About Prostatectomy

Prostatectomy is a surgery, which includes a number of surgical procedures to remove part of or all of the prostate gland. The prostate gland is in the lower abdomen of the male body, just below the urinary bladder. It surrounds the urethra, which carries urine from the bladder to the penis. There are various types of prostatectomy depending on the treatment.

Prostatectomy Procedure

Types of Prostatectomy treatment

Radical Prostatectomy – the entire prostate gland and surrounding lymph nodes are removed. Treatment is for men with localized prostate cancer

  • Robotic-assisted radical Prostatectomy – several small incisions are made in the lower abdomen to remove the prostate. The surgeon will sit at a console using instruments attached to a mechanical device (robot).
  • Open radical Prostatectomy – incision will be made in the lower abdomen to remove the prostate (retropubic surgery). Rarely the incision is made between the anus and scrotum (perineal surgery).
  • Laparoscopic radical Prostatectomy – several small incisions are made in the lower abdomen and special tools are inserted to remove the prostate.

Open simple Prostatectomy – recommended for men who have severe urinary symptoms and large prostate glands. The enlargement of the prostate is called benign prostatic hyperplasia (BPH). This surgery does not remove the entire prostate like in radical Prostatectomy but will remove the obstructive part of the prostate blocking the flow of urine.

Why Prostatectomy is done

Prostatectomy is done to treat localized prostate cancer. It can be done alone or in conjunction with radiation, chemotherapy and hormone therapy. It can also be used to treat a blocked urethra caused by BPH. Prostatectomy for the treatment of BPH includes open simple prostatectomy. This surgery eases urinary symptoms and complications resulting from blocked urine flow caused by BPH including

  • Frequent need to urinate
  • Difficulty starting urination
  • Slow urination
  • Increased frequency of urination at night
  • Stopping and starting whilst urinating
  • Urinary tract infections
  • Inability to urinate

Suitable Patients for Prostatectomy

Prostatectomy surgery is suitable for

• Patients who are under the age of 75

• Patients at a good health condition and healthy both mentally and physically

• Patients having a tumor which is confined to the prostate gland

• Patients with no spread of cancer to bone

Before Prostatectomy

• Patients are advised to stop any medication and herbal supplements a week before the surgery

• Eating and drinking is not allowed after the midnight of the day of the surgery

• Smoking and drinking alcohol is not allowed from at least 2 weeks before the surgery

After Prostatectomy

  • Patients may need a catheter for 5 to 10 days
  • Patients are advised to walk and keep the feet moving whilst in bed to prevent swelling
  • Returning to usual activity will take up to 6 weeks
  • Patients are not allowed to drive until catheter is removed
  • Sexual intercourse is not allowed until 6 to 8 weeks after the surgery
  • Patients must take medication prescribed by the surgeon on time and correctly

Risks of Prostatectomy

Just like every surgery there is a possibility of risks occurring like

Radical Prostatectomy

  • Urinary tract infection
  • Urinary incontinence
  • Erectile dysfunction
  • Injury to the rectum
  • Narrowing of the urethra or bladder neck
  • Formation of cysts

Open simple Prostatectomy risks

  • Heavy bleeding
  • Urinary tract infection
  • Urinary incontinence
  • Dry orgasm
  • Erectile dysfunction
  • Narrowing of the urethra or bladder neck

Open simple prostatectomy works well at relieving urinary symptoms, but it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures.

Definition

Incision – surgical cut made in the skin during surgery or treatment

Catheter – surgical instrument inserted into the bladder for the urine to flow better after surgery

First day of Prostatectomy

The patients will attend a consultation with the surgeon and will be advised about the procedure and their condition. The patient will then be taken through a couple of tests that are required before the surgery. If desired, patients can spend the day to rest and attend the hospital the next day.

Second day of Prostatectomy

Prostatectomy will be performed. The surgery will be performed using general anesthesia. The surgery will take around 3 hours to perform. Once the surgery is over the patient will be taken to a private room where they will be staying in hospital for resting. The surgeon will perform a check up and if they are approved to be in a good, healthy condition and the surgery results are all successful; the patients are advised with post treatment care requirements and are ready to be discharged from hospital to their settlements.

Third day of Prostatectomy

Patients are advised to continue resting at their settlements. They must avoid heavy activities like bending and lifting. Patients are able to go on little tours around the city if they are feeling better and carry on taking their medications correctly.

Fourth day of Prostatectomy

Patients will attend a post surgery appointment for a final check up and consultation. The stitches will be removed and dressings will be changed. The patient will be advised on further medication. If everything is right then the patient is ready to return to their destination.

Notes

• Trip schedule may vary. medicTurkey patient relations will provide you a detailed trip schedule before the travel.

• For details on accommodation, transportation and other services, please check the SERVICES page.

What is Prostatectomy?

Prostatectomy is the surgery for the removal of a part of or all of the prostate gland.

How is Prostatectomy done?

Prostatectomy can be done in 2 ways radical prostatectomy and open simple prostatectomy. Depending on the type of treatment the whole or part of the prostate gland is removed using general anesthesia.

How long does Prostatectomy surgery take?

The surgery usually takes around 3 hours to perform. Depending on the kind of surgery performed by the surgeon the duration of surgery can expand.

When can I return to work?

Patients can usually return to work after a few days but it is advised that patients return to work at least 2 weeks after the surgery.

How long do I need to stay in hospital?

Prostatectomy surgery is done on an outpatient basis, so the patient is sent home once the anaesthesia wears of.

How long do I need to stay in Turkey?

The recommended stay in Turkey for Prostatectomy is 4 days including consultation before the surgery and after the surgery.

Devices used in Prostatectomy Surgery

There are no special technical devices used in a Prostatectomy surgery.

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Dear sirs.
I have two boys, aged 3 to 4 years, and was wondering if you could provide circumcision for them?
Regards

Dear Hajar,
Yes we can. We will be contacting you for details about travel plan and price.
Kind regards,

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