The prostate lies below the bladder and in front of the rectum of men. It is a walnut-shaped gland. It handles the production of fluid for semen, which contains sperm. Also, it prevents the urine from going with the ejaculation. However, if this gland has issues, it may bring further problems to the body. Also, prostatectomy refers to the procedure of removing the prostate. Doctors suggest this treatment for men who have problems in the prostate like cancer.
1. Prostate Biopsy
It is important to undergo this biopsy first. Hence, surgeons will get a sample of tissue from the prostate gland. By doing so, they will know if there is cancer or abnormal cells in it.
2. Radical Prostatectomy
In this treatment, surgeons will remove the entire prostate gland. Also, it will remove the surrounding lymph nodes. Doctors use this practice for men with localized prostate cancer.
3. Treatment for Benign Prostatic Hyperplasia
BPH is when the gland grows too big. There are several types of prostatectomy to treat BPH. Examples are:
- Transurethral prostatectomy. Doctors use this method for the prostate with a volume of less than 75g.
- Open prostatectomy. Surgeons do this for men with larger prostate and in a place where they lack new technology. Also, there are two methods for this surgical approach. The first method is the incision in the lower abdomen. The incision may be retropubic or suprapubic prostatectomy. The second method is an incision in the skin between the scrotum and the rectum (perineum).
Moreover, in the suprapubic prostatectomy, surgeons remove the enlarged central part of the prostate. This practice is different from RP because it is for the gland with no cancer.
The procedures above entail risks.
- Urinary tract infection (UTI)
- Lack of control in urinating.
The person gives off urine even if he does not want to.
- Erectile dysfunction (ED)
A man may not get or keep his part firm during sexual intercourse.
- Narrowing of the bladder neck or urethra
- Formation of cysts with lymph
- Dry orgasm
5. Tests Before the Surgery
The doctor may suggest a test before surgery. Therefore, it includes looking inside the urethra and bladder. Hence, they will check the size of the prostate and check the urinary system. Additionally, other tests like a blood test may help.
6. Fasting Before the Surgery
The doctor will ask you to skip eating or drinking after midnight. In the morning, you may take the given medicines with a small sip of water.
Also, you will receive a kit and instructions to clear your bowels.
7. Asleep During the Procedure
The method takes about two hours. Therefore, surgeons will give general anesthesia to you. In that period, you are asleep and will not wake up due to the surgery.
8. After the Surgery
The doctor decides how long you will stay in the hospital. Think of how you will go home as you may not be able to drive after the procedure. Other things to expect are:
- IV medications
- Prescription pain pills
- Going home with a catheter
The catheter is a soft hollow tube. It passes into the bladder to drain urine. You may need it for 7 to 10 days after the surgery.
- Avoid lifting heavy things and doing extreme work.
- Returning to the doctor after 1 or 2 weeks.
You must see your doctor to make sure that things go well in your body. Most men visit their doctor after six weeks. And for the first year, it will be every three months. In the second year, you may visit him twice. Tell your doctor if you have concerns or if you feel anything odd in your body.
- Sexual activity is not like before.
You may still have an orgasm. But you will give off very little or no semen at all.
9. 4 to 6 Weeks of Recovery
After 4 to 6 weeks, one can go back to their normal routine. Upon this treatment, there are many things to think of. Such things are the risks, side effects, and how you will live after it. An example of major surgery with serious risks is transurethral prostatectomy. It will relieve the signs of the illness that you have. Undergo surgery if you are in the early stage, younger than 70 years old, and healthy.