Radical Prostatectomy
If you have been diagnosed with prostate cancer, your doctor will discuss different options for treatment. If your cancer is only inside the prostate gland and has not spread to surrounding tissue, your doctor may recommend a surgery called a radical prostatectomy.
In a radical prostatectomy, a surgeon removes your entire prostate gland. The prostate is a small organ that wraps around your urethra, the tube that moves urine from your bladder to your penis. The seminal vesicles (small glands that produce a liquid that is part of semen) and the vas deferens (a muscular cord that moves sperm from your testicles to your urethra) may also be removed in this surgery. The surgery is called a “radical” prostatectomy because the entire prostate gland is removed. In other prostate surgeries (i.e., a “simple” prostatectomy), only part of the gland is removed.
Open surgery
In open surgery, the surgeon uses a large incision to reach the prostate gland. Depending on the case, the incision is made either in the lower belly or in the groin between the anus and the penis. When the incision is made in the lower belly, it is called the retropubic approach. A radical prostatectomy using the retropubic approach is the most common treatment for prostate cancer. In this procedure, the surgeon may also remove lymph nodes in the area so that they can be tested for cancer.1 When the incision is made in the groin, it is called the perineal approach. The recovery time after this surgery may be shorter than with the retropubic approach. If the surgeon wants to remove lymph nodes for testing, he or she must make a separate incision. If the lymph nodes are believed to be free of cancer based on the grade of the cancer and results of the PSA test, the surgeon may skip the lymph node removal.
Laparoscopic surgery
In laparoscopic surgery, the surgeon makes several small incisions in the belly. A lighted viewing instrument called a laparoscope is inserted into one of the incisions. The surgeon uses special instruments to reach and remove the prostate through the other incisions. Men who have laparoscopic surgery tend to lose less blood during the operation and to recover faster than men who have open surgery.2 Laparoscopic prostatectomy is not yet widely available, and because it is a relatively new technique, no results from long-term follow-up after treatment are available.The main goal of either type of surgery is to remove all the cancer. Sometimes that means removing the prostate as well as the tissues around it, including a set of nerves to the penis that affect the man's ability to have an erection. Some tumors can be removed using a nerve-sparing technique, which means carefully cutting around those nerves to leave them intact. Nerve-sparing surgery sometimes preserves the man's ability to have an erection.
In laparoscopic surgery, the surgeon makes several small incisions in the belly. A lighted viewing instrument called a laparoscope is inserted into one of the incisions. The surgeon uses special instruments to reach and remove the prostate through the other incisions. Men who have laparoscopic surgery tend to lose less blood during the operation and to recover faster than men who have open surgery.2 Laparoscopic prostatectomy is not yet widely available, and because it is a relatively new technique, no results from long-term follow-up after treatment are available.The main goal of either type of surgery is to remove all the cancer. Sometimes that means removing the prostate as well as the tissues around it, including a set of nerves to the penis that affect the man's ability to have an erection. Some tumors can be removed using a nerve-sparing technique, which means carefully cutting around those nerves to leave them intact. Nerve-sparing surgery sometimes preserves the man's ability to have an erection.
Robotic-assisted radical prostatectomy
Another form of keyhole surgery is robotic-assisted surgery (robotic-assisted radical prostatectomy for RARP). A robotic-assisted device allows the surgeon to see a three dimensional picture and also to use instruments more advanced than those used for conventional laparoscopic surgery.
This method is becoming more widely available in Australia. Compared with open radical prostatectomy, robotic-assisted surgery leads to a shorter hospital stay, less blood loss, a smaller scar and faster healing.
Keyhole surgery is not suitable for all men. Also, robotic-assisted surgery is more expensive than a conventional prostatectomy, although it is now available in a number of public hospitals.
There is currently no long-term evidence to show if keyhole surgery leads to fewer side effects, such as incontinence and sexual function, than conventional prostatectomy.
By electing to have radical prostatectomy in India, you will be able to appreciate many benefits over having the surgery in your home country. Some of these benefits are:
• The cost of radical prostatectomy in India is a fraction of the cost in the US and other western countries. Free quotes are available online to see just how affordable it can be.
• In addition to techniques like the Da Vinci prostatectomy in India, which uses robotics, other minimally invasive procedures are available. You can choose to have a laparoscopic prostatectomy in India instead, which is a more traditional minimally invasive procedure that is carried out without the use of a machine.
• In India, you can expect to receive care from doctors who have handled a large number of cases and are very experienced.
• It’s recommended that after prostate removal surgery you begin to walk leisurely as soon as possible to help your body recover. Having your prostate removal surgery in India means you can take in a unique and beautiful culture during your recovery.
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