(Prostate Gland Removal)
- Simple prostatectomy—removal of part of prostate
- Radical prostatectomy—removal of entire prostate and some surrounding tissue
|Anatomy of the Prostate|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Inability to control urinary stream (incontinence)
- Inability to get an erection (impotence) and other sexual difficulties
- Blood clots in the legs or lungs
- Injury to the rectum or other nearby structures
What to Expect
Prior to Procedure
- Physical exam
- Blood and urine tests
- Chest x-ray
- Electrocardiogram (ECG, EKG)—a test that records the heart's activity by measuring electrical currents through the heart muscle
- Ultrasound—a test that uses sound waves to visualize the inside of the body
- Bone scan or CT scan, if your doctor is concerned about a spreading cancer
Talk to your doctor about your medicines. You may be asked to stop taking some medicines up to one week before the procedure, like:
- Aspirin or other anti-inflammatory drugs
- Blood thinners, such as clopidogrel (Plavix) or warfarin (Coumadin)
- The night before, have a light meal. Do not eat or drink anything after midnight.
Description of Procedure
- Open surgery—incision is made in the skin to allow the doctor to see the prostate
- Laparoscopic surgery—only very small incisions are needed; the surgery is done with specialized tools and a tiny camera that is passed through the incisions
- Robot-assisted surgery—similar to laparoscopic with use of small incisions but the surgery is done with robotic tools that the surgeon controls
- Lack of access to the lymph nodes
- Higher risk of nerve damage
How Long Will It Take?
- Simple prostatectomy—2-4 hours
- Radical prostatectomy—2-4 hours
Will It Hurt?
- 7-10 days after open surgery
- 3-4 days after laparoscopic surgery
Average Hospital Stay
Take medicines as directed.
- Your doctor may give you antibiotics to prevent infection. Stool softeners may also be given to prevent constipation.
- You may need to take a medicine for several weeks to normalize your bladder function.
- For a while, you may need prescription pain medicines. You will then be switched to non-prescription pain relievers (such as acetaminophen) as needed. Avoid taking aspirin or aspirin-containing products.
- When resting in bed, keep legs elevated and moving. This will help to prevent blood clots from forming in your legs.
- To promote healing, resume normal activities as soon as possible.
- Drink plenty of liquids. Doing so will help to clear your bladder of urine and blood.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Wash the incision gently with mild soap and water.
- Do not drive unless your doctor has given you permission to do so. You may need to wait up to one month.
- Avoid vigorous exercise for six weeks after surgery.
- Resume sexual activity when able.
- Avoid caffeine, alcohol, spicy foods, or any other food or drink that might aggravate your stomach, intestines, bladder, or urinary tract.
- Be sure to follow your doctor’s instructions.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Nausea and/or vomiting that you cannot control with the medications you were given after surgery, or which persist for more than two days after discharge from the hospital
- Pain that you cannot control with the medicines you have been given
- Pain, burning, urgency or frequency of urination, or persistent blood in the urine
- Poor drainage from Foley catheter
- Abdominal swelling or pain
- Cough, shortness of breath, or chest pain,
- Headaches, muscle aches, dizziness, or general ill feeling
- New, unexplained symptoms
- Drainage from your incision
American Urological Association http://www.urologyhealth.org
Center for Prostate Disease Research US Department of Defense http://www.cpdr.org
National Kidney and Urologic Diseases Information Clearinghouse National Institutes of Health http://kidney.niddk.nih.gov
Canadian Prostate Cancer Network http://www.cpcn.org
Men's Health Centre http://www.menshealthcentre.net
The Prostate Centre http://www.prostatecentre.ca
Urology Resource Center Canada http://urologyresourcecentre.org
Griffith HW, Moore S, Yoder K. Complete Guide to Symptoms, Illness & Surgery. New York, NY: Putnam Publishing Group; 2000.
Le CQ, Gettman MT. Laparoscopic and robotic radical prostatectomy. Exper Rev Anticancer Ther. 2006;6:1003-1011.
Mitchell RE, Lee BT, Cookson MS, et al. Immediate surgical outcomes for radical prostatectomy in the University HealthSystem Consortium Clinical Data Base: the impact of hospital case volume, hospital size and geographical region on 48 000 patients. BJU Int. 2009 Aug 13. [Epub ahead of print].
Benign prostatic hypertrophy (BPH). EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/. Updated August 27, 2012. Accessed September 11, 2012.
Prostate cancer. EBSCO DynaMed website. Available at: https://dynamed.ebscohost.com/. Updated August 20, 2012. Accessed September 11, 2012.
General information about prostate cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/types/prostate. Accessed September 11, 2012.
6/2/2011 DynaMed's Systematic Literature Surveillance https://dynamed.ebscohost.com/about/about-us: Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med. 2011;124(2):144-154.e8.
- Reviewer: Adrienne Carmack, MD
- Review Date: 09/2012 -
- Update Date: 00/92/2012 -