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  • Prostatectomy: What Is It And Why Is It Done?

    2017-11-23 10:14:16.0
    Nanditha

    Introduction Prostatectomy is a common surgery employed to take out the prostate ...

    Prostatectomy: What Is It And Why Is It Done?

    Introduction
    Prostatectomy is a common surgery employed to take out the prostate gland, located under the bladder in men. The function of the prostate gland is to regulate the production of semen; it does this by producing the nourishing fluid in which sperm is suspended before ejaculation. However, in some cases, the prostate gland can suffer a loss in function due to several reasons such as prostate enlargement, urine retention due to a blocked urethra, or prostate cancer.
    Surgery options
    Prostatectomy surgery in Mumbai is an easily affordable option. There are two main kinds of surgery packages online, based on the condition you are experiencing. They are:
    Open Prostatectomy
    In this method, the prostate gland is removed surgically under anaesthesia. The prostatectomy surgeons in Mumbai are well-equipped to perform this surgery. Your surgeon will first make a small cut in the lower abdominal or perineal region, following which the urethra will be flushed out via an inserted catheter. It is recommended for males suffering from enlarged prostate glands, a condition known as Benign Prostatic Hyperplasia or BPH. BPH tends to block urine flow in the urethra leading to painful symptoms such as frequent, difficult or extended periods of urination, inability to empty the bladder or even urinate, urinary tract infections, and so on. Open prostatectomy, also known as a simple prostatectomy, is not a very invasive procedure as it involves partial removal of the prostate gland.
    Radical Prostatectomy
    This procedure involves the entire removal of the prostate gland, seminal vesicles, as well as the lymph nodes around it. It is usually performed in the case of prostate cancer. This method can be used by itself or supported by radiation and chemotherapy treatments. Your doctor has several methods by which he can perform this surgery.
    • Open Radical Prostatectomy
    In this case, a small cut is made in the lower abdominal or perineal region, much like in open prostatectomy, except here the entire gland is removed. It is also known as retropubic surgery.
    • Laparoscopic Radical Prostatectomy
    It is the same as the previous technique; however special devices will be inserted into your body to take out the prostate gland.
    • Robot-assisted Radical Prostatectomy
    After your surgeon has made multiple cuts in your abdominal or perineal area, he will employ a robotic device via a computer console in order to precisely extract the prostate gland.
    Risks
    However, these procedures have several complications associated with it, some of them are:
    • Incontinence, or uncontrollable urine leakage.
    • A small chance of erectile dysfunction, leading to sexual problems.
    • The necessity for blood transfusion.
    • Frequent urination.
    • An 80-90% chance of fertility issues due to retrograde ejaculation, in which the semen flows backwards through the urethra and into the bladder.
    Conclusion
    Due to these risks, your doctor might suggest an extended stay at the hospital in order to recover completely. After surgery, you might be prescribed painkillers in IV form as well as tablets. You will be asked to perform some mild exercises to get your limbs moving. However, you might require the urinary catheter for at least a week before it can be removed. Make sure you don't jump back to work as soon as you return home, as you need a few weeks off to recover completely.

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