surgeon will make a large incision below the belly button, right below the navel, and above the pelvic bone to extract the problematic parts of the prostate gland. The final step involves placing some temporary drain tubes through punctures in the skin near the surgery site. These tubes are removed before discharge.

Recovery & After Care

Recovery & After Care

  • After the procedure, you’ll be given prescription pain pills to take once the IV is removed.
  • The doctor will help you walk on the day of the surgery, in addition to teaching you some foot exercises to do on the bed. 
  • If the doctor thinks you’re fit to go back home, they will take the pelvic drain out and prepare you for discharge on the same day. However, you might have to return to get the staples removed. 
  • You’ll return home with a catheter in place. Most men need a urinary catheter for seven to 10 days after surgery. Full recovery of urinary control can take up to a year after surgery.

Taking some precautionary measures after the surgery will help you recover much faster. Here’s what you can do to boost your recovery: 

  •  Resume your activity level slowly. You’d be able to get back to your routine within a week or two of the surgery. 
  • See your doctor regularly to rule out any postoperative complications. We suggest seeing the doctor every three months for the first year of the surgery. 
  • Avoid driving for at least a week after the procedure. Start driving only after your urologist approves of it. 
  • Do kegel exercises regularly. 
  • Resume sexual activity only after recovering from surgery. After a simple prostatectomy, you will ejaculate with little to no semen but still have an orgasm. In radical prostatectomy, complete recovery of erectile function can take 18 months or longer. 

What are the risks of prostatectomy?

What are the risks of prostatectomy?

Like any other surgery, prostatectomy has its fair share of risks. Listed below are some risks associated with prostatectomy:

  • Bleeding
  • Urinary incontinence
  • Urinary tract infection (UTI) 
  • Erectile dysfunction
  • Narrowing of the urethra 
  • Development of lymphoceles (cysts containing lymph)

What Are The Benefits of Prostatectomy?

What Are The Benefits of Prostatectomy?

Prostatectomy has the following benefits:

  1. It removes cancer cells from the body permanently as the prostate tissue and surrounding structures are completely removed. 
  2. This procedure gives the patient a relief from the various urinary symptoms of BPH, such as: 
  • Frequent urge to urinate, especially at night
  • Difficulty in maintaining urinary stream
  • Frequent Urinary tract infections
  • A feeling of fullness in the bladder, etc.

The urologists at Pristyn Care perform prostatectomy procedures with the utmost precision to ensure there are no postoperative complications. They are extensively trained in performing advanced prostatectomy treatments and take all safety measures to keep the risk of complications minimal. 

FAQ Around Prostatectomy Surgery

How painful is a prostatectomy?

It depends upon the type of procedure being performed. Generally, Prostatectomy procedures aren’t painful as they are performed under anesthesia. However, patients might experience mild discomfort after the procedure. It is usually manageable with medicines.

Who needs a prostatectomy?

Prostatectomy is generally performed to treat localized prostate cancer. However, it may also be suggested to patients suffering from other prostate issues such as BPH, etc.

Is prostatectomy covered under insurance?

Yes. Prostatectomy becomes necessary in cases of cancer and other conditions that can hamper a person’s well-being and lead to life-threatening complications. Therefore, this surgery is covered under insurance. But, the insurance coverage offered depends entirely upon the terms and conditions of the policy provider. 

Which is the best prostatectomy technique?

There’s no definite answer to this. The technique used to perform prostatectomy depends upon different factors and the requirements of each case. In some cases, laser surgery might produce the best results. However, in the rest, open surgery might be necessary.

Our Patient Love Us

  • Upendra

    Treatment: Prostatectomy

    5/5

    Hassle free...amazing team...took care of everything from hospitalization to discharge...even insurance formalities was done by them...very very helpful...sent to a best surgeon....so professional and polite...well done team...I will recommend to everyone as no need to worry for anything....

    City: Gurgaon 2 months ago
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