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The information contained on this page is provided as general health information and is not intended to substitute as medical advice and direction from your physician or health care provider. Please direct any questions related to your health care provider. In an emergency, call 9-1-1 or go to the nearest emergency center.


Prostatectomy - Series

Normal anatomy

The prostate gland is an organ that surrounds the urinary urethra in men. It secretes fluid which mixes with sperm to make semen. The urethra carries urine from the bladder, through the prostate gland to the penis.

Normal anatomy

Indications

With the exception of skin cancer, prostate cancer is the most common type of cancer among men in the United States. Early detection may result from a blood test called a PSA (prostate-specific antigen), and/or a digital rectal exam. The digital rectal exam checks the rear surface of the prostate gland for any abnormalities. A lump or hardness found during the exam might be a sign of prostate cancer.

Indications

Incision

There are two main surgical methods used for removing the prostate gland. The first method is called the "perineal" method. An incision is made in the perineum, which is the area between the base of the scrotum and the anus.

Incision

Incision

The second surgical method of prostatectomy is called the "suprapubic" approach. An incision is made in the abdomen, just below the umbilicus, which extends downward to the pubic bone.

Incision

Normal

The suprapubic approach allows for removal of the lymph nodes and the ability to perform a nerve sparing modification that might prevent impotence post surgery.

Normal

Aftercare

Patients with prostate cancer might require radiation therapy after their surgery. Results depend on the extent of their disease, and the response of the tumor to resection (removal) and radiotherapy.

Aftercare