Prostatectomy: Symptoms, Classification, Diagnosis & Recovery

Before undergoing a prostatectomy, several diagnostic tests are typically performed to assess the condition of the prostate and plan for surgery. These may include:

• Digital Rectal Exam (DRE) is performed where the doctor inserts a gloved, lubricated finger into the rectum to feel for abnormalities in the prostate gland.
• Prostate-specific Antigen (PSA) Test to measure the level of PSA, a protein produced by the prostate gland. Elevated PSA levels can indicate prostate conditions, including cancer.
• Transrectal Ultrasound (TRUS) test where a probe is inserted into the rectum to generate images of the prostate gland using sound waves. It helps assess the size and structure of the prostate.
• Biopsy: A procedure to obtain tissue samples from the prostate gland for examination under a microscope. This is done to confirm the presence of cancer cells and determine their aggressiveness.
• Imaging Tests such as MRI (Magnetic Resonance Imaging) or CT (Computed Tomography) scans to evaluate the extent of cancer and assess whether it has spread beyond the prostate.
• Uroflowmetry measures the rate and amount of urine flow, which helps assess urinary function and obstruction caused by prostate enlargement.
• Cystoscopy: To examine the inside of the urethra and bladder, often done to assess urinary symptoms.

Following surgery, you will be transferred from the operating room to the recovery area where the doctor will monitor your blood pressure, pulse rate, and breathing before transferring you to a regular room. Pain treatment medicines will be given as needed.

You will be encouraged to engage in gentle exercises to improve circulation. Upon discharge, you will have a catheter in place for 5-10 days.

As you recover, gradually increase your daily activities. Sexual activity can typically resume 6-8 weeks post-surgery, and driving should only be resumed with your surgeon's approval.

If you experience fever, redness, swelling, pain, or urinary incontinence, it is important to promptly consult your physician.