Read Real Stories Of Men Who Underwent Treatment Of Enlarged Prostate At New York Urology Specialists
We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.
Day Before Your Surgery
Follow a light diet
Follow a light diet, such as a small sandwich, eggs, toast, crackers, or soup. Limit the amount of dairy products you eat and drink, and avoid fried foods and foods with a lot of seasoning.
Note the time of your surgery
A staff member from the Admitting Office will call you after 2:00 pm the day before your surgery. If your surgery is scheduled for a Monday, theyll call you on the Friday before. If you dont get a call by 7:00 pm, call .
The staff member will tell you what time to arrive at the hospital for your surgery. Theyll also remind you where to go.
Do your bowel preparation
The night before your surgery, use a saline enema as instructed on the box.
Shower with a 4% CHG solution antiseptic skin cleanser
The night before your surgery, shower using a 4% CHG solution antiseptic skin cleanser.
Erectile Dysfunction Following Radical Prostatectomy
Assuming the management of erectile dysfunction requires expert diagnosis and treatment.
Diagnosis includes sexual function history, general medical history, psychosocial history, medication history, physical examination, and appropriate laboratory testing.
Treatment follows diagnosis, and we provide a range of treatment options through the Clinic. Minimally invasive treatment options range from oral medications to medications administered directly to the penis to a mechanical vacuum device applied to the penis. Invasive treatments include implants or vascular surgery. We are particularly expert in the surgical treatment of patients with erectile dysfunction. The range of conditions we manage include penile prosthesis complications, penile vascular abnormalities, penile curvature, and abnormally prolonged erection consequences.
Psychological treatment is an important adjunct to managing erectile dysfunction. If our diagnosis suggests a psychological association with your erectile dysfunction, we may recommend that you pursue counseling with a qualified psychologist available through the Clinic.For instance, there may be relationship problems that negatively affect sexual functioning with your partner. Referrals can be made to the Johns Hopkins noted Sexual Behaviors Consultation Unit.
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How Fast Will I Become Totally Continent After Prostate Surgery
During surgery for prostate cancer, the urethra is also affected and, depending on the experience of the surgeon, more or less of the continence function will be preserved. Due to the high precision of robotic surgery, the patient will have a catheter for roughly one week and the trauma to the urinary function will be minimum.
The discomfort that patients feel during this time is minimum, but you should expect the removal to make you feel uneasy. The catheter will be removed during a visit to your doctor, so do not try to do this at home, as it could cause infections. The degree of which the urinary function will be affected depends on how normal the function was before surgery, age and weight.
It is worth noting that most men will experience some degree of incontinence after prostate surgery, but control can be regained within several weeks or months to a year.
What Happens After Radical Prostatectomy
Patients are usually discharged within 24 hours of surgery after radical prostatectomy.
You may have a drain that gets rid of excess fluid from the surgery site. If a drain is placed at the time of surgery, it is typically removed before you leave the hospital.
A urinary catheter continues to drain your urine into a bag. You may need to leave the catheter in place at home for a few days to one week.
After a surgeon removes your prostate, youll no longer ejaculate semen. But you can still be sexually active.
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What Are The Benefits To Patients Who Have Laparoscopic And Robotic Prostate Cancer Surgery
The benefits are similar between robotic and laparoscopic prostate surgery. Patients are usually able to go home the day after prostate surgery, and can return to daily living activities as early as 7-10 days after surgery. Patients undergoing open surgery generally have 4-6 weeks before they can resume routine daily living activities, generally experience less post-operative pain and discomfort and have a faster recovery. They also experience significantly less intraoperative bleeding. Robotic and laparoscopic prostatectomy uses small incisions and is highly precise the risk of incontinence is low and the surgical technique is continuously refined to improve potency.
What Causes Incontinence After Prostate Surgery
Cleveland Clinic states that almost 8% of men who have undergone prostate surgery are affected by urinary incontinence.
The prostate is located near the bladder. Removing the cancerous prostate through surgery may cause harm to the nerves and muscles that surround the bladder. Also, the urethra or the sphincter may be damaged, making it very difficult to control the urine passage.
These negative side-effects are being increasingly reduced due to the use of robotic prostatectomy. This is a modern technique that uses the da Vinci robot to perform key-hole operations with minimal side-effects.
Anyway, it is normal to experience some urinary incontinence after prostate removal. But, it is almost always short-term. In this case, it may be caused by an irritable and swollen bladder.
This type of incontinence is similar to stress incontinence, often experienced by women post-childbirth.
The main goal after you had prostate cancer surgery is to recover quickly, gain complete control over the bladder, and become sexually active again.
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Why Is A Simple Prostatectomy Performed
There are varying degrees of prostate enlargement.
If your prostate grows only slightly, many minimally-invasive surgeries can remove part of the gland, such as transurethral resection of the prostate .
However, if your prostate becomes very large , your surgeon will need to perform a simple prostatectomy. This involves removing the inner core of your prostate gland. Most men who undergo this type of surgery are age 60 or older.
Special diets, changes in drinking habits, and medications are often tried before surgery is recommended.
Your doctor may recommend a simple prostatectomy if your prostate is very large and you are suffering from:
- extremely slow urination
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Removal Of The Catheter
Your catheter will be removed by the clinic nurse at Urology Care Wellington 7-14 days after surgery. This is straightforward. You will be given an antibiotic tablet at the time of catheter removal. Afterward, you will be monitored by the nurse to make sure that you are able to pass urine. She will check your wounds are healing and will discuss the use of pads and pelvic floor exercises.
Most patients have some incontinence when the catheter is taken out and most are pad-free three months after surgery. Over nine out of ten are pad-free after a year. We recommend that you start the pelvic floor exercises as soon as your catheter is removed and repeat them every day.
To be prepared for your catheter removal and any temporary urine leakage, you should ensure that you have your own supply of pads at home prior to attending for catheter removal. Bring two pads to your appointment for catheter removal.
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How Does The Robotic
It is similar to the conventional, minimally invasive laparoscopic prostatectomy. However, working from a special console in the operating room, the surgeon operates four precision-guided robotic arms to cut and remove the prostate. The procedure uses a small video camera, inserted through a keyhole-sized incision to provide surgeons with magnified, 3-D images of the prostate site. This expansive view allows doctors to see the nerve bundles and muscles surrounding the prostate. The robotic arms, with full 360-degree rotation capabilities, are placed through several other keyhole incisions allowing surgical instruments to move with greater precision, flexibility and range of motion than in a standard laparoscopy.
The procedure usually takes 2 to 3 hours under general anesthesia. Most patients experience only a small blood loss and blood transfusions are needed in less than one percent of patients. Prostatectomy patients typically spend one night in the hospital and are usually discharged as soon as their laboratory tests are acceptable, pain is controlled and they are able to retain liquids. Patients are discharged with special catheter, which is removed during an outpatient visit 5-7 days after the operation.
Who Should Undergo Radical Prostatectomy
Men younger than age 75 with limited prostate cancer who are expected to live at least 10 more years tend to get the most benefit from radical prostatectomy.
Before performing radical prostatectomy, doctors first try to establish that the prostate cancer has not spread beyond the prostate. The statistical risk of spread can be determined from tables comparing the results of a biopsy and PSA levels. Further testing for spread, if needed, can include CT scans, bone scans, MRI scans, and ultrasound.
If it appears that the prostate cancer has not spread, a surgeon may first offer other options besides surgery. These can include radiation therapy, hormone therapy, or simply observing the prostate cancer over time, since many prostate cancers grow slowly. Depending on how high the risk of cancer spread, pelvic lymph node dissection may be considered, as well.
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When To Seek Medical Advice
While you’re recovering, you should contact a GP immediately or call 111 if:
- you have a high temperature
- you have severe pain when peeing
- you cannot pee
- there’s a lot of blood in your pee or this gets worse
- there are blood clots in your pee
These symptoms can be a sign of a problem, such as internal bleeding or a urinary infection, that needs to be treated.
Page last reviewed: 14 September 2021 Next review due: 14 September 2024
How Long Is Recovery After Turp Surgery
TURP , or prostatectomy, is the surgical removal of all or part of the prostate. TURP is a major surgery with serious risks and potential complications. You may have less invasive treatment options.
One may also ask, how soon can I drive after a TURP operation? Ask your doctor when you can drive again. Many people are able to return to work within 1 to 3 weeks after surgery. It depends on the type of work you do and how you feel. Do not put anything in your rectum, such as an enema or suppository, for 4 to 6 weeks after the surgery.
One may also ask, what are the after effects of TURP surgery?
Common side effects of TURPCommon side effects after surgery include: bleeding after the operation this usually reduces over time and should stop after four weeks. retrograde ejaculation most men are able to have erections and orgasms after surgery to treat an enlarged prostate.
What is the success rate of TURP surgery?
The 5-year risk rate for a reoperation following TURP is approximately 5%. Overall mortality rates following TURP by a skilled surgeon are virtually 0%.
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Types Of Radical Prostatectomy
The prostate gland lies just under the bladder, in front of the rectum. Surgeons choose from two different approaches to reach and remove the prostate during a radical prostatectomy. One is a traditional approach known as open prostatectomy. The other, more recent approach is minimally invasive. There are two minimally invasive procedures used in radical prostatectomy: laparoscopic prostatectomy and robot-assisted laparoscopic prostatectomy.
In this traditional method of radical prostatectomy, the surgeon makes a vertical 8- to 10-inch incision below the belly button. Radical prostatectomy is performed through this incision. In rare cases, the incision is made in the perineum, the space between the scrotum and anus.
In laparoscopic prostatectomy, surgeons make several small incisions across the belly. Surgical tools and a camera are inserted through the incisions, and radical prostatectomy is performed from outside the body. The surgeon views the entire operation on a video screen.
Robot-assisted laparoscopic prostatectomy
Small incisions are made in the belly, as in regular laparoscopic prostatectomy. A surgeon controls an advanced robotic system of surgical tools from outside the body. A high-tech interface lets the surgeon use natural wrist movements and a 3-D screen during radical prostatectomy.
Continence And Bladder Function
Terry achieved continence 9-10 weeks after the catheter was removed. He stopped using pads at night during week eight, and 10 days later stopped using a pad in the day. Overall, he was continent fewer than 12 weeks after the operation.
Now, six months after surgery, Terrys bladder capacity is now around 400ml and his urine flow is excellent. There is no hesitancy or intermittent stream and no post-micturition dribble. He occasionally experiences urinary urgency but does not see it as a problem as he can hold on until he reaches the toilet.
Terry is positive about the future and, between PSA tests and hospital appointments, we are living life to the full. He feels his bladder function is good but knows the importance of continuing with the pelvic floor muscle exercises.
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What To Expect After Prostate Removal
Prostate removal is an effective treatment option for prostate cancer. A radical prostatectomy, which removes the entire prostate gland as well as some surrounding tissue, takes a few hours to complete.
Here are three things you can expect after your prostate is removed.
Prostate removal is major surgery, so expect some soreness and pain. Youll receive IV pain medications at first, and your doctor may prescribe you pain medication to use at home. You will also have a urinary catheter in place for about the first week, which you might find uncomfortable.
Most patients are up and moving the day of surgery and go home the following day. Although you will need to rest and gradually resume physical activity, urologist Mina Fam, M.D., emphasizes the importance of movement. I want patients up and walking the same day of surgery because any kind of cancer surgery has a risk for blood clotting, Dr. Fam says. I encourage patients to keep walking during their recovery.
Expect it to take about four weeks to start feeling back to your normal self if your surgery was done robotically and up to six weeks with a traditional open approach.
Treatment options include:
Work with your doctor to find a treatment that is right for you.
Another change to expect in your sex life is that, because the seminal vesicles are removed during surgery, you wont ejaculate semen during orgasm.
Tips For A Smoother Recovery
Your doctor will probably recommend that you rest as much as possible for a few weeks after your surgery. Take your time getting back to your routine and keep these tips in mind:
- Dont exercise strenuously or lift anything heavy until you get your doctors permission. You can do gentle or low-impact exercises once you feel up to it.
- Drink at least 8 cups of water per day to flush out your bladder.
- Eat foods that are high in fiber to prevent constipation.
- Wait four to six weeks to start having sex.
- Ask your doctor when its safe for you to drive.
Some side effects, like pain and blood during urination, are normal. You should see your doctor if you notice any of the following:
- signs of infection, including fever or chills
- pain or burning during urination that lasts for more than a few days
- blood clots in your urine
- very red blood in your urine
- trouble urinating
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Risks Of Radical Prostatectomy
Radical prostatectomy has a low risk of serious complications. Death or serious disability caused by radical prostatectomy is extremely rare.
Important nerves travel through the prostate on the way to the penis. Skilled surgeons can usually protect most of these nerves during radical prostatectomy. Still, complications from inadvertent nerve damage do occur after radical prostatectomy. They include:
- Urinary incontinence: More than 95% of men younger than age 50 are continent after radical prostatectomy. Around 85% of men aged 70 or older maintain continence after the operation.
- Erectile dysfunction : Problems with erections are common after prostatectomy. Still, most men are able to have sex after prostatectomy while using medicines for ED , an external pump, or injectable medications. The younger the man, the higher the chance of maintaining potency after prostatectomy. A period of penile rehabilitation is often necessary.
Much of the skill involved in radical prostatectomy centers on sparing these nerves during the operation. A man undergoing radical prostatectomy by a surgeon at an advanced prostate cancer center has a better chance of maintaining sexual and urinary function.
Other complications of radical prostatectomy include:
- Bleeding after the operation
- Groin hernia
- Narrowing of the urethra, blocking urine flow
Less than 10% of men experience complications after prostatectomy, and these are usually treatable or short-term.