radical prostatectomy patient report

Abstract Proper examination of radical prostatectomy

(RP) specimens by the pathologists is critical in accurately determining the prediction of patient outcome. The pathology report should include relevant clinical information as well as provide prognostically useful data derived from the evaluation of the RP specimen.

Full Answer

What is a radical prostatectomy?

Radical prostatectomy is a surgical treatment option for localized prostate cancer. The aim is to remove the entire prostate and the seminal vesicles. Radical prostatectomy is a surgical treatment option for locally-advanced prostate cancer. The aim is to remove as much of the tumour as possible.

What are the instructions for care after a radical prostatectomy (prostate surgery)?

Instructions for Care After a Radical Prostatectomy (Prostate Surgery) -9- You should be able to have an orgasm even if you do not have an erection. Remember, you will not produce semen since the seminal vesicles were removed along with the prostate during surgery. What options are available to assist in my sexual recovery?

What is a radical prostatectomy at Helen Diller?

Department of Urology UCSF Helen Diller Family Comprehensive Cancer Center University of California, San Francisco. Overview. A radical prostatectomy is a surgical procedure whereby the prostate gland is removed. Lymph nodes near the prostate can be removed at the same time.

What are the side effects of narcotics after a prostatectomy?

Instructions for Care After a Radical Prostatectomy (Prostate Surgery) -5- • Taking narcotics, even a small amount, can cause side effects including nausea, vomiting and constipation. How do I manage my diet in the hospital and at home?

What is the most common problem after prostatectomy?

Stress incontinence is the most common type after prostate surgery. It's usually caused by problems with the valve that keeps urine in the bladder (the bladder sphincter). Prostate cancer treatments can damage this valve or the nerves that keep the valve working.

What is the life expectancy after a radical prostatectomy?

Based on the natural history of localized prostate cancer, the life expectancy (LE) of men treated with either radical prostatectomy (RP) or definitive external-beam radiotherapy (EBRT) should exceed 10 years.

How long does it take to fully recover from a radical prostatectomy?

You should be back to your normal routine in about four to six weeks. You'll need to see your doctor a few times to make sure everything is OK. Most men see their doctors after about six weeks and then again every three months for the first year, and twice in the second year after surgery.

How will I feel after a radical prostatectomy?

The incisions may be sore for 1 to 2 weeks. Your doctor will give you medicine for pain. You will have a tube (urinary catheter) to drain urine from your bladder for 1 to 2 weeks after surgery. You may have bladder cramps, or spasms, while the catheter is in your bladder.

Can you live 20 years after radical prostatectomy?

Our study shows that with long-term follow-up RP provides excellent oncological outcomes even at 20 years. While most men do require a multimodal treatment approach, many men can be managed successfully with RP alone.

Does prostate removal shorten your life?

Men with clinically detected, localized prostate cancer and long life expectancies gained an average of 2.9 years of life after undergoing radical prostatectomy, according to a randomized study published in The New England Journal of Medicine.

What is the fastest way to recover from prostate surgery?

Here are nine tips for making your road to recovery after prostatectomy as smooth as possible.Plan Ahead. ... Listen to Your Doctor. ... Stay Ahead of Your Pain. ... Take It Easy. ... Treat Constipation. ... Call Your Doctor With Concerns. ... Protect Yourself from Accidents. ... Don't Let Sexual Side Effects Get You Down.More items...

How long does it take for nerves to heal after prostate surgery?

“It can take six months or even up to a year for the affected nerves to recover from surgery. But with proper therapy and treatment, most patients can have good erectile function again,” says Dr.

How long does it take to stop urine leakage after a prostate operation?

After the catheter is removed, it can take several weeks or more to completely stop leaking. Most men who experience a loss of bladder control have symptoms for 6 months to 1-year post prostate surgery. However, a small percentage of men may continue to experience problems past the one-year mark.

What can you not do after prostate surgery?

ActivityPlease refrain from driving for 1 week after your surgery. ... Avoid climbing stairs as a form of exercise.Avoid sitting still in one position for too long (more than 45 minutes)Avoid bathtubs, swimming pools, hot tubs or otherwise submerging yourself in water for as long as the catheter is in place.More items...

How much water should you drink after prostate surgery?

- It is recommended that you drink 1.5 to 2 litres of fluid each day, (about 6– 8 mugs /glasses), unless otherwise advised by your doctor. Water is best. - Avoid or greatly reduce tea, coffee, fizzy drinks and alcohol as they can irritate the bladder.

Why do they do radical prostatectomy?

Reasons for the procedure. The goal of radical prostatectomy is to remove all prostate cancer. RP is used when the cancer is believed to be confined to the prostate gland. During the procedure, the prostate gland and some tissue around the gland, including the seminal vesicles, are removed.

Why is radical prostatectomy less common than retropubic?

This is because the nerves can't be spared as easily, nor can lymph nodes be removed by using this surgical technique. However, this procedure takes less time and may be an option if the nerve-sparing approach isn't needed.

What is a prostatectomy?

A prostatectomy is a surgical procedure for the partial or complete removal of the prostate. It may be performed to treat prostate cancer or benign prostatic hyperplasia . A common surgical approach to prostatectomy includes making a surgical incision and removing the prostate gland (or part of it). This may be accomplished with either of two ...

What causes prostatodynia?

Prostatitis. Prostatitis is inflammation or infection of the prostate gland characterized by discomfort, pain, frequent or infrequent urination, and, sometimes, fever. Prostatalgia. This involves pain in the prostate gland, also called prostatodynia.

How long does it take for a prostatectomy to heal?

Recovery of sexual function may take up to two years after surgery and may not be complete. Nerve-sparing prostatectomy lessens the chance of impotence, but doesn't guarantee that it won't happen. Sterility . RP cuts the connection between the testicles and the urethra and causes retrograde ejaculation.

What is the most common noncancerous prostate problem?

These problems may occur in men of all ages and include: Benign prostatic hyperplasia (BPH) . This is an age-related enlargement of the prostate that isn't malignant. BPH is the most common noncancerous prostate problem, occurring in most men by the time they reach their 60s.

How many lobes does the prostate have?

It's made up of three lobes, a center lobe with one lobe on each side. As part of the male reproductive system, the prostate gland's primary function is to secrete a slightly alkaline fluid that forms part of the seminal fluid (semen), a fluid that carries sperm.

What is radical prostatectomy?

radical prostatectomy is a surgical procedure whereby the prostate gland is removed. Lymph nodes near the prostate can be removed at the same time. Radical prostatectomy is one option for men with clinically localized prostate cancer. Potential advantages include the following: 1) removal of the prostate and analysis by a pathologist allows accurate assessment of cancer aggressiveness (stage and grade); 2) follow-up after surgery is straightforward: the serum PSA (prostate specific antigen) level should be undetectable, and recurrence of cancer is relatively easy to detect because of this; 3) radiation can be given after surgery, if necessary, with a relatively low risk of any additional side effects; and 4) surgery appears to be associated with a very limited risk of late (i.e. beyond 5 years) local recurrence if careful and sensitive PSA testing is performed. Patients who are in good health, have a long life expectancy and have cancers which appear to be confined to the prostate gland are candidates for radical prostatectomy. Some men with more advanced cancers may benefit from the procedure as well. The procedure is associated with certain side effects, although major complications are very rare. Many men may be candidates for a “nerve-sparing” radical prostatectomy whereby sexual function may be preserved.

What is the best medication for prostate surgery?

After surgery you will receive an anti-inflammatory medication called ketorolac (Toradol), which is similar to ibuprofen (Motrin), unless you have a history of stomach ulcers or kidney dysfunction. For some men, this is sufficient. If you do have pain, you may receive oral narcotic tablets, usually Vicodin (hydrocodone and acetominophen), and if your pain is more severe you can receive intravenous hydromorphone (Dilaudid), which is similar to morphine. Narcotics, both oral and intravenous, can cause nausea and drowsiness and tend to slow bowel function, so you should use only as much of these medications as you need. On the other hand, it is important to make sure your pain is controlled enough not just to lay in bed, but also to take deep breaths, cough and walk. It is easier to stay ahead of postoperative pain than to try to catch up once in severe pain, so make sure you ask for pain medicine early if needed. The same guidelines apply when you go home with medication (usually Vicodin) for pain. If you feel you are not getting adequate pain relief, please feel free to discuss this with your nurse or doctor. Each person’s experience of pain is different, and although we may not be able to completely eliminate all of your discomfort, we want you to be as comfortable as possible after your surgery.

How to get rid of urinary leakage after catheter removal?

Your doctor or nurse will teach you exercises which you can do to strengthen your sphincter muscle. These are called Kegel exercises and they can be done anytime: when lying down, sitting, standing or walking. You should do 200 repetitions of five second Kegel exercises per day. These exercises will tend to decrease the amount of time it takes you to recover continence.

Why do you remove lymph nodes from prostate?

When prostate cancer spreads (metastasizes) it often does so into lymph nodes in the area of the prostate. For this reason, the lymph nodes close to the prostate may be removed to check for tumor spread. The lymph nodes may be removed during either open or laparoscopic (robot-assisted) surgery and will be performed at the same time as prostate removal using the same incision(s). As mentioned, lymph node dissection is not necessary in all patients. Only those at moderate or high-risk of lymph node metastases need undergo the procedure.

What to do if you have a spasm after surgery?

During the time that you are taking them, be sure to increase your fluid intake (at least eight glasses of water a day), take stool softeners, and eat lots of roughage (whole grains, fruit and vegetables). Use laxatives only as a last resort. Diarrhea may also occur in the first few days after surgery as your bowel function returns to normal. This usually fairly mild; if it is severe or not improving, contact your doctor.

Are There Different Types of Radical Prostatectomy?

Reasons For The Procedure

Risks of The Procedure

Before The Procedure

During The Procedure

• Radical prostatectomy requires a stay in the hospital. Procedures may varydepending on your condition and your doctor's practices. Generally, a radical prostatectomy (retropubic or perineal approach)follows this process: 1. You'll be asked to remove any jewelry or other objects that may interfere with the procedure. 2. You'll be asked to remove you...

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After The Procedure