What is Prostatectomy?
A prostatectomy is a surgical procedure for the partial or complete removal of the prostate. These types of procedures are required in the cases of Prostate Cancer and Benign Prostatic Hyperplasia (BPH). The prostate is a small walnut-shaped gland that produces the seminal fluid that nourishes and transports the sperm.
Types of Prostatectomy
The prostate gland is located within the male pelvis area near the urinary bladder. It also encases the urethra. A radical prostatectomy is the removal of the entire prostate gland. There are multiple different methods of performing a radical prostatectomy:
- Open Radical Prostatectomy – In this procedure, the surgeon will make an incision in the lower abdomen. This allows the doctor’s full vision for the removal of the prostate.
- Laparoscopic Radical Prostatectomy – During a laparoscopic radical prostatectomy, multiple small incisions are made and a laparoscope is placed in the incisions allowing for the vision for the doctor. Small, long-handled tools are placed through the incisions in order to remove the prostate gland.
- Robot-Assisted Laparoscopic Radical Prostatectomy – Similar to the laparoscopic radical prostatectomy, however instead of the doctor holding the tools, they use a robotic machine from a console that assumes a full range of motion from the surgeon. At Z Urology we use the DaVinci Robotic Surgery System for or Robot-Assisted Laparoscopic Prostatectomy (RALP).
Symptoms of Prostate Cancer
In its early stages, prostate cancer may not cause symptoms. More advanced prostate cancer may have the following symptoms:
- Trouble urinating
- Decreased force in the stream of urine
- Blood in the urine
- Blood in the semen
- General pain in the lower back, hips or thighs
- Discomfort in the pelvic area
- Bone pain
- Erectile dysfunction
Call your doctor about prostate cancer if you experience
- Trouble urinating or painful urination
- Chronic pain in your lower back, pelvis, upper thighbones or other bones
- Unexplained weight loss
- Swelling in your legs
- Weakness in your legs or difficulty walking