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Description of Radical Prostatectomy

A radical prostatectomy is a procedure in which the prostate and surrounding tissues are removed to eliminate prostate cancer. During some procedures, tissue may also be removed from the pelvic lymph nodes.

  1. Anesthesia

    • Anesthesia can be given two different ways. The patient can be put fully to sleep or can be kept awake and numbed from the waist down.

    Procedure

    • The incision is made from the navel to the pubic bone. The surgeon must cut through the urethra to access the prostate. It is then reattached after the prostate is removed. The prostate must also be detached from the bladder.

    After the Surgery

    • After a radical prostatectomy, you will need to be hospitalized for several days. A catheter will be used right after the procedure. The day after surgery, you will be encouraged to move around.

    Risks

    • Some risks associated with this procedure are urinary and bowel incontinence, impotence and rectal injury.

    Prognosis

    • After a radical prostatectomy, the prognosis for the patient is good. Normally all cancer cells are removed and the patient will need checkups on a regular basis afterward to ensure the cancer has not reappeared.

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