2024-01-01 · urology, cancer-care, pelvic
Prostatectomy Surgery FAQ
What Is a Prostatectomy?
A prostatectomy is a surgical procedure to remove part or all of the prostate gland. It is most commonly performed to treat prostate cancer, but may also be used for severe benign prostatic hyperplasia (BPH) or other prostate conditions. The goal is to remove diseased tissue and relieve symptoms while preserving urinary and sexual function when possible.
Why Might Someone Need a Prostatectomy?
Common reasons for a prostatectomy include:
- Localized prostate cancer that has not spread outside the gland
- Aggressive or high-risk prostate cancer requiring definitive treatment
- Severe urinary obstruction from an enlarged prostate that has not improved with medication
- Recurrent infections or complications related to prostate enlargement
What Are the Symptoms of Prostate Problems?
Symptoms that may prompt evaluation for prostate disease include:
- Frequent urination, especially at night
- Weak urine stream or difficulty starting urination
- Pain or burning with urination
- Blood in the urine or semen
- Pelvic discomfort or pain
A thorough evaluation helps determine whether surgery is appropriate.
About the Prostatectomy Procedure
Prostatectomy is typically performed under general anesthesia and can be done using open, laparoscopic, or robot-assisted techniques. The surgeon removes the prostate gland and may also remove nearby lymph nodes to check for cancer spread. The approach depends on cancer stage, anatomy, and surgeon expertise.
What Happens After Prostatectomy?
After surgery, a urinary catheter is placed to allow the bladder to drain while healing occurs. Most patients stay in the hospital for one to two days. Walking and light activity are encouraged soon after surgery to reduce the risk of blood clots and promote recovery.
How Long Is Recovery After Prostatectomy?
Recovery time varies, but general expectations include:
- Catheter removal about one to two weeks after surgery
- Gradual return to normal activities over four to six weeks
- Ongoing improvement in urinary control and sexual function over several months
Following post-operative instructions and attending follow-up visits helps optimize recovery.
What Are the Potential Complications?
Possible complications include:
- Bleeding or infection
- Urinary incontinence or leakage
- Erectile dysfunction
- Scar tissue causing urinary blockage
- Blood clots
Your surgeon will discuss your specific risk factors and ways to minimize complications.
Can I Return to Work and Exercise?
Most patients can return to desk work within a few weeks and resume more strenuous activities after four to six weeks. Pelvic floor exercises and rehabilitation programs may help improve urinary control and sexual recovery.
When Should I Seek Medical Attention?
Seek medical care if you develop fever, severe pain, heavy bleeding, inability to urinate, or worsening swelling in the legs or pelvis.