Prostate removal, or prostatectomy, is a surgical procedure to remove all or part of a man's prostate gland. This procedure is performed to treat:
Prostate enlargement (benign prostatic hyperplasia, or BPH)
The prostate, a gland found only in males, is located under the bladder and in front of the rectum. It surrounds the neck of the bladder and the urethra, which is the tube that drains the bladder. In an adult man, the prostate is about the size of a walnut.
The prostate is one of three glands necessary for reproduction. The prostate produces a sticky, milky fluid of acids and enzymes. This fluid makes up about 15 percent of the total volume of the semen and helps to sustain the sperm cells that are created in the testicles. The prostate is surrounded by muscle, which contracts to ejaculate this fluid.
When the entire prostate gland is removed, the operation is called a radical prostatectomy. There are several ways in which this procedure is performed.
In a perineal prostatectomy, the prostate is removed through an incision between the scrotum and the anus. Nearby lymph nodes are sometimes removed through a separate incision in the abdomen.
In a suprapubic prostatectomy, the prostate (and sometimes nearby lymph nodes) is removed through an incision in the abdomen, just below the belly button. This method allows for the removal of more tissue and is used in cases of prostate cancer that may have spread.
Laparoscopic prostatectomy involves removing the prostate using a thin tube-like instrument called a laparoscope. The laparoscope is inserted through a small incision in the belly button and has a lighted camera on the end. Several more small incisions are made in the abdomen through which surgical instruments are passed.
Nice To Know:
Because laparoscopic prostatectomy involves smaller incisions, most men will have a shorter hospital stay and a faster recovery. There also is less blood loss with this technique. However, because this is a relatively new procedure, it is not available at all hospitals.
Nice To Know:
In a partial prostatectomy, only some of the prostate tissue is removed. This can be performed as a laser procedure, usually to treat prostate enlargement (benign prostatic hyperplasia), which can block the flow of urine. The procedure uses a laser beam to make cuts in or destroy part of the prostate tissue. Laser prostatectomy is considered experimental and may not be available in all hospitals.
Prostate removal can be an extremely effective treatment for prostate enlargement and prostate cancer. But it also is major surgery, and, as such, it carries certain risks and side effects. The two major problems experienced by men after prostatectomy are:
Incontinence (an inability to control urination)
Impotence (an inability to achieve an erection)
Both of these problems may be temporary and may go away with time. Effective treatments are available to help both incontinence and impotence.
Need To Know:
The chance of impotence has been substantially reduced with the development of "nerve-sparing" techniques, in which the nerve and blood supplies to the erectile tissues of the penis are meticulously preserved during surgery.