Prostatectomy

Anesthesia:

General anesthesia is typically used, but spinal anesthesia may be an option in some cases.

Incisions:

For radical prostatectomy, an incision is made in the lower abdomen (retropubic) or between the scrotum and anus (perineal). For minimally invasive approaches, small keyhole incisions are used.

Prostate Removal:

Depending on the procedure type, either part or all of the prostate is removed. If the surgery is for cancer, nearby lymph nodes may also be removed (lymphadenectomy).

Catheterization:

A catheter (tube) is inserted into the bladder to help drain urine post-surgery, typically for 1-2 weeks.

Closure:

Incisions are sutured or stapled, and patients are monitored in recovery.

Robotic/Laparoscopic Prostatectomy:

In this minimally invasive technique, robotic arms assist the surgeon for better precision, smaller incisions, and quicker recovery.

• Urinary Incontinence: Some men experience difficulty controlling urine after surgery, which may be temporary or, in rare cases, permanent.
• Erectile Dysfunction: Damage to the nerves responsible for erections may result in temporary or permanent erectile dysfunction.
• Infection: Surgical site infections, bladder infections, or sepsis can occur post-surgery.
• Bleeding: Blood loss is a risk, though minimally invasive procedures reduce this.
• Bladder or Urethral Injury: Injury to nearby structures may occur during surgery.
• Lymphocele: If lymph nodes are removed, fluid can accumulate (lymphocele), requiring drainage.
• Anesthetic Complications: Risks from anesthesia include allergic reactions, breathing problems, or cardiovascular issues.