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Prostatectomy - Wikipedia, the free encyclopedia A Prostatectomy is the surgical removal of all or part of the prostate gland. Radical perineal prostatectomy: an incision is made in the perineum, midway between rectum and scrotum, and the prostate is removed. Radical prostatectomy is one of the key treatments for prostate cancer. en.wikipedia.org /wiki/Prostatectomy   (244 words)

Prostatectomy, Transurethral | AHealthyMe.com Open (incisional) prostatectomy for cancer should not be done if the cancer has spread beyond the prostate, as serious side effects may occur without the benefit of removing all the cancer. Radical perineal prostatectomy is sometimes used when the cancer is limited to the prostate and there is no need to spare nerves or when the patient's health might be compromised by the longer procedure. Most patients having prostatectomy are in the age range when cardiovascular problems are frequent, making it especially important to be sure that the heart is beating strongly, and that the patient is not retaining too much fluid. www.ahealthyme.com /topic/topic47631   (1785 words)

Prostate Cancer Info : education, support, male hormone therapy, PSA tests, antiandrogens Prostatectomy is the surgical removal of the prostate and is performed by an urologist. A radical prostatectomy can be performed to remove the prostate and the cancer from nearby areas where the cancer have spread. Radical perineal prostatectomy is similar to radical retropubic prostatectomy except that the cancer is removed through an incision in the perineum. www.prostateinfo.com /patient/treatment/surgery.asp   (776 words)

Radical prostatectomy A radical prostatectomy is an operation to remove the prostate gland and some of the tissue around it. Radical prostatectomy is most often used if testing shows that the cancer has not spread outside the prostate (stages I and II). Radical prostatectomy is major surgery, so it carries the same general risks as other major operations, including heart problems, blood clots, allergic reaction to anesthesia, blood loss, and infection of the wound. www.bchealthguide.org /kbase/topic/detail/surgical/hw77111/detail.htm   (1116 words)

eMedicine - Prostate Cancer: Radical Retropubic Prostatectomy : Article by Reza Ghavamian, MD During the past decade, modifications in the technique of radical retropubic prostatectomy and the introduction of the anatomic nerve-sparing method resulted in a dramatic decrease in the 2 morbidities associated with the operation that cause the most concern—incontinence and impotence. In light of the improvement in surgical technique and the advent of nerve-sparing prostatectomies, the quality of life is high for the majority of patients with prostate cancer undergoing radical prostatectomy. The incision in the prostatic fascia (PF) is carried parallel to the neurovascular bundle (NVB) towards the bladder and the membranous urethra (MU). www.emedicine.com /med/topic3054.htm   (8985 words)

Contemporary results of anatomic radical prostatectomy   (Site not responding. Last check: 2007-10-13) Because of the anatomic inaccessibility of the prostate gland, radical prostatectomy is a difficult operation to perform with the potential for significant adverse side effects. Because the morbidity and mortality rates associated with radical prostatectomy are low, it is not unreasonable to remove the prostate in patients with pelvic lymph node metastases to avoid possible future local problems with the primary tumor, and to provide any possible benefit that may accrue from removing a potential source of future distant metastases. The principal drawbacks of salvage radical prostatectomy are the high morbidity rate--which may be 10-fold higher than in patients who have not had radiotherapy--and the relatively low likelihood of achieving complete excision of the cancer. www.drcatalona.com /journal/CACancer_article283.htm   (6569 words)

eMedicine - Simple Prostatectomy : Article by Brian J Miles, MD Suprapubic prostatectomy is the enucleation of the hyperplastic prostatic adenoma through an extraperitoneal incision of the lower anterior bladder wall. The main contraindication and disadvantage to perineal enucleation prostatectomy is performing the procedure in patients for whom sexual potency remains important. With simple prostatectomy, the risk of prostate cancer in the future remains and patients must be monitored with DRE and PSA studies. www.emedicine.com /med/topic3041.htm   (3354 words)

Laparoscopic Radical Prostatectomy The radical prostatectomy is the complete surgical excision of the prostate, seminal vesicles, tips of the vas deferens, and, depending on oncological considerations, surrounding fat, nerves, and blood vessels. Generally speaking, the decisions to use additional treatments after radical prostatectomy are based on observations made by the pathologist of the surgical specimen. In contrast to open radical prostatectomy, the LRP makes no use of heavy retractors and does not require that the abdominal wall be parted and stretched for the duration of the operation. www.krongrad-urology.com /common-questions.html   (4242 words)

Urology: Laparoscopic Robotic Assisted Prostatectomy The goal of radical prostatectomy is to: 1) excise the cancer completely; 2) provide good urinary continence post-operatively; and 3) maintain ability to have erections after the surgery (if present before the surgery). Laparoscopic robotic assisted prostatectomy is performed with the assistance of a surgical robot (UMHS uses the da Vinci system), this procedure duplicates the standard open surgical radical retropubic prostatectomy (RRP) but with smaller incisions. The advantages of laparoscopic roboticradical prostatectomies are due to the lack of large surgical incision and the excellent magnified vision. www.med.umich.edu /1libr/urology/lapRP.htm   (751 words)

Radical retropubic prostatectomy - Wikipedia, the free encyclopedia Radical retropubic prostatectomy is a surgical procedure in which the prostate gland is removed through an incision in the abdomen. Radical retropubic prostatectomy is associated with complications such as urinary incontinence and impotence, but these outcomes are related to a combination of individual patient anatomy, surgical technique, and the experience and skill of the surgeon. As many as forty percent of men undergoing prostatectomy may be left with some degree of urinary incontinence, usually in the form of leakage with sneezing, etc. (stress incontinence) but this is highly surgeon-dependent. en.wikipedia.org /wiki/Radical_retropubic_prostatectomy   (680 words)

Prostate Cancer Surgery: Radical Prostatectomy Prostatectomy is the most common treatment for localized cancer of the prostate in men under age 70 who do not have other health complications. Retropubic prostatectomy and perineal prostatectomy are the two main types of this surgery. The patient is either under general anesthesia (asleep and unconscious) or given a spinal or epidural (to numb the lower part of the body) with sedation during the surgery. www.webmd.com /content/article/45/1688_50837.htm   (544 words)

Brachytherapy Vs. Radial Prostatectomy   (Site not responding. Last check: 2007-10-13) Of the 1074 brachytherapy patients and 231 prostatectomy patients treated since January 1, 1993, 869 of the brachytherapy patients and 208 of the prostatectomy patients had data sufficient for inclusion in this report. For the prostatectomy patients the 1.0 ng/mL nadir was achieved by 206 of the 208 patients (99%): 186 (89%) at 3 months, 19 (9%) at 1 year, and 1 (<1%) at 2 years. After prostatectomy, our very prelimilary estimated incidence of incontinence and impotence is less than 1% and 45% respectively, rates that parallel those of leading centers. www.urologyhealthcenter.com /documents/brachytherapyvsradial.html   (3502 words)

Cornell Sexual Medicine Program - Erectile Dysfunction - Prostatectomy Most fail to appreciate and/or fail to inform their patients regarding the other sexual dysfunctions, which include the absence of ejaculation (although orgasm is generally preserved), and also possible penile curvature or length loss. There is a strong body of opinion that suggests that men with poor erections after radical prostatectomy should be treated with medications to induce erections early after surgery. Recovery of spontaneous erectile function after nerve sparing radical retropubic prostatectomy with and without early intracavernous injections of alprostadil: results of a prospective, randomized trial. www.cornellurology.com /sexualmedicine/ed/prostatectomy.shtml   (914 words)

Prostatectomy A prostatectomy (PRAH-stuh-TEK-tuh-mee) is an operation to remove all or part of the prostate---the walnut-sized gland in the groin that produces the fluid in male semen. Transurethral (TRANS-yew-REETH-rull) Prostatectomy: In this operation, the doctor advances a cystoscope (a long metal tube with a magnifying glass and a light on the end) up the urethra to the prostate, where he uses tiny surgical tools to snip away the surrounding prostate tissue. Perineal (PAIR-uh-NEE-ull) Prostatectomy: In this operation, the prostate is removed through an incision between the rectum and the scrotum. www.healthsquare.com /mc/fgmc0820.htm   (2298 words)

Simple Prostatectomy A simple prostatectomy is a surgical procedure done to remove part or all of the prostate gland. A simple prostatectomy may also be selected if the man has bladder diseases that can be taken corrected at the same time. A simple prostatectomy may also be chosen over a TURP if the man has other problems, such as trouble moving his hips, which make him unable to be positioned properly for a TURP surgery. www.drrajmd.com /conditions/treatments/simple_prostatectomy.htm   (900 words)

MedlinePlus Medical Encyclopedia: Prostate removal The decision regarding the type of prostatectomy to perform depends on the size of your prostate gland. To perform an open prostatectomy (sometimes called suprapubic or retropubic prostatectomy), an incision is made in the lower abdomen between the umbilicus (belly-button) and the penis through which the prostate gland is removed. Open prostatectomy is performed using general or spinal anesthesia. www.nlm.nih.gov /medlineplus/ency/article/002996.htm   (1162 words)

Prostatectomy: Health Topics: University of Iowa Health Care Prostatectomy is an operation to remove all or part of the prostate gland, which is part of the male urinary system and male reproductive system. Prostatectomy can be used to treat an enlarged prostate gland, which is stopping the flow of urine from the bladder or prostate cancer. Open prostatectomy is performed through an incision in the abdomen or between the scrotum and the anus. www.uihealthcare.com /topics/menshealth/mens4769.html   (514 words)

Open Prostatectomy Information on Healthline Open prostatectomy is a procedure for removal of an enlarged prostate gland. The primary indication for open prostatectomy is benign prostatic hyperplasia (BPH), a condition whereby benign or noncancerous nodules grow in the prostate gland. The preferred anesthesia for open prostatectomy is a spinal or epidural nerve block. www.healthline.com /galecontent/open-prostatectomy   (660 words)

Robotic Prostatectomy using the da Vinci System Our experience with robotic prostatectomy, now over 200 cases, suggests that these outcomes are at least equaled with robotic surgery, with less postoperative pain and a more rapid recovery for the patient. After robotic prostatectomy, which can be performed without the requirement for epidural anesthesia, patients are often walking and eating on the evening of the day of surgery, and are routinely discharged the next morning, after breakfast. With this philosophy in mind, we have performed several thousand radical prostatectomies over the past decades and are recognized world leaders in the field of the treatment of localized prostate cancer. www.drslawin.com /robotic_prostatectomy.html   (1534 words)

Department of Urology: Activities Though the original description for radical prostatectomy was transperineal, the need to evaluate pelvic lymph nodes for metastasis and the push to perform nerve-sparing prostatectomy has lead to radical retropubic prostatectomy as a preferred method for managing patients with localized prostate cancer. With the advent of laparoscopic pelvic lymphadenectomy (LPLND) radical perineal prostatectomy (RPP) is undergoing a resurgence. In addition, self-retaining retractors, such as the Omni perineal retractor, is a significant aid to retraction during perineal prostatectomy and directly improves visualization of the procedure. www.mcl.tulane.edu /departments/urology/rpp.html   (2508 words)

Radical Prostatectomy | Prostate Cancer Information | UPMC Cancer Centers Radical prostatectomy is surgery to remove the entire prostate gland, the attached seminal vesicles (a pair of glands that produce part of semen) and the vas deferens (the muscular cord that pumps sperm from the testicles to the urethra). Radical prostatectomy is an option when prostate cancer is localized to the prostate gland. Nerve-sparing radical prostatectomy is a modified version of the radical retropubic prostatectomy, in which the nerves controlling erections are not removed with the prostate. www.upmccancercenters.com /cancer/prostate/radprost.html   (482 words)

Radical Prostatectomy, Robotic Prostatectomy – Cleveland Clinic   (Site not responding. Last check: 2007-10-13) A surgical treatment for prostate cancer, the radical prostatectomy procedure removes the entire prostate gland and some of the tissue around it. Radical prostatectomy may be done by open or laparoscopic surgery. Robotic-assisted prostatectomy uses little incisions and is precise; the risk of incontinence is low; and the surgical technique is continuously refined to improve potency. cms.clevelandclinic.org /urology/body.cfm?id=217   (736 words)

Radical Prostatectomy A radical prostatectomy is the removal of the entire prostate, including its capsule, as well as the seminal vesicles. In the radical perineal prostatectomy, a smaller curved incision is made between the anus and the base of the scrotum. The primary means of assessing for recurrent disease following radical prostatectomy is with the prostate specific antigen blood test, or PSA. www.drrajmd.com /conditions/treatments/radical_prostatectomy.htm   (601 words)

Robotic Prostatectomy at The OSU James Cancer Hospital A world leader in robotic prostatectomy, the OSU James Cancer Hospital and Solove Research Institute is one of the nation’s premier cancer centers for performing robotic prostatectomies and one of the nation’s leading robotic training center for physicians and surgeons trained in the use of the da Vinci Robotics Surgical System. The internationally recognized robotic prostatectomy team is lead by Vipul Patel, MD, director of Robotic and Minimally Invasive Surgery at Ohio State and a world leader in robotic prostatectomy. Robotic prostatectomy is the most advanced surgical option for qualified prostate cancer patients. www.jamesline.com /cancertypes/prostate/services/robotic_prostatectomy   (326 words)

Laser Prostatectomy In laser prostatectomy, light energy is absorbed and converted into heat to cause coagulation or vaporization of tissues. Laser Prostatectomy uses visual or ultrasound guidance and a Nd: YAG Laser for coagulation or immediate vaporization of the obstructive tissue or a Holmium: YAG laser for vaporization and removal of prostate tissue. A comparison of transurethral prostatectomy with visual laser ablation of the prostate using the Urolase right-angle fiber for the treatment of BPH. www.regence.com /trgmedpol/surgery/sur23.html   (1158 words)

Radiation Therapy After Radical Prostatectomy With the current advances in screening, earlier detection of prostate cancer, and improved techniques for performing radical prostatectomy, a larger number of patients are being surgically treated. Patients with positive margins at radical prostatectomy have a 42-64% probability of remaining progression free at 5. Radical prostatectomy: patterns of local failure and survival in 67 patients. www.cancer.prostate-help.org /casalrt.htm   (2725 words)

USNews.com: Health: Prostate Cancer: Radical prostatectomy Radical prostatectomy (surgical removal of the prostate) offers the possibility of a cure only if the cancer has not spread to the lymph nodes in the pelvis or to other parts of the body. Radical prostatectomy is the only treatment for localized prostate cancer (cancer confined to the prostate) that has been proven to reduce deaths from the disease. A study published in 2002 found that Swedish men randomized to radical prostatectomy had a 50 percent reduction in their risk of dying of prostate cancer eight years after diagnosis, compared with men randomized to watchful waiting. www.usnews.com /usnews/health/cancer/prostate/pros.treat.radical.htm   (374 words)

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