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Doctor insights on: After Radical Prostatectomy

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What's penile shortening after radical prostatectomy?

What's penile shortening after radical prostatectomy?

From scar tissue: When you remove the prostate you are taking away a piece of the urethra and then sewing it back together. This can cause some scarring which may inhibit penile length for more: www.Peedoc.Com @thepeedoc. ...Read more

Dr. Michael Yu
39 doctors shared insights

Radical Prostatectomy (Definition)

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 ...Read more


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Could a man father children after radical prostatectomy?

Could a man father children after radical prostatectomy?

Not by intercourse.: During a radical prostatectomy, the prostate & seminal vesicles are removed, and disconnected from the vas deferens on both sides. There is no longer any ejaculate with orgasm. To father children, sperm must be recovered from the testis and ivf performed, or previously banked-sperm used. ...Read more

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For how long will I have incontinence after radical prostatectomy?

For how long will I have incontinence after radical prostatectomy?

Hard to tell: Your age and health partly determine this. The other factor is how well the surgery went. If your surgeon has done hundreds (preferably 1000s) of cases, you have a good chance to regain your continence within weeks to a few months. ...Read more

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Need expert advice. After radical prostatectomy is there chance for psa rise?

Need expert advice. After radical prostatectomy is there chance for psa rise?

Yes, ...: Some one third after radical prostatectomy(rp) may have "rising psa" over time, which suggests three potential conditions: local recurrence; microscopic spread to nearby tissues, notably regional lns; spread to far sites, such as spine, pelvis, ribs, and lungs. Remember: the report of no metastasis from bone scan and ct before rp does not guarantee no spread in 100% because these tests can not .. ...Read more

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After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer comes back?

After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer comes back?

It can: Risk of biological failure, when the psa blood test continues to increase or drops and then increases above what it originally was, is dependent on cells leaking outside of the prostate capsule. This risk is somewhat predictable based on original psa, t stage, and gleason score as well as how much tumor was in the prostate. Xrt after surgery tells me there was concern about leftover cells. ...Read more

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After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer come back?

After radical prostatectomy followed by radiation therapy in 3 months. Can the cancer come back?

Possibly: The risk of this depends mainly on the pathologic findings (ie, stage and gleason grade) at surgery as well as preoperative psa. There are "nomograms" or calculators of this risk available to estimate such risk. Nomograms.Mskcc.Org/prostate/salvageradiationtherapy.Aspx is one which you might find useful. ...Read more

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My dad (age 61) has aggressive stage 4 prostate cancer after radical prostatectomy, and will not get any treatment. How long is he likely to live?

My dad (age 61) has aggressive stage 4 prostate cancer after radical prostatectomy, and will not get any treatment. How long is he likely to live?

Here are some ...: Sorry to hear the sad news of your dad. Who decided not to get any Rx? Your dad or Doc or both? If Doc or both, he would be in the real terminal stage & hard to live longer than 4-6 months; if by himself & still fighting to live on, he may still have some existing strength to live > 6 months. So, ask Doc along the course of his last days of life so he may cope with such to preserve quality dignity ...Read more

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What is the recovery time after a radical prostatectomy?

What is the recovery time after a radical prostatectomy?

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. ...Read more

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Erections after a radical prostatectomy, should I be concerned?

Erections after a radical prostatectomy, should I be concerned?

You should be glad: If i understand, you're getting erections after you had your prostate taken out, just like you did before. That's a good thing. You're in no danger. ...Read more

Dr. David Samadi
93 doctors shared insights

Prostatectomy (Definition)

Prostatectomy generically refers to total or partial removal of the prostate gland by surgical or endoscopic means for benign or malignant conditions. More commonly it refers to radical prostatectomy, an operation to treat prostate cancer, though in the past, endoscopic prostatectomy (TURP) for enlarged prostate (BPH) was a more common operation ...Read more