Prostatectomy Treatment in Singapore

Prostatectomy is the operation performed to remove the prostate gland along with its surrounding tissues.  

This generally involves the seminal vesicles plus some surrounding lymph nodes. The goal of this treatment is to treat prostate cancer but that is possible only if cancer has not spread further than the prostate.  

During Prostatectomy, the extracted prostate observed with a microscope to check whether prostate cancer reached the prostate’s edge or not. If it has reached the edges then it has probably spread further as well, and so additional treatments are required in this case.  

Ideal Candidate for Prostatectomy

Prostatectomy treatment is an ideal resolution for men below the age of 75 plus who have a life expectancy of at least a decade or more. These people can get the most out of the Prostatectomy. 

At first, the risk of cancer’s spread is confirmed with the help of the results of the PSA level and the biopsy report. For more detailed testing, CT scans, MRI scans, bone scans, and ultrasound can be performed. 

 If the test reveals that cancer has not spread further than the surgeon might recommend other treatment options which include hormone therapy or radiation therapy, etc.  

Factors affecting the cost of Prostatectomy

Similar to the cost of other surgical treatments for cancer, the prostatectomy cost also varies from patient to patient depending on the severity and spread of cancer. 

  • Stage of cancer
  • Size of the tumor
  • Multiple body scans
  • Hospital and amenities cost
  • Others, such as accommodation, traveling, etc.

Hence there is an estimated range for the cost which is from $10,100 to $135,000 in the United States.

Treatment and Cost

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About the Prostatectomy

The prostate gland is present below the urinary bladder in men. It surrounds the urethra and produces fluid that helps in the movement of the semen. Prostatectomy is a surgery that involves total or partial removal of the prostate gland. It is commonly performed as a part of treatment for prostate cancer.

Types of Prostatectomy

Radical prostatectomy: This surgery involves the removal of the entire prostate gland along with the surrounding lymph nodes. The surgical techniques used to conduct radical prostatectomy include the following:

  • Robot-assisted surgery: In this technique, several small incisions are made in the lower abdomen to remove the prostate gland.
  • Open surgery: In this technique, an incision is made in the lower abdomen between the anus and scrotum to remove the prostate gland.
  • Laparoscopic: In this technique, special surgical tools are inserted in the lower abdomen to remove the prostate gland.

Open simple prostatectomy: This surgical procedure involves removal of just the affected part of the prostate gland and is recommended for men with the cancerous prostate gland or benign prostatic hyperplasia (BPH).

Indications

  • Prostate cancer
  • Urinary tract infection
  • Bladder stones
  • Hematuria

How is Prostatectomy performed?

Usually, general anaesthetic is given before the start of the procedure to make you unconscious. A spinal anaesthesia or an epidural anaesthesia will also be given, which causes numbness in the lower part of the body. Heart rate, blood pressure, and blood oxygen levels will be continuously monitored.

In retropubic surgery, the incision is made from the belly button to the pubic bone. In laparoscopic surgery, many small incisions are made through which a narrow tube (laparoscope) with a camera is inserted. The surgeon will see the internal structures on the monitor while performing the surgery. Robotic surgery is conducted in a few hospitals, where the surgical tools for the operation are used with the help of a robotic system. In perineal surgery, the incision is made in between the anus and the scrotum.

After making an incision, the prostate gland is removed and the incision is sutured. While removing the prostate gland, minor damage to the nerves is possible. The fluid is drained using a Jackson-Pratt drain. A catheter is inserted to drain the urine from the bladder.

The prostate-specific antigen (PSA) levels after radical prostatectomy are usually 0 after a month of the surgery. However, the PSA levels could be low in some patients even after the surgery. This is because some normal tissue is left behind even after the surgery.

Recovery from Prostatectomy

 

  • You will be moved from the operation theatre to the recovery room after the surgery.
  • Your physician monitors blood pressure, pulse rate, and respiratory rate and then shifts you to the general room.
  • Pain medications will be given to control the pain.
  • You will be allowed to do minimal exercises to increase the blood flow.
  • You will be discharged along with the catheter which will be in place for 5-10 days.  
  • You need to gradually increase your normal daily activity.
  • You can resume your sexual activity after 6-8 weeks of the procedure.
  • Driving should be avoided until your surgeon permits you.
  • If fever, redness, swelling, pain, and urinary incontinence are experienced then you should consult your physician.

Patient Stories

Frequently Asked Questions

What is the health care infrastructure of Singapore / Why should opt for Singapore as a destination for your medical treatment?
Singapore is generally known for its well-managed health care infrastructure and has an efficient and widespread system of healthcare. Singapore was ranked 6th in the World Health Organization's ranking of the world's health systems in the year 2000. Bloomberg ranked Singapore's healthcare system the most efficient in the world in 2014. Three main healthcare groups exist in Singapore:
  • National Healthcare Group
  • National University Health System
  • SingHealth
The 10 public hospitals in Singapore comprise 8 general hospitals (AH, SGH, NUH, CGH, TTSH, KTPH, NTFGH & SKH), and 2 specialized hospitals (KKH & IMH). In addition, there are 9 national specialty centres for cancer (NCCS & NCIS), cardiac (NHCS & NUHCS), eye (SNEC), skin (NSC), neuroscience (NNI) and dental care (NDCS & NUCOHS). The private healthcare infrastructure in Singapore is also well established. The payment methods include private payment gateways or private insurance companies. You can expect better technology to be used in private hospitals in Singapore. Various procedures like stem cell therapy and cancer research are conducted in Singapore.
What are the conditions of the hospitals in Singapore? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety. Here are some of the JCI certified hospitals in Singapore :
  • Mount Elizabeth Hospital
  • Singapore National Eye Centre
  • National Dental Centre
  • Raffles Hospital
  • National University Hospital
  • Gleneagles Hospital
  • Singapore General Hospital
  • National Heart Centre Singapore
  • Changi General Hospital
  • National Cancer Centre
  • National Skin Centre
  • Johns Hopkins Singapore International Medical Centre
  • Tan Tock Seng Hospital
Are the doctors/surgeons in Singapore of the best quality?
Since Singapore is known all over the world for some of the best medical treatments all across the globe, you can surely expect the best quality of doctors and surgeons here. This country has a very high quality of life and hence the health of people is of high priority.
What is the process for obtaining a medical visa in India?
People who wish to go to Singapore as a tourist for social purposes or seeking medical treatment, and require a longer period of stay beyond the Visit Pass granted on entry into Singapore, may submit an application for extension of stay (not more than 89 days from date of entry) online using the e-Service of ICA. All extension applications must be submitted online using the e-service at least seven days prior to the expiry of the visit pass to avoid overstaying. Extension of visit will not be accepted over the counter. Every visit pass issued to any person as a tourist or for the purpose of a social visit or medical treatment shall be subjected to the condition that the holder shall not engage in any form of employment (paid or unpaid) or in any business, profession or occupation in Singapore during the validity of that pass unless he is a holder of a valid work pass issued under the Employment of Foreign Manpower Act. Do visit the ICA website for further information.
What support services does MediGence provide in the United Arab Emirates?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
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  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in Singapore for medical treatment?
Singapore is a sovereign island city in itself. So you can find many options for treatment in Singapore itself, without having to travel too much.

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