Most Common Prostatectomy Prostate Surgery
Prostatectomy is the surgical removal of the prostate gland, usually carried out when treating a patient for prostate cancer. In most instances, the entire prostate is removed because of the risk of the cancer developing in other parts of it, and the difficulty involved in accurately removing just the precise amount of glandular tissue that is infected. In some cases, though, depending on how early the tumor was detected, certain small parts of the organ may be removed, especially by a qualified and experienced surgeon.
Most often referred to as radical prostatectomy, prostate cancer surgery may be carried out by an incision made in the lower abdomen of the patient, or by an opening through the perineum (the small patch of skin between the anus and the scrotal sac. The previous technique is referred to as a radical retropubic prostatectomy (RRP), and the latter radical perineal prostatectomy (RPP). A different or improved form of the procedure makes use of a laparoscope in order to reduce blood loss by making smaller incisions. This laparoscopic radical prostatectomy (LRP) allows also for quicker healing and shorter time spent in the hospital.
Prostatectomy is often administered with the intention of curing the patient of then prostate cancer. It is so effective against the early stages of the disease that most patients are assured of as much as ten years without relapse; some patients even make it to ten years and beyond. However there is one big problem with prostatectomy, which is also common with most of the other available interventions for prostate carcinoma ? impotence. Due to the sensitivity of the region, it is most difficult to carry out the operation without doing damage to some of the nerves and blood vessels in the area that control or somehow influence the ability of the patient to achieve an erection.
Erectile dysfunction does not imply the inability to achieve an orgasm; the man in fact still has sufficient penile sensation, but there just might not be any ejaculation by the time of orgasm. This is a problem that a lot of prostate cancer patients do not readily look forward to, but faced with the option of dying from the worst of the symptoms that prostate type of cancer can dish out, the choice is rather obvious.
There are other side effects from the procedure as well, the second most prominent being the loss of continence ? the inability to hold bladder fluid (urine). This often fades off after a short while (two to four weeks), leaving the man with up to 99 percent of continence. Along with radiation therapy, though, prostatectomy remains one of the best known treatments for prostate cancer? in the early stages.
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