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Doctor insights on: Partial Prostatectomy

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What are prostatectomy options?

What are prostatectomy options?

Several: 1) don't have it, get radiation, cryo, hormones or do watchful waiting.
2) open
3) laprascopic
4) robotic (davinci) assisted lap
5) perineal (not a lot of people do this). ...Read more

Dr. David Samadi
97 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


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Do a lot of people get prostatectomy?

Do a lot of people get prostatectomy?

Plenty ?too many: Hundreds of thousand of men are getting radical prostatectomies, either robotically, laparoscopically or by open surgery. Many of themcould be managed conservatively by observation, radiation therapy or hormone therapy. Thousands are still getting prostatectomies for bph, mostly cystoscopically & some by open, although many first treated with medication such as proscar, flomax, (tamsulosin) cardura, Hytrin etc. ...Read more

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What are reasons for a prostatectomy?

What are reasons for a prostatectomy?

Cancer and BPH: Cancer is the main reason for prostatectomy. Benign enlargement of the prostate can usually be treated by removing chips of the gland with an instrument passed up through the urethra, called transurethral prostatectomy. ...Read more

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Where do I go to get a prostatectomy done?

What kind needed: Radical prostatectomy for cancer may or may not be optimal procedure for you depending upon age, grade and extent of tumor. Consider 2nd opinion and ask multiple nurses or doctors whom they recommend as surgeon. Select urologist whose name recurs + performs at least 50/year. BPH is ideally treated by transurethral resection unless prostate is huge, in which case open surgery might be optimal. ...Read more

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What is the best technique for prostatectomy?

What is the best technique for prostatectomy?

Avoiding surgery?..: First have a long discussion with a non-surgeon about risk benefit of surgery.

http://well.blogs.nytimes.com/2012/07/18/questioning-surgery-for-early-prostate-cancer/?ref=health

some surgeons have better outcomes with robot, others do not.
Ask your surgeon to show you their data. ...Read more

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Is there any pain involved in a prostatectomy?

Is there any pain involved in a prostatectomy?

Yes: Unfortunately all surgical procedures have pain associated with them. Both open and robotic approaches have some degree of pain though robotic has typically less. Fortunately, the pain is typically tolerable with either approach. ...Read more

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How common is it for somebody to get prostatectomy?

How common is it for somebody to get prostatectomy?

60,000 men a year: Make sure you need it.Many men die with their prostate cancer rather than from it. ...Read more

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Do lots of people get prostatectomy, or is it unusual?

Do lots of people get prostatectomy, or is it unusual?

Lots: Treatment of prostate cancer should be tailored to the patient. There is no right and a few wrongs. Prostatectomy is good if you have >10 years to live and are comfortable with the risks vs benefits. For more info @thepeedoc www.Peedoc. ...Read more

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What is the definition or description of: prostatectomy?

What is the definition or description of: prostatectomy?

Prostate surgery: 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 than it is today. ...Read more

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How long until i fully recover after getting a prostatectomy?

How long until i fully recover after getting a prostatectomy?

6 weeks: Complete healing takes about 3 months after a radical prostatectomy. Sexual function, if preserved, may take up to one year. Continence may take up to 6 months, but you should be feeling pretty good about 6 weeks post surgery. ...Read more

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Will I get any medicine for pain when I go for the prostatectomy?

Will I get any medicine for pain when I go for the prostatectomy?

Yes: This surgical procedure done in different ways most of them you will given pain medications for it. ...Read more

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63 yr old with ED from prostatectomy any procedures availabe to correct problem?

63 yr old with ED from prostatectomy any procedures availabe to correct problem?

Meds vac or implant: Medication such as viagra (sildenafil) or Cialis are first line of treatment. Then consider a vacuum device otherwise implantation of a testicular prosthesis. Prostheses are placed within the corporal rods of the penis and come either inflatable or semi-rigid. ...Read more

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How long is prostatectomy surgery?

How long is prostatectomy surgery?

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

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Do people with prostatectomy have a lot of pain?

Do people with prostatectomy have a lot of pain?

Not usually: Pain is not typically a prominent feature of prostatectomy (assuming you mean radical prostatectomy for prostate cancer). Pain may be slightly less with minimally invasive (robotic) approach vs. Traditional open surgery, but perhaps discomfort is a better term in either case. Significant pain may be a potential cause for concern. ...Read more

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Please help! what is the difference between prostatectomy and thyroidectomy?

Please help! what is the difference between prostatectomy and thyroidectomy?

2 different glands!!: Prostate near urethra behind pubic bone;
thyroid just above sternal notch in neck;

..Ectomy means 'removal of'. ...Read more

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How long would it take until anesthesia passes (when would he wake up) after a prostatectomy?

How long would it take until anesthesia passes (when would he wake up) after a prostatectomy?

5 Minutes: Most patients are awake almost immediately after anesthesia. However, the effects last several hours making the patient's sleepy and groggy. Often patients have no memory of being in recovery room, and this is the lingering effects of the anesthesia. This situation is compounded by the pain medications/narcotics that you will have after the surgery. ...Read more

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Prostatectomy, how long before i can get an erection if the nerves were spared and why so long a recovery?

Prostatectomy, how long before i can get an erection if the nerves were spared and why so long a recovery?

Prostatectomy: It may take up to two years, in younger males it may be less. Sparing the nerves does not guarantee that you will get erections. ...Read more

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What to do about prostatectomy, how long untill I can get an erection if the nerves were spared and why so long a recovery.?

What to do about prostatectomy, how long untill I can get an erection if the nerves were spared and why so long a recovery.?

Here are some ...: What you referred to is radical prostatectomy (RP) for prostate cancer (P-Ca), which can be done with nerve-sparing techniques, but not always resulting in the outcome as commonly wished due to multiple intraoperative factors such as surgeon's proficiency and anatomical variations. As a result, inevitable direct or indirect injury to pudendal nerve & vessels may occur. ...Read more

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I had a radical retropubic prostatectomy about 4 years ago and now have developed peyronies disease. Could there be a link between them?

I had a radical retropubic prostatectomy about 4 years ago and now have developed peyronies disease. Could there be a link between them?

Peyronies: 4 years after the surgery, it is unlikely that the new onset of peyronies disease is related. The only exception i can imagine is if you are using tri-mix injections for ed, scars may have formed at repeated injection sites. ...Read more

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How useful is radical prostatectomy?

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

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How effective is radical prostatectomy?

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 ...Read more

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How well does radical prostatectomy work?

How well does radical prostatectomy work?

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 ...Read more

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How are radical prostatectomy done in australia?

How are radical prostatectomy done in australia?

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. ...Read more

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What is a normal psa reading after a prostatectomy?

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. ...Read more

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Do doctors see a lot of patients with prostatectomy?

Do doctors see a lot of patients with prostatectomy?

Yes: Urologist see many patients needing prostatectomy. For more info @thepeedoc www.Peedoc. ...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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Does having a complete prostatectomy lower a mans sexual drive?

Does having a complete prostatectomy lower a mans sexual drive?

No, but . . .: Prostatectomy shouldn't affect libido or sex drive b/c testosterone levels shouldn't be affected. For that matter, his relationship w/his partner, worries about money, job, family/friends, etc shouldn't change, nor his overall health, eg diabetes, blood pressure, cholesterol, depression, or lifestyle choices, eg smoking & excess alcohol consumption, shouldn't change, thus sex drive should be same. ...Read more

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What is the definition or description of: radical prostatectomy?

What is the definition or description of: radical prostatectomy?

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. ...Read more

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

Psa: This is called a psa recurrence and you need to discuss with utolohist. ...Read more