Radical retropubic prostatectomy

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Radical retropubic prostatectomy is a surgical procedure used to treat prostate cancer. It involves the removal of the prostate gland along with some of the surrounding tissue, including the seminal vesicles. This procedure is typically performed when the cancer is believed to be confined to the prostate gland.

Indications

Radical retropubic prostatectomy is primarily indicated for patients with localized prostate cancer. It may also be considered for patients with locally advanced prostate cancer, depending on various factors such as the patient's overall health, age, and the aggressiveness of the cancer.

Procedure

The surgery is performed under general anesthesia. The surgeon makes an incision in the lower abdomen to access the prostate gland. The prostate gland and surrounding tissues are carefully dissected and removed. The urethra is then reattached to the bladder to allow for normal urination. The procedure typically takes several hours to complete.

Recovery

Postoperative recovery involves a hospital stay of a few days. Patients may experience pain, which can be managed with medication. A urinary catheter is usually placed to help with urination during the initial recovery period. Full recovery can take several weeks, and patients are advised to avoid strenuous activities during this time.

Complications

As with any major surgery, radical retropubic prostatectomy carries risks of complications. These may include:

• Urinary incontinence
• Erectile dysfunction
• Bleeding
• Infection
• Injury to surrounding organs

Outcomes

The success of the procedure in terms of cancer control is generally high, especially when the cancer is detected early. Long-term outcomes depend on various factors, including the stage and grade of the cancer, as well as the patient's overall health.

Alternatives

Alternative treatments for prostate cancer include:

• Radiation therapy
• Hormone therapy
• Active surveillance
• Cryotherapy
• High-intensity focused ultrasound (HIFU)

See also

• Prostatectomy
• Prostate cancer
• Urology
• Oncology