A prostatectomy is a resection of a part or all of the prostate gland.
The prostate is a small, muscular, rubbery gland, and is a part of the male reproductive system that generates seminal fluid to feed and protect sperm cells.
Prostectomy can be simple or radical based on the associated symptoms and the need for the surgery. There are differnet indications which are analysed and investigated to decide whether to go with simple or a radical prostectomy.
Prostatectomy indications -
There are different indications for simple or radical prostatectomies.
Indications for simple prostatectomy -
- Acute urinary retention
- Recurrent urinary tract infections
- Serious haemorrhage or hematuria
- Serious symptoms from bladder outlet obstruction due to bladder calculi etc which are not responsive to medical or minimally invasive treatment
- Renal insufficiency due to chronic bladder outlet obstruction
Simple prostatectomy is not used as a treatment for prostate cancer.
Radical prostatectomy indications -
- To treat prostate cancer.
- Unable to completely remove the bladder contents
- Frequent bleeding from the prostate gland
- Bladder stones with prostate enlargement
- Very slow urine output
High pressure on the ureters and kidneys from urinary retention (known as hydronephrosis)
Frequently Asked Questions:
You can resume your activities in about four to six weeks.
After a simple prostatectomy surgery, you can still have a good sex life, but very little or no semen will be ejaculated. In radical prostatectomy, after 18 months, you can resume your sex life.