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Total Prostatectomy  

Total Prostatectomy is a surgical procedure consists of the removal of whole prostate and some seminal vesicles surrounded the prostatic gland. This procedure is a direct and radical treatment; it acts directly on the prostate gland to remove the tumor. It is a standard treatment for non-metastatic prostate cancer. The benefit rate of Total prostatectomy differs from patient to patient, depending on the stage of the tumor and the health conditions of the patient.

After this the whole prostate and the seminal vesicles are removed and then the stitches are reattached to restore a normal urine flow, healing of the surgery wound usually takes 5 to 10 days. Radiotherapy, hormonotherapy are the complementary treatments available after a prostatectomy. 

Total Prostatectomy is distinguished into two different types based on the technique used: Abdominal Prostatectomy, consisting of opening abdominal wall and Perineal Prostatectomy, the fact of removing the prostate gland through an incision in the area between the anus and the scrotum

Abdominal Prostatectomy - The whole prostate is removed through the abdomen in this procedure. This is a common technique in which the surgeon makes incision in the lower abdomen and removes the whole prostate gland. Lymph nodes may be removed for further analysis under the microscope and check if they do not contain cancerous cells. The analysis may or may not reveal the presence of cancerous cells in the lymph nodes.  

Perineal Prostatectomy – This approach is a technique in which the entire prostate is removed through incisions between the anus and the testicles in the perineal area. This procedure is a form of prostate cancer treatment applied to patients who are obese and had undergone abdominal surgeries earlier. This technique is more comfortable for obese and over-sized patients. 

Prostatectomy Risks and Complications 

Total prostatectomy is an invasive surgery that comes with few risks. One of the side effects involved is deep venous thrombosis that takes place occurs when blood’s movement through the veins in the legs is very slow. This results in formation of clots. However, the chances of this risk get reduced when patients gain their mobility as early as possible after the surgery. To avoid the consequent complication of breaking of clot and causing pulmonary embolism, stroke or heart attack, surgeons recommend Total prostatectomy only for healthy and young patients.  

Patients are advised not to lift bulk or weight for six to seven weeks after surgery to prevent causing of hernia at the incision spot. Due to this reason only patients are also advised against bicycling, motorcycle riding, horseback riding, or other strenuous activities.  

Prostatectomy Side Effects 

Since risks and side effects are unavoidable for any types of cancer surgery, some of the common side effects are - Hematoma (an infection at the incision site), or an abdominal wall infection, Sphincter and bladder muscles, nocturnal incontinence,etc   

Incontinence is considered as one of the most feared complication by one and all of the patients. In case of permanent urinary incontinence, there are chances for the occurrence of leaks during the efforts while carrying heavy weights. This problem improves over a period of time and it is wise to wait for a period of 6 months in order to reduce the complete incontinence.