Question 1

hi, well basically i've been suffering with light lower abdomen and lower back pain with sudden stabbing perineal pain. what's going on?

Accepted Answer

Get checked.: We don't have enough information to figure out what's wrong.  How long have you had it?  Do you have problems urinating?  A fever? Diarrhea or constipation? If this has occurred for a couple of days and not gotten better, you need to be checked to be sure you don't have a serious infection.

Question 2

how common is it for somebody to get prostatectomy?

Accepted Answer

Very Common: Most frequent operation performed by urologists. Many urologists perform 2 - 10 opearations/week. Simple transurethral or sub-capsular open prostatectom for benign prostatic obstruction. Radical robotic, laparoscopic or open radical prostatectomy for cancer. Some of us feel that possibly too many men undergo radical prostatectomy. Always consider 2nd opinion before undergoing radical prostatectomy.

Question 3

how long is prostatectomy surgery?

Accepted Answer

Varies from person: Varies from person to person, but is usually three to four hours.

Question 4

how useful is radical prostatectomy?

Accepted Answer

For cancer yes: Used generally for Prostate cancer  as long as the disease is deemed curable by that method

Question 5

how effective is radical prostatectomy?

Accepted Answer

Complicated question: Radical prostatectomy (RP) can be very effective done properly, especially for cancers confined to the prostate gland (stage T2). It has been shown to reduce risk of metastasis and death in trials compared to no surgery. This is a topic of much debate centered on the fact that while effective if done properly, it may not be necessary for many men.  The benefits appear to accrue to younger men

Question 6

how are radical prostatectomy done in australia?

Accepted Answer

A few approaches.: Most radical prostatectomies in developed countries are done either as open radical prostatectomies or as robotic prostatectomies. Laparoscopic prostatectomy is less frequently performed, and open perineal prostatectomy is mostly no longer performed. Though the relative numbers of each differ from center to center and country to country, these are the surgical approaches available in australia.

Question 7

what is a normal psa reading after a prostatectomy?

Accepted Answer

Undetectable : After complete prostate removal, hopefully the PSA level remains zero.  The indisputable best use of PSA is post prostatectomy to rule out recurrence of the disease.

Question 8

what is the recovery time after a radical prostatectomy?

Accepted Answer

Varies. : After surgery, patients are admitted with a catheter in place & often a pelvic drain. Hospital stay is 1-2 days, & the drain is removed usually at discharge. The urinary catheter is removed at 5-7 days. Almost all men at this point will experience urinary leakage & erectile dysfunction, which improves with time. At 6 weeks, the incision site should be healed and all activity restrictions lifted.

Question 9

what is the definition or description of: radical prostatectomy?

Accepted Answer

Complete removal: Radical prostatectomy refers to complete removal of the prostate specifically for cancer. This also involves removal of the attached seminal vesicles and part of the vas deferens. It can be done with or without "nerve sparing" depending on anticipated severity of disease. Other forms of prostatectomy are typically subtotal (e.g., turp) intended for relief of symptoms of enlargement.

Question 10

what happens if the psa test shows more than 0 after prostatectomy?

Accepted Answer

Tissue remains: It may be that not all of the prostate tissue was removed. Many surgeons do a nerve sparing prostatectomy -- but this means that small amounts of prostate tissue may remain. Alternatively, if the level continues to increase, then there is a risk of metastatic disease, that should be further evaluated.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Perineal pain after prostatectomy

A member asked:

Hi, well basically i've been suffering with light lower abdomen and lower back pain with sudden stabbing perineal pain. what's going on?

A member asked:

How common is it for somebody to get prostatectomy?

A member asked:

How long is prostatectomy surgery?

A member asked:

How useful is radical prostatectomy?

A member asked:

How effective is radical prostatectomy?

A member asked:

How are radical prostatectomy done in australia?

A member asked:

What is a normal psa reading after a prostatectomy?

A member asked:

What is the recovery time after a radical prostatectomy?

A member asked:

What is the definition or description of: radical prostatectomy?

A member asked:

What happens if the psa test shows more than 0 after prostatectomy?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?