Radical prostatectomy of the prostate gland. Prices, reviews, ratings
General information
This surgical intervention is widely used to treat oncological diseases of the prostate gland.
This operation involves the removal of glandular tissue and its capsule, removal of the seminal vesicles and iliac lymph nodes nodes.
Depending on the technology of the prostate gland removal surgery, it can be of the following types:
- perineal radical prostatectomy;
- radical retropubic prostatectomy;
- laparoscopic radical prostatectomy.
Based on reviews of radical prostatectomy, it follows that the laparoscopic method is the most painless and differs from other methods in its short rehabilitation period.
Procedure
Preparation
Preparation for surgery involves a standard preoperative examination, namely:
- urine analysis;
- clinical analysis blood;
- consultation with an anesthesiologist and discussion with him about the upcoming anesthesia;
- preoperative bowel cleansing (cleansing enema);
- drinking water and eating food are prohibited before the operation.
The process of performing a radical prostatectomy
With a radical retropubic prostatectomy, an incision is made in the lower abdomen, which provides access to the prostate gland, pelvic lymph nodes and seminal vesicles.
Perineal radical prostatectomy involves an incision between the scrotum and rectum. Laparoscopic radical prostatectomy is an operation that is performed through punctures that are made on the anterior abdominal wall. Current control over the operation is carried out using a camera installed at the end of the instruments that are inserted into the abdominal cavity.
Rehabilitation period
After the operation, the patient remains in the hospital and his stay there can last from one to three weeks. If complications develop, this period increases, and the patient is discharged only after his condition has normalized.
Indications
The main indication for radical prostatectomy is the presence of oncological neoplasms that do not have metastases in the surrounding tissues of the body. In this case, the operation can completely cure the disease. Another indication for surgery is the presence of advanced prostate adenoma.
Contraindications
Radical prostatectomy is contraindicated in:
- cardiovascular diseases that are in the decompensation stage;
- patient age over 75 years;
- the presence of acute inflammatory diseases in the patient's body.
Complications
During radical prostatectomy, the following complications may occur:
- bleeding;
- rectal injury;
- incontinence urine;
- impotence.
Prices and clinics
Radical prostatectomy is performed by an experienced andrologist surgeon. This service is provided by many specialized clinics, and you can find out the cost of radical prostatectomy using our medical portal .
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