Radical
Prostatectomy

Uro-Oncology - Bladder Cancer

Overview

Radical prostatectomy is a surgical procedure aimed at treating prostate cancer by removing the entire prostate gland and some of the surrounding tissue, including the seminal vesicles. This operation is considered a viable treatment option when the cancer is confined to the prostate gland and offers a potential cure. The procedure can be performed using different techniques, including open surgery, laparoscopic surgery, or a robotic radical prostatectomy.

Why Is It Done?

A radical prostatectomy is primarily performed to treat  localised prostate cancer. The main objectives of the surgery are:

  • Cancer Removal: To completely remove the cancerous tissue from the body.
  • Reconstruction: To reconstruct and resume continuity of the lower urinary tract.
  • Prolong Survival: To increase the likelihood of long-term survival and as a cure.

 

This procedure is recommended for patients who are in good health and whose cancer is believed to be confined to the prostate. It may also be considered for patients with more advanced cancer in combination with other treatments like radiation therapy.

Potential Risks

As with any major surgery, a radical prostatectomy carries several risks, including:

  • Urinary Incontinence: Difficulty controlling urine, which can range from slight leakage to complete loss of bladder control (extremely rare).
  • Erectile Dysfunction: Problems achieving or maintaining an erection, which can be temporary or permanent.
  • Infection: Post-surgical infections at the incision site or internally.
  • Bleeding: Significant blood loss during or after the surgery.
  • Injury to Nearby Organs: Potential damage to nearby organs such as the rectum.
  • Narrowing of the Urethra: Difficulty urinating due to scar tissue.

How to Prepare for a Radical Prostatectomy

Preparation for a radical prostatectomy involves several steps:

  1. Medical Evaluation: Comprehensive medical evaluation and tests to ensure fitness for surgery.
  2. Medication Review: Discuss all current medications with your doctor, as some may require adjustment or discontinuation. 
  3. Bowel Preparation: Your radical prostatectomy surgeon in Singapore may instruct you to follow a special diet or use laxatives to clear your bowels before surgery.
  4. Fasting: Generally, you will need to fast for several hours before the surgery.
  5. Consent: Signing a consent form after discussing the risks and benefits with your doctor.

What To Expect

Before the Procedure: You will be given general anaesthesia so you won’t feel pain during the surgery. 

During the Procedure: The surgery typically takes about 4-6 hours.  If done laparoscopically or robot-assisted, the surgeon will remove the prostate gland and some surrounding tissue through several small incisions in your abdomen.

After the Procedure: During your recovery after a radical prostatectomy,  a catheter will be inserted to help you urinate. You will be sent home with a catheter  and this will be removed 1 to 3 weeks post surgery. Pain management and monitoring for any complications will be ongoing.

Results

The effectiveness of a radical prostatectomy depends on a variety of factors  including the stage of cancer and the patient’s overall health. Regular follow up appointments to monitor for any signs of cancer recurrence is a crucial aspect of post radical prostatectomy.  The success of the procedure is measured by:

  • Cancer Control: Achieving undetectable levels of prostate-specific antigen (PSA) in the blood.
  • Recovery of Function: Regaining urinary control and sexual function over time with the help of rehabilitation exercises and treatment.
  • Quality of Life: Maintaining a good quality of life post-surgery with minimal complications.

Note: Successful outcomes are highly individualised, and discussing expectations with your radical prostatectomy surgeon in Singapore is essential for a clear understanding of the potential benefits and challenges.

Summary

A radical prostatectomy is a crucial procedure for localised prostate cancer treatment with the goal of cancer removal, reconstruction of the lower urinary tract, and prolonging survival. While it carries potential risks, thorough preparation and an understanding of what to expect can help mitigate them. A post radical prostatectomy follow-up is vital for monitoring recovery and ensuring the best possible quality of life.

Take the Next Step

If you or a loved one is considering a radical prostatectomy, schedule a consultation with our specialists today to discuss your options and gain a better understanding of the radical prostatectomy costs in Singapore,  our team will create a personalised treatment plan for you and support you  every step of the way.

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