Prostatectomy - series

Normal anatomy

Normal anatomy

The prostate gland is a male organ that surrounds the urethra. It secretes fluid that mixes with sperm to make semen. The urethra carries urine from the bladder, through the prostate gland to the penis.

Indications

Indications

With the exception of skin cancer, prostate cancer is the most common type of cancer among men in the United States. Early detection may result from a blood test called a PSA (prostate-specific antigen), and/or a digital rectal exam. The digital rectal exam checks the rear surface of the prostate gland for any abnormalities. A lump or hardness found during the exam might be a sign of prostate cancer.

Incision

Incision

There are three main surgical methods used for removing the prostate gland. The oldest method is called the "perineal" method. An incision is made in the perineum, which is the area between the base of the scrotum and the anus. This approach has largely been replaced by newer operations.

Incision

Incision

The more common surgical method of prostatectomy is called the "suprapubic" approach. An incision is made in the abdomen, just below the navel, which extends downward to the pubic bone. In a newer approach, laparoscopic surgery allows the surgeon to remove the prostate through much smaller incisions, with or without the assistance of a robot.

Normal

Normal

The suprapubic and laparoscopic approaches allow for removal of the lymph nodes and the ability to perform a nerve sparing modification that might prevent erectile dysfunction after surgery.

Aftercare

Aftercare

Patients with prostate cancer may need additional therapy after their surgery. Results depend on the extent of their disease and the response of the tumor to resection (removal).

Version Info

  • Last Reviewed on 01/25/2013
  • Harvey Simon, MD, Editor-in-Chief, Associate Professor of Medicine, Harvard Medical School; Physician, Massachusetts General Hospital.

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This page was last updated: May 31, 2013

         
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