The most frequent surgical procedure to treat prostate cancer is radical prostatectomy, which is removal of:
The urinary system is reconstructed by suturing (sewing) the bladder opening to the urethra. In some patients, one or more lymph node groups in the pelvic area may be removed to find out if the prostate cancer has spread. This is called lymphadenectomy or lymph node dissection. In more advanced prostate cancer, one or both of the neurovascular bundles, which play a part in erectile function, may be partially or completely removed.
Prostate Cancer Surgery Techniques
The two main surgical techniques for removal of the prostate are:
The robotic surgery technique is commonly used in the United States. Studies show robotic-assisted surgery may result in:
However, the techniques are fairly equal in retaining urinary and sexual function and controlling cancer. The experience of the surgeon probably will affect your result more than which set of tools is used.
Prostate Cancer Surgery vs. Radiation Treatments – How to Decide:
There is no “best” way to treat prostate cancer. The method of treatment recommended will be based on your symptoms and other life factors. Be sure to discuss all available treatment options with your doctor.
Side Effects and Recovery of Function After Prostate Cancer Surgery
Most men have stress urinary incontinence (leakage of a small amount of urine when laughing, sneezing, coughing, etc.) after a radical prostatectomy.
Since the prostate and seminal vesicles produce the majority of semen, sexual climax after a prostatectomy does not produce fluid. However, the climax response is preserved.
The success of preserving the functional ability for sex after prostate cancer surgery (the ability to maintain erections for sex) depends on: