When Should Prostate Removal Be Performed?Monday, April 23, 2012 - 16:39
Prostate removal generally is performed for one of two reasons:
There are a variety of treatments for prostate enlargement (benign prostatic hyperplasia, or BPH). These treatments include medication and the use of lasers guided through the urethra to destroy excess prostate tissue.
Prostate removal is considered when:
prostate glandis greatly enlarged.
- There are significant complicating factors, such as obesity.
- The wall of the
bladderhas been significantly damaged and requires repair.
Need To Know:
Understanding TNM Staging
To determine TNM staging, a doctor looks at:
T staging goes from T1 to T4, with some sub-stages:
N staging goes from N0 to N1:
M staging goes from M0 to M1, with some sub-stages:
Based on TNM staging, men whose prostate cancer is in the following stages will most likely benefit from prostatectomy:
- Stage T1b disease, in which the pelvic lymph nodes show no evidence of the spread of cancer cells beyond the prostate gland.
- Stage T2 (a,b,c) disease, in which the cancer is larger but still is confined to the prostate gland.
What To Consider When Selecting A Surgeon
The effectiveness of the surgery is related to the surgeon's education, training, and experience. Constant practice is required to maintain effective surgical skill levels.
The patients of surgeons who perform only a handful of prostatectomies each year generally have more complications than patients of surgeons who perform more than 100 prostatectomies each year.
For this reason, it's a good idea to ask your potential surgeon about the number of prostatectomies he or she performs.