Surgery

Radical prostatectomy is surgical removal of the entire prostate. This operation is indicated for cancer that is limited to the prostate and has not invaded the capsule of the prostate, any other nearby structures or lymph nodes, or distant organs.

• The entire prostate, seminal vesicles, and ampulla of the vas deferens are removed, and the bladder is connected to the membranous urethra to allow free urination.
  
  
• Complications of this procedure include urinary incontinence and impotence. Newer techniques spare the nerve that controls urination and erection. Of men who undergo these newer techniques, 98% are continent, and 60% are able to have an erection.
  
  
• Radical prostatectomy can be combined with radiation therapy in men with cancer that is even further isolated in the prostate area. There is an excellent survival rate if cancer has not spread.
  
  
• Be certain you understand the risks and benefits of this procedure before deciding to go ahead.

• Part of the prostate is removed by an instrument inserted through the urethra.
  
  
• An electric current passes through a small wire loop at the end of the instrument. The electrical current cuts away a piece of the prostate.
  
  
• This is used in early stage disease to remove tissue that is blocking urine flow.

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Prostate Cancer - Symptoms At Onset Of Disease

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