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How Do They Remove The Prostate

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What Happens During Turp

How Safe is Prostate Biopsy?

TURP requires a hospital stay. Procedures may vary depending on yourcondition and your healthcare providers practices.

Generally, a TURP follows this process:

  • You will be asked to remove any jewelry or other objects that might get in the way during surgery.
  • You will be asked to remove your clothing and will be given a gown to wear
  • You’ll be asked to empty your bladder.
  • An IV line will be put in your arm or hand.
  • You will be positioned on an operating table, lying on your back.
  • You will be given anesthesia to put you to sleep for the procedure. Your legs will be placed in stirrups.
  • Your heart rate, blood pressure, breathing, and blood oxygen level will be monitored during the surgery.
  • Once youre sedated, a breathing tube may be put through your throat into your lungs and you will be connected to a ventilator. This will breathe for you during the surgery.
  • The surgeon may first inspect the urethra and bladder with an endoscope. This is done by passing the scope through the tip of the penis, then into the urethra and bladder. This allows the healthcare provider to examine these areas for any tumors or stones in the bladder.
  • Next, the resectoscope is passed into the urethra. It is used to cut away the pieces of prostate tissue that are bulging or blocking the urethra. Electricity will be applied through the resectoscope to stop any bleeding. The pieces are flushed into the bladder, and then drained out through the urethra.
  • The resectoscope is removed.
  • When To Call Your Doctor Or Nurse

    Its important to tell your doctor or nurse if:

    • your bladder feels full or your catheter isnt draining urine
    • your catheter leaks or falls out
    • your urine contains blood clots, turns cloudy, dark or red, or has a strong smell
    • your wound area or the tip of your penis becomes red, swollen or painful
    • you have a fever
    • you feel sick or vomit
    • you get cramps in your stomach area that will not go away
    • you get pain or swelling in the muscles in your lower legs.

    Your doctor or nurse will let you know if you should go to the hospital.

    How To Locate Your Prostate

    This article was medically reviewed by Erik Kramer, DO, MPH. Dr. Erik Kramer is a Primary Care Physician at the University of Colorado, specializing in internal medicine, diabetes, and weight management. He received his Doctorate in Osteopathic Medicine from the Touro University Nevada College of Osteopathic Medicine in 2012. Dr. Kramer is a Diplomate of the American Board of Obesity Medicine and is board certified.There are 11 references cited in this article, which can be found at the bottom of the page. This article has been viewed 140,179 times.

    The prostate is a walnut-sized organ in males that plays a major role in the production of semen. The easiest way to access the prostate is by way of an index finger carefully inserted into the rectum. The processes for accessing the prostate as part of a medical exam or for sexual pleasure are the same, and the same precautions should be taken. You should also keep an eye out for signs of potential prostate problems and contact your doctor as needed.

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    What Will Happen After Treatment

    Youll be glad when treatment is over. But its hard not to worry about cancer coming back. When cancer comes back it is called a recurrence. Even when cancer never comes back, people still worry about it. For years after treatment ends, you will see your cancer doctor. At first, your visits may be every few months. Then, the longer youre cancer-free, the less often the visits are needed.

    Be sure to go to all follow-up visits. Your doctors will ask about your symptoms, examine you, and might order blood tests and maybe other tests to see if the cancer has come back.

    Having cancer and dealing with treatment can be hard, but it can also be a time to look at your life in new ways. You might be thinking about how to improve your health. Call us at 1-800-227-2345 or talk to your doctor to find out what you can do to feel better.

    You cant change the fact that you have cancer. What you can change is how you live the rest of your life,;making healthy choices and feeling as good as you can.

    Getting Ready For Your Surgery

    Southmead Hospital

    You and your care team will work together to get ready for your surgery.

    Help us keep you safe during your surgery by telling us if any of the following statements apply to you, even if you arent sure.

    • I take a blood thinner, such as:
    • Aspirin
  • I smoke or use an electronic smoking device .
  • I use recreational drugs.
  • About drinking alcohol

    The amount of alcohol you drink can affect you during and after your surgery. Its important to talk with your healthcare providers about how much alcohol you drink. This will help us plan your care.

    • If you stop drinking alcohol suddenly, it can cause seizures, delirium, and death. If we know youre at risk for these complications, we can prescribe medications to help keep them from happening.
    • If you drink alcohol regularly, you may be at risk for other complications during and after your surgery. These include bleeding, infections, heart problems, and a longer hospital stay.

    Here are things you can do before your surgery to keep from having problems:

    About smoking

    If you smoke, you can have breathing problems when you have surgery. Stopping even for a few days before surgery can help. Your healthcare provider will refer you to our Tobacco Treatment Program if you smoke. You can also reach the program by calling .

    About sleep apnea

    Please tell us if you have sleep apnea or if you think you might have it. If you use a breathing device for sleep apnea, bring it with you the day of your surgery.

    Ask about medications

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    Treatment For Prostate Cancer: Surgery

    The operation to remove the prostate, called a radical prostatectomy, is one of the most difficult surgical procedures there is. There are several reasons for this: ;One is simply the prostates hard-to-get-to location deep in the pelvis. ;Two, there are a lot of blood vessels and important nerves around there, particularly the nerve bundles that are responsible for erection, which sit on either side of the prostate. ;It takes an expert surgeon to know how to navigate this treacherous terrain, which also includes the rectum, bladder, and a muscle called the urinary sphincter, which you use for urinary control. ;

    And three, there is the urethra. ;The urethra runs down from the bladder all the way through to the tip of the penis; its the tube through which you urinate. ;Strategically placed between the bladder and the penis is the prostate. Basically, the prostate is like a walnut-sized donut, and the urethra is like a straw stuck right in the middle of it. ;;You cant take out the prostate without cutting through the urethra. ;And you cant leave the urethra cut, because the urine would just spill out of the bladder into your body, so it must be reattached to the bladder. ;None of this is easy, and all of it needs to be done skillfully.

    Were talking about the difficulty here to make a few key points:

    If you have a very large prostate, greater than 100 grams, open surgery is most likely better for you, because it gives the surgeon more room to work.

    What Are The Risks Of A Turp

    As with any surgery, certain complications can occur with TURP. Somepossible complications may include:

    • Bladder injury
    • Painful or difficult urination
    • Retrograde ejaculation

    There may be other risks depending on your condition. Be sure to discussany concerns with your healthcare provider before the procedure.

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    What Happens After Robotic Prostate Surgery

    • Robotic prostate surgery operative time is typically 2-4 hours
    • Hospital stay is typically 1-2 days
    • Our team will be seeing you on a daily basis during your stay in the hospital and will give you detailed after-surgery instructions prior to your discharge home.
    • Foley Catheter typically comes out on day 5 after a cystogram
    • Jackson Pratt drain comes out around the time of Foley catheter removal depending on your individual circumstances
    • No driving for 7 days after prostate surgery
    • No other restrictions in physically activities after surgery – just do what you can tolerate
    • Aspirin can be restarted when you are back to eating regular meals
    • You will be given Viagra upon the removal of the foley catheter. Typically 50mg a night, increasing to 100mg if no response. This is not given to necessarily induce erections, but to help improve the blood supply to your penis. If you have any heart conditions, your internal medicine doctor needs to clear you before taking Viagra.
    • The first PSA check after prostate surgery is at 1 month and then 3-6 months thereafter.

    Side Effects From Radiation

    Robotic Surgery to remove Prostate Cancer

    Urinary symptoms from radiation treatment for prostate cancer are different from those caused by prostate surgery. âItâs more like a urinary tract infection-increased urgency and frequency, and men may some have bleeding or pain when they urinate,â Calvaresi said. These problems often go away once treatment is complete.

    Radiation also may cause bowel changes, such as constipation, loose stools or both. These can be managed by over-the-counter medication. Men may also see some blood in their stool during treatment-if so, let your health care provider know about this.

    Men undergoing radiation are likely to have ED, but not immediately. âIt slowly sets in after radiation treatment,â Calvaresi said. Treatments for radiation-related ED are the same as ED caused by prostate cancer surgery.

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    Newly Diagnosed With Prostate Cancer Why Choose Robotic Prostatectomy

    When first diagnosed with prostate cancer, its common for men to wonder what the future will hold. Certainly, a prostate cancer cure is a top priority, but then what?

    Dr. David Samadi understands that men want to know:

    • Will I have sex after prostate cancer?

    • How will sex after prostate cancer be different?

    For many men, prostate cancer treatment choice determines these answers.

    If you select robotic prostate surgery your chances of enjoying sex after prostate surgery are very high. Robotic prostatectomy is a minimally invasive prostate removal. It is considered one of the best treatment options for prostate cancer due to its success rate and fast recovery rate.

    The da Vinci robotic prostate cancer surgery system enables the surgeon to make precise movements. This ensures cancer-removal efficiency and sparing of the nerves and muscles that are responsible for the sexual function.

    However, it is absolutely critical to choose a robotic surgeon with a high case volume and extensive prostate surgery experience. The robot does not perform the surgery and technology is no guarantee of success.

    Dr. Samadi explains how the preservation of sexual function is possible:

    If my only responsibility was to remove the cancerous prostate, my job would be much easier, he acknowledges, But patients deserve much more than that. It was paramount that I find a way to remove the prostate gland without damaging functions critical to a comfortable and enjoyable life after recovery.

    How Does The Doctor Know I Have Prostate Cancer

    Prostate cancer tends to grow slowly over many years. Most men with early prostate cancer dont have changes that they notice. Signs of prostate cancer most often show up later, as the cancer grows.

    Some signs of prostate cancer are trouble peeing, blood in the pee , trouble getting an erection, and pain in the back, hips, ribs, or other bones.

    If signs are pointing to prostate cancer, tests will be done. Most men will not need all of them, but here are some of the tests you may need:

    PSA blood test:;PSA is a protein thats made by the prostate gland and can be found in the blood. Prostate cancer can make PSA levels go up. Blood tests will be done to see what your PSA level is and how it changes over time.

    Transrectal ultrasound :;For this test, a small wand is put into your rectum. It gives off sound waves and picks up the echoes as they bounce off the prostate gland. The echoes are made into a picture on a computer screen.

    MRI:;This test uses radio waves and strong magnets to make detailed pictures of the body. MRI scans can be used to look at the prostate and can show if the cancer has spread outside the prostate to nearby organs.

    Prostate biopsy:;For a prostate biopsy, the doctor uses a long, hollow needle to take out small pieces of the prostate where the cancer might be. This is often done while using TRUS or MRI to look at the prostate. The prostate pieces are then checked for cancer cells. Ask the doctor what kind of biopsy you need and how its done.

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    Radical Prostatectomy To Remove The Prostate

    Making decisions about surgeryTalk to your surgeon about what types of surgery are available to you. Ask about the advantages and disadvantages of each option. There may be extra costs involved for some procedures and they are not all available at every hospital. You may want to consider getting a second opinion about the most suitable type of surgery.The surgeons experience and skill is more important than the type of surgery offered.Compared to open surgery, both standard laparoscopic surgery and robotic-assisted surgery usually mean a shorter hospital stay, less bleeding, a smaller scar and a faster recovery. Current evidence suggests that the different approaches have a similar risk of side effects and no difference in outcomes.Whichever surgical approach is used, a radical prostatectomy is major surgery and youll need time to recover.

    View the Cancer Council NSW editorial policy.

    Does Viagra And Cialis Work After Prostate Removal

    Radical Prostatectomy: Surgery To Remove Your Prostate ...

    During recovery, medications like Viagra and Cialis will help. Viagra can restore impotence and contributes to more pleasurable sex life.

    A study published in the Journal of Urology;reported that 53% from a total of 80 men who underwent radical prostatectomy had their erection function restored after taking Viagra.

    But is Viagra an addictive drug?

    Many men experienced a high rate of improvement in their sexual performance due to medications such as Viagra, Cialis, or Levitra. If you have been wondering whether these medications are addictive, you should know that the active ingredient in Viagra, sildenafil, is not an addictive substance.;

    These medications work by increasing the blood flow to the penis and facilitate the erection process. Addiction is brain-triggered, but Viagra does not target the nervous processes in the brain. That is why it is considered a safe option for those who want to faster recover their sexual potency after prostate cancer treatment.

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    Sex After Prostate Surgery And Achieving Orgasm

    Sex after prostatectomy is an important concern for most men. The total removal of the cancerous tissues is the primary goal, but the quality of life after prostate surgery is also important. Worrying about ED makes men be nervous and anxious when thinking about undergoing radical prostatectomy.

    However, whilst most patients focus on erectile dysfunction, orgasm is somehow under-considered. But is it possible to achieve orgasm after prostatectomy? Erections and orgasm are equally important for a healthy sex life.

    The good news is that sex after prostate surgery is very possible and enjoyable for most men. This is due to the newest robotic technologies that are nerve-sparing and preserve the sexual function.

    Dr. Samadis robotic prostate surgery, SMART Surgery, was explicitly designed to spare the tiny nerve bundles surrounding the prostate in order to preserve sexual potency.

    Men who undergo Dr. Samadis robotic prostate surgery have a reasonable chance of regaining complete erectile function for sex after prostate surgery.

    Going Home With A Catheter

    You will be discharged from the hospital with a catheter in place to drain urine from your bladder into a bag. The doctor will remove this in the office in five to 14 days. Be sure to clean the catheter where it exits your penis twice a day with soap and water and to empty the bag frequently. The bag should always be positioned lower than your bladder.

    On occasion, the catheter may irritate the bladder, causing bladder spasms that can be quite uncomfortable. If these occur, your doctor can prescribe medication that can help. Leakage of urine around where the catheter exits the penis also may occur and can be managed by wearing incontinence pads as described in the next section.

    It is normal for your urine to look cloudy for a few weeks after surgery. Occasionally, bleeding may occur around the catheter or be noticed within the urine. This also is common. If you see large clots â more than an inch in length â or if the catheter becomes plugged, contact your doctor. No anesthesia is required for catheter removal, and most patients experience only a little discomfort.

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    Within 30 Days Of Your Surgery

    Presurgical Testing

    Before your surgery, youll have an appointment for presurgical testing . The date, time, and location will be printed on the appointment reminder from your surgeons office. Its helpful to bring the following things to your PST appointment:

    • A list of all the medications youre taking, including prescription and over-the-counter medications, patches, and creams.
    • Results of any tests done outside of MSK, such as a cardiac stress test, echocardiogram, or carotid doppler study.
    • The name and telephone number of your healthcare provider.

    You can eat and take your usual medications the day of your appointment.

    During your PST appointment, youll meet with a nurse practitioner . They work closely with anesthesiology staff . Your NP will review your medical and surgical history with you. You may have tests, such as an electrocardiogram to check your heart rhythm, a chest x-ray, blood tests, and any other tests needed to plan your care. Your NP may also recommend that you see other healthcare providers.

    Your NP will talk with you about which medications you should take the morning of your surgery.

    Complete a Health Care Proxy form

    If you havent already completed a Health Care Proxy form, we recommend you complete one now. If youve already completed one or have any other advance directives, bring them to your next appointment.

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