Overview
An open prostatectomy is surgery to remove the prostate gland and nearby tissue (seminal vesicles) through one incision created over the lower abdominal region (perineum). In addition, the adjacent lymph nodes are also surgically removed.
A laparoscopic prostatectomy involves creating several tiny incisions and using narrow surgical tools to prepare for the resection of the prostate.
Indications
The possible indications for an open prostatectomy include the following
- Urinary retention (acute disorder): This refers to a type of disorder whereby the bladder is unable to be completely or partially empty. Types of medications, obstructions and problems with the nerves may contribute to the condition.
- Chronic urinary tract infections refer to a repetitive or chronic bacterial infection that occurs inside the urethra. These types of infections fail to respond to treatment and may have serious health implications when ignored.
- Bladder calculi (bladder stones) are crystallised urine deposits that build up inside the bladder. They develop when you struggle to relieve yourself completely and flush out the bladder fully.
- Haematuria (spots of blood in the urine), although it may arise for a number of reasons, is one of the signs of cancer. Blood in the urine may develop in any region of the urinary tract (urethra, kidneys or bladder).
How do you perform an open prostatectomy?
Radical Retropubic Prostatectomy: A skilled surgical procedure that involves creating an incision in the lower abdominal region that runs from the navel to the pubic bone. The surgeon gently and meticulously separates the prostate from nearby adjacent blood vessels and nerves. As a result, the prostate, along with its surrounding tissue, is removed, and the incision is closed.
Following the procedure, you will be provided with pain medication to manage any discomfort. It's important to start walking soon after surgery, under the guidance of your medical team, to reduce the risk of complications. This post-operative care is designed to support you through the recovery process.
FAQ
- Inability to control urine (urinary incontinence)
- Erectile dysfunction
FREQUENTLY ASKED QUESTIONS
What are considered concerning urological symptoms?
- A weak urinary stream
- Signs of bladder stones
- Difficulty urinating
- Pain
