Prostatectomy: What To Expect During Surgery And Recovery
If youve been diagnosed withprostate cancer, your doctor will consider many factors before recommending the besttreatment. For many men, that may mean a prostatectomy. In this surgery,doctors remove the entire prostate.
The Johns Hopkins Hospital performs more of these procedures than almostanywhere else in the world. One of the most common questions they hear frompatients: What should I expect after surgery?
Johns Hopkins urologistMohamad Allaf, M.D., explains the surgery and recovery.
How Will Sex After Prostate Cancer Be Different
One of the treatments of prostate cancer is to remove a portion of the prostate or the totality of the gland before cancer spreads beyond it You may have heard that the tumor is inside the capsule, but moving fast.
The procedure is known as radical prostatectomy and involves incisions, either above the perineum or on the lower abdomen.
Newer surgeries are sometimes robot-assisted, and we also have laparoscopic prostatectomies that do not require a large incision.
The end result is the removal of a portion or the totality of the prostate, and certain surgical approaches may be associated with a lower risk of nerve damage than others. Youll see this referred to as nerve-sparing prostatectomies throughout this guide.
As soon as a man is informed that he will need to go through a Radical Prostatectomy, the likelihood is that one of the very first questions will be about the effect that it will have on their sex life. In a lot of mens minds, the surgery is thought of like its castration.
However, now that there are multiple types of nerve-sparing prostate surgery, many men have found they can maintain sexual activity after surgery.
Likewise, there are plenty of sexual activities open to those who do find they still have the desire, even with some physical changes. We want to help you understand the changes that men can experience after prostate surgery, whether that is physical or mental.
Doing It In The Us May Not Be Possible For Me
Remember that you get only one prostate operation, so you want the best.
I have medicare and a bluecross supplimenti notice that the various doctors that I saw ask more than what they accept thru these coverages.so I think that you might be able to negotiate..check out a few docs for price.
As far as dr ahleringAt a support group, I spoke with a physician who had the operation with him, and asked for a professional discount//////he did not receive it
What other countries are you considering for an operation, israel, austraila , taiwan, etc
Where are you from in the US, do you have a support group and a place to stay?
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Is There A Role For Focal Ablation Of Prostate Cancer
One of the unique characteristics of prostate cancer is the spectrum of the disease as it relates to disease aggressiveness, age range of those affected, and treatment priorities. The age range in a large personal series of approximately 5000 RP performed by one of the authors of this review is 36 to 81 years. The risk and extent of disease ranges from men with a single biopsy core with 1-mm GGG 1 cancer to all biopsies showing GGG 4 and 5 disease. The priority of some men is to cure the disease whereas others are motivated to preserve quality of life. It is reasonable to propose that the optimal management of prostate cancer should include AS, whole-gland treatment, and an alternative offering potential for oncological control with preservation of quality of life. We believe this option is FA of prostate cancer.
Neoadjuvant And Adjuvant Hormone Therapy For Early
Hormone therapy is sometimes given in conjunction with a definitive prostate cancer treatment, such as radiation therapy, in order to improve health outcomes. When hormone therapy is given in advance of a primary treatment, its known as neoadjuvant therapy when its given during or after a primary treatment, its known as adjuvant therapy.
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Does Medicare Cover Penile Implant Surgery
Yes Medicare or Medicare Advantage Plan provides coverage for penile implant surgery and all other Coloplast devices, as long as they meet criteria for being medically necessary. Your doctor should be able to help you understand these criteria. Patient payments are estimated between $2,500 and $3,000 unless there is a secondary or supplemental plan.
What Have I Learned By Reading This
You learned about:
- Why prostate cancer treatment can cause erectile dysfunction
- What can be done about erectile dysfunction
- How erectile dysfunction may affect your sex life
- What your partner can expect
If you have any questions, please talk to your doctor or health care team. It is important that you understand what is going on with your prostate cancer treatment. This knowledge will help you take better care of yourself and feel more in control. It will also help you manage any side effects you may have from your treatment.
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How Medicare Covers Prostate Health Psa Tests And Surgery
The odds are that someone in your life has already been diagnosed with prostate cancer. One of the most common cancers, prostate cancer will affect one in seven or eight American men, usually later in life, according to the Centers for Disease Control.
The good news is that survival rates are highnearly 100 percentwhen prostate cancer is treated before it spreads to other parts of the body, according to the American Cancer Society. Thats why its important to get regular prostate cancer screenings, including prostate-specific antigen tests, when youre in the target age group, which the CDC defines as 55 to 69 years old. Of course, you may be wondering whether Medicare pays for the PSA test. Fortunately, the answer is yes, it does.
Furthermore, if your screening reveals cancer, Medicare covers prostate surgery and other treatment just as it covers costs for treating other cancers. Lets look at the ins and outs of coverage for this important health issue.
What Prostate Cancer-Screening Services Are Covered?After you turn 50, Medicare Part B will cover preventive prostate cancer screening. That means that once a year, Medicare Part B covers a PSA test and a digital rectal exam .
If you visit a doctor who doesnt accept assignments, you may be charged a fee for the doctors services to administer the PSA, but you wont be charged for the test itself.
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Cost Of Enlarged Prostate Treatment With Prostate Enucleation Without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
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Open Radical Prostatectomy Vs Minimally Invasive Radical Prostatectomy
In 2003, only 9.2% of radical prostatectomies were done using a minimally invasive procedure. By 2007, that number had jumped to 43.2%. In 2009, researchers in Boston reported on a study that compared outcomes, benefits, and complications of open surgery vs. minimally invasive surgery:
- No difference was found in deaths or in the need for additional cancer therapy between the two approaches.
- The median hospital stay was two days for minimally invasive surgery and three days for open surgery.
- 2.7% of men having laparoscopic surgery required a blood transfusion compared with 20.8% of men having open surgery.
- There was more anastomotic stricture narrowing of the suture where internal body parts are rejoined for open surgery than for minimally invasive surgery .
- There were fewer respiratory complications with minimally invasive surgery than with open surgery .
- There were lower rates of incontinence and erectile dysfunction with open surgery. The overall rate was 4.7% for laparoscopic surgery and 2.1% for open surgery.
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How Soon After Prostate Cancer Treatment Can I Be Sexually Active Again
This will depend on what type of treatment you have had and how you feel. It could be several weeks, for others it may be a lot longer for erections to return. Some men will never be able to keep an erection without the help of artificial methods like medicines or medical devices . If you were having problems having erections before treatment, this will not get better after treatment.
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Robotic Prostate Operations Cost Up To $30k Are They Worth It
As the fashion for expensive, high-tech surgery for prostate cancer sweeps the country, a landmark Australian study has shown it provides no extra value for men over traditional surgery.
This is the first study in the world to present high-level evidence directly comparing robotic surgery, which can cost up to $30,000 in a high-end private hospital, with traditional open surgery for prostate cancer, which can cost $3000 to $5000.
The Brisbane study found three months after surgery that there was no significant difference in cancer control, sexual function, urinary continence, bowel function or time away from work for men who have the operation.
A new study has found robotic surgery for prostate cancer offers no extra value for patients. Gabriele Charotte
These findings negate claims repeatedly made to promote the robotic surgery technique, which is now used in 60 per cent of operations to remove a cancerous prostate in Australia.
“The findings were surprising,” says Professor Robert Gardiner of the University of Queensland’s Centre for Clinical Research who led the study out of the Royal Brisbane & Women’s Hospital. Funded by Cancer Council Queensland, it was published today in The Lancet.
Professor Gardiner said his team had believed that sexual and urinary function would be better for men who had robotic surgery and that their return to work would be earlier.
The out-of-pocket expenses of an open operation in a private hospital ranges from $3000 to $5000.
Other Treatment Options For Prostate Cancer
There are several other prostate cancer treatment options that are available for the patients. Chemotherapy is one of the other popular treatment modality that may be used after surgery for patients with the cancer of the prostate.
The following table highlights the average cost of chemotherapy for prostate in some of the top medical tourism destinations in the world:
- Hormone therapy
- External beam radiotherapy
Thus, the total cost of prostate cancer treatment varies greatly from one individual to another, depending on the individual medical case.
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How Does Green Light Laser Therapy Work
The doctor will insert a small flexible fiber into the patients urethra through the cystoscope. The small fiber carries laser energy that can remove prostate tissues quickly.
Once the prostate tissue is removed, the patient will be able to urinate properly as the urine is now able to pass through freely.
Before the procedure, your healthcare will give you anesthesia, so there will be little to no discomfort and pain. The doctor will also prescribe pain medications to the patient.
Enlarged Prostate Surgery: The Real Risks And Side Effects
Enlarged prostate surgery unfortunately has real risks and side effects that are often downplayed or minimized by urologists making you the guinea pig with very possible impotence and incontinence as a result.
Furthermore, you will often have to repeat the operation later on as your prostate continues to grow because the real causes of this prostate disease have not been addressed by radical surgeries.
Also known as a TURP surgery or BPH surgery, this is the gold standard of prostate surgeries for enlarged prostate symptoms.
The bloody pieces are removed allowing more space for the urethra tube to pass urine from your bladder.
The operation is done under anesthesia and you will usually spend a couple of days recovering. You will have to wear a catheter for some time while you heal, and then it can be removed.
It would be great if that was all there was to it. Yet, its not so simple
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Does Prostate Tissue Grow Back After Turp
after TURPprostateprostateprostate gland can grow back again
. Beside this, can prostate tissue grow back?
The prostate gland can regrow. As the prostate regrows, the level of prostate-specific antigen can increase. So, a rising PSA level can result either from the regrowth of benign prostate tissue if you have had surgery for BPH or from the presence of prostate cancer.
One may also ask, what can I expect after TURP prostate surgery? Your RecoveryTransurethral resection of the prostate is surgery to remove prostate tissue. For several days after surgery, you may feel burning when you urinate. Your urine may be pink for 1 to 3 weeks after surgery. You also may have bladder cramps, or spasms.
Correspondingly, how much prostate is removed during TURP?
In the open surgery group, the largest prostate was measured at 160 ml, with a mean value of 90 ml. In 42 cases, in the TURP arm, the prostate was removed in two interventions, and the final result was consistent with the general features of the TURP arm.
How long does it take to fully recover from TURP surgery?
It usually takes between 3 and 6 weeks to fully recover from a TURP. Your surgeon or GP will advise you about when its safe to return to your normal activities.
What Is The Cost Of Enlarged Prostate Surgery In Pace Hospitals
At Pace Hospitals, we offer world-class prostate enlargement treatment to the patients. Enlarged prostate surgery cost ranges vary from Rs 1,00,000 to 1,35,000 and it depends upon the selection of room for hospital stay, type of surgery, any services availed during treatment apart from the surgery package and approvals in case of cashless treatment such as health insurance, central government health scheme , employees and journalists health scheme , employees state insurance etc.
Advanced Enlarged Prostate Benign Prostate Enlargement Treatment Hospital In India
Pace Hospitals offer the best treatment for enlarged prostate, benign prostate enlargement. Our latest Holmium laser technology offers the patient faster recovery time and advanced care for quicker recovery.
We are one of the advanced enlarged prostate, benign prostate enlargement treatment hospital in India backed up with team of best enlarged prostate specialist doctors, prostate cancer specialists, laser and laparoscopic urologist, paramedical staff, dietitian and physiotherapist in India.
We are also equipped withThe Worlds First Universal Surgical Robotic System, State-of-the-art facility, world-class laser treatment equipment offering comprehensive treatment for enlarged prostate, benign prostate enlargement and its complications. Our team is having expertise in performing robotic prostate surgery in Hyderabad.
Changes In Your Sex Life
Most men experience some decline in erectile function after their prostate is removed, but this can be managed. It can take six months or even up to a year for the affected nerves to recover from surgery. But with proper therapy and treatment, most patients can have good erectile function again, says Dr. Fam.
Treatment options include:
Work with your doctor to find a treatment that is right for you.
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Health Insurance Coverage Vs Out
Prostate cancer costs can be covered by your healthcare provider or be paid out-of-pocket.
Health insurance coverage
Different Medicare parts cover different treatments, as outlined below.
Medicare Part A
This insurance covers:
Inpatient hospital admissions
Nursing care at a skilled nursing facility after a 3-day stay in the hospital
Specialized nursing care or home health care
Coinsurance, copayments, or deductibles may apply to your treatments. These costs vary depending on:
Whether your healthcare professional accepts assignment
The type of facility
The location of the healthcare provider
Whether you have an insurance policy
Discuss with the medical staff upfront to understand how they charge for prostate cancer-related services.
Medicare does not cover the following expenses:
Room and board at an assisted living facility
Long-term care in a specialized nursing home
Nutritional supplements or medical food
Assisted living services like eating and bathing
Is Robotic Prostate Surgery Covered By Medicare
The Centers for Medicare and Medicaid Services doesnt have a policy for the national coverage on radical prostatectomy. Procedures to remove the prostate may be open, laparoscopic, or robot-assisted surgery. Local coverage is a little different. As it stands, robot surgery for prostate cancer is a service Medicare covers. Additionally, reimbursement for providers is the same as the compensation for traditional prostatectomy.
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What Is Robot Assisted Surgery
Robotic surgery, or robot-assisted surgery, is an advancement in surgical techniques where a surgeon uses a computerized robotic arm with small tools attached to it to carry out complex surgeries.
Robotic surgical system provides the surgeon a high-definition, magnified , 3-D view of the surgical site.
The surgical instruments are controlled by the surgeon using the console, to direct special surgical instruments which are smaller in size, and more flexible than the human hand.
The robot does not perform the surgery on its own. The movement of the surgeons hand just mimicked by the instruments attached to the robotic arms, while this is completely controlled by the surgeon. Robot assisted surgeries offer precise action that is devoid of hand tremors, enabling the surgeon to perform the most complex procedures with enhanced precision, dexterity and control
What is robotic prostatectomy or Robotic prostate cancer surgery