Prostatectomy
| Normal anatomy |
|
The prostate gland is an organ that surrounds the urinary urethra
in men. It secretes fluid which mixes with sperm to make semen. The
urethra carries urine from the bladder, through the prostate gland
to the penis. |
| 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 |
|
There are two main surgical methods used for removing the prostate
gland. The first 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. |
| Incision |
|
The more common surgical method of prostatectomy is called the
"suprapubic" approach. An incision is made in the abdomen, just
below the umbilicus, which extends downward to the pubic bone. In a
newer approach, laparoscopic surgery allows the surgeon to remove
the prostate through a much smaller incision. |
| Normal |
|
The suprapubic approach allows for removal of the lymph nodes and
the ability to perform a nerve sparing modification that might
prevent impotence post surgery. |
| 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). |
Review Date: 9/7/2008
Reviewed By: Louis S. Liou, MD, PhD, Assistant Professor of
Urology, Department of Surgery, Boston University School of
Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director,
A.D.A.M., Inc.
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