Surgery is the main form of treatment for prostate cancer, which in most cases removes all malignancies and cures cancer permanently, especially when the disease does not last as long and has not spread to other organs.
This surgery, known as radical prostatectomy, usually occurs in men under the age of 75, without chronic diseases such as diabetes and hypertension, diagnosed with prostate cancer that still has metastasis, although this treatment is essential, it may also be necessary to perform it. chemotherapy or radiation therapy after surgery to remove all malignant cells in addition to treatment.
- The prostate tumor develops slowly and since no surgery is required immediately after the discovery of carcinoma.
- We may wait a few days.
- As there is an increased risk of complications.
Recovery is relatively fast and it is only recommended to rest, avoiding stress for a period of between 10 and 15 days, after this time you will be able to resume your daily activities such as management, however I allow you to make great efforts only within 90 days of surgery, in the case of sexual intercourse can be resumed at 40 days.
In the postoperative prostatectomy, it is necessary to place a tube in the bladder called a bladder tube to urinate, this tube should be used for 1 to 3 weeks and removed when requested by the doctor.
In addition to surgery, chemotherapy and radiation therapy may be necessary to remove malignant cells that have not been removed during surgery, which spread to other organs and prevent them from multiplying.
In addition to general risks, such as an infection instead of a scar or bleeding, prostate cancer surgery may have other important sequences such as:
After surgery, a man may have difficulty controlling urine production, causing urinary incontinence. This incontinence can be mild and usually lasts a few weeks or months after surgery.
This problem is more common in the elderly, but can occur at any age, depending on the degree of cancer progression and the type of surgery.
Sexual impotence is one of the most common and troubling complications in men, who must begin to maintain an erection because there are important nerves around the prostate that control erection, as impotence is more common in cases where cancer is advanced and some affected areas need to be removed, even need to remove nerves.
In other cases, the erection may be affected by inflammation of the tissue surrounding the prostate, leading to nerve depression. Generally, in these cases, this situation improves over time as inflammation decreases and the tiles recover.
To help you in the first few months, your urologist may recommend certain medications such as vardenafil or sildenafil, better known as viagra, that can help you get a satisfactory erection. Talk about how to deal with male sexual impotence.
Prostate cancer surgery cuts the link between the testicles, where sperm are produced, and the urethra, so man will not be able to generate a child by natural means, the testicles will produce sperm but will not be observed.
Like most men affected by prostate cancer in the elderly, infertility is not a major concern if a young person wishes to have children, it is recommended to speak with the urologist and evaluate the possibility of maintaining sperm in specialized clinics.
In most cases, surgery is performed under general anesthesia, but it can also be performed under epidural anesthesia. Surgery takes 40 minutes to 1 hour and you should usually stay in the hospital for 3 to 5 days.
Prostatectomy is surgery in which the prostate is removed, including the prostate urethra, seminal vesicles, and ducts in the various ducts, associated with bilateral lymphadenectomy.
To remove the prostate, surgery may be done by laparoscopy, perhaps through small holes in the abdomen through which the instruments to remove the prostate, or by laparotomy, from where a larger incision is made.
In most cases, the technique is indicated for laparoscopic surgery because it causes less pain, less blood loss, and faster recovery time.
After treatment for prostate cancer is complete, a prostate antigen (PSA) exam is needed every 6 months for 5 years. Your doctor may also order bone densitometry and other imaging tests each year to make sure it is correct to diagnose any alterations as soon as possible. as much as possible.
It is also possible to indicate therapy with a psychologist as part of treatment, as the emotional part and sexuality may be affected. Support from family and other bad friends is also helpful in overcoming the difficulties patients will face. .
Yes, men diagnosed with prostate cancer are at increased risk of developing other types of cancer such as rectum, leukemia, bowel or bladder, for example, in this way it is advisable to maintain healthy habits and not smoke, in addition to performing routine diagnostic tests at the doctor’s request, as they will be diagnosed as soon as possible and more likely to cure