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