Prostatectomy Treatment in South Africa

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 South Africa / Why should opt for South Africa as a destination for your medical treatment?
Like most countries, hospitals in South Africa are based upon public and private healthcare systems. There are three main levels of healthcare based upon the payment method of the patient.
  • The full paying patients are those who usually prefer to be treated by a doctor working in the private sector. They can also be funded by an external source. Many non-South African citizens also prefer this treatment service.
  • Fully subsidized patients are those who have been referred from a Primary Healthcare Service Hospital.
  • Partially subsidized patients are patients whose costs are subsidized based on the amount of their income.
The public healthcare system has three main centers for health under its wing:
  • Clinics - These are run by trained professionals and nurses. They can serve as the first point of contact for a patient.
  • Community Healthcare Centre - This is a bigger setup, complete with full-fledged services and doctors and nurses.
  • Hospital - A patient usually gets here after a referral from a clinic or community health center. One can also go in for emergencies. A hospital provides various services like performing surgery and treating chronic illnesses.
Hospitals in South Africa are gearing up to tackle major illnesses and to provide better treatment options. The South African government is also working to introduce policies and towards accommodating more patients from all across the world. It is a great country to find affordable treatment options.
What are the conditions of the hospitals in South Africa? Are they JCI certified? What is the quality of the support staff in the hospitals
The Joint Commission International (JCI) accredits and certifies most health care organizations and programs all around the world. Joint Commission International Accreditation and Certification is recognized as the global leader for health care quality of care and patient safety.
Are the doctors/surgeons in South Africa of the best quality?
Doctors associated with Medigence are of the best quality. We hope to give our patients a pleasant experience and the best doctors we can find. Since South Africa has a lot of requirements in the field of healthcare, the country attracts doctors from all over the world to contribute their services. This can help to ensure that even you receive the best quality of doctors.
What is the process for obtaining a medical visa in South Africa?
One can apply for a visa to South Africa for a period of 90 days. The High Commission of India can then help one decide for how long a visa can be extended. This usually differs from person to person. The Medical Visa allows a person to stay for a maximum of six months with a valid visa. After this, one can go to the FRO office ( Foreigner’s Registration Office ) or FRRO (Foreigner's Regional Registration Office) and request for an extension. Do note that the validity of a visa begins on the day it is issued by the High Commission of India and not on the date of departure. Applications for visas will not be accepted more than 30 days prior to departure.
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
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 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 South Africa for medical treatment?
While many cities are striving to create some of the best hospitals in South Africa, Durban, Lenasia, and Cape Town already have some very good hospitals for treatment in South Africa. Located in Durban, Ethekwini Hospital and Heart Centre is a reasonable and affordable hospital in South Africa. Life Kingsbury Hospital in Capetown provides a holistic healing environment for patients. One can also opt for the Ahmed Kathrada Private Hospital in Lenasia. This hospital has been running for nearly 30 years now and various medical facilities can be availed from here.

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