OverviewProstatectomy is surgery to remove part or all of the prostate gland. The prostate gland is situated in the male pelvis, below the urinary bladder. It surrounds the urethra, which carries urine from the bladder to the penis. Show
The procedure is used to treat a number of conditions affecting the prostate. It's most commonly used as a treatment for prostate cancer. Prostatectomy can be performed in several ways, depending on the condition involved. Options include minimally invasive surgery performed with robotic assistance and traditional open surgery. Mayo Clinic urologists use advanced endoscopic techniques to address enlarged prostate symptoms without the need for open, laparoscopic, or robotic surgery in most cases. Why it's doneMost often, prostatectomy is done to treat localized prostate cancer. It may be used alone, or in conjunction with radiation, chemotherapy and hormone therapy. Radical prostatectomy is surgery to remove the entire prostate gland and surrounding lymph nodes to treat men with localized prostate cancer. A surgeon can perform a radical prostatectomy using different techniques, including:
Less often, simple prostatectomy may be recommended for men with severe urinary symptoms and very enlarged prostate glands. Enlarged prostate glands are known as benign prostatic hyperplasia, or BPH. Simple prostatectomy is usually performed as a minimally invasive procedure with robotic assistance. It's not often done as an open procedure anymore. Simple prostatectomy to treat BPH doesn't always involve removing the entire prostate, as in a radical prostatectomy. Instead, this procedure removes just the part of the prostate that's blocking the flow of urine. The surgery eases urinary symptoms and complications resulting from blocked urine flow, including:
Mayo Clinic urologists use advanced endoscopic techniques to address these symptoms without incisions in most cases. Your surgical team will discuss the advantages and disadvantages of each technique, as well as your preferences, to determine which approach is best for you. Explaining prostatectomy optionsA Mayo Clinic urologist explains prostatectomy options. RisksRadical prostatectomy risksIn addition to the risks associated with any surgery, risks with radical prostatectomy include:
At Mayo Clinic, the urologists who perform prostatectomy procedures have advanced training and extensive experience in all aspects of the surgery. Much of this expertise stems from the high numbers of patients treated: More robotic surgery is performed at Mayo Clinic than anywhere else in the world. Additionally, Mayo's multidisciplinary approach ensures the lowest complication rates and delivers the best outcomes possible for people who have this surgery. Simple prostatectomy risksAlthough simple prostatectomy works well at relieving urinary symptoms, it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures such as transurethral resection of the prostate (TURP), laser PVP surgery or holmium laser prostate surgery (HoLEP). Risks of open simple prostatectomy include:
How you prepareBefore surgery, your doctor may want to do a test that uses a visual scope to look inside your urethra and bladder (cystoscopy). Cystoscopy lets your doctor check the size of your prostate and examine your urinary system. Your doctor may also want to perform other tests, such as blood tests or tests to specifically measure your prostate and to measure urine flow. Follow your doctor's instructions on what to do before your treatment. Here are some issues to discuss with your doctor: Food and medications
Clothing and personal itemsPlan ahead to avoid wearing these items into surgery:
Arrangements after surgeryAsk your doctor how long you'll be in the hospital. You'll want to arrange in advance for a ride home, because you won't be able to drive immediately following surgery. Activity restrictionsYou may not be able to work or do strenuous activities for several weeks after surgery. Ask your doctor how much recovery time you may need. What you can expectBefore the procedureProstatectomy is usually done using general anesthesia, which means you're not awake during the procedure. Your doctor may also give you an antibiotic right before surgery to help prevent infection. During the procedure
After the procedureAfter surgery you should expect that:
Make sure you understand the post-surgery steps you need to take, and any restrictions such as driving or lifting heavy things:
ResultsRobot-assisted prostatectomy can result in reduced pain and blood loss, reduced tissue trauma, a shorter hospital stay, and a quicker recovery period than a traditional prostatectomy. You usually can return to normal activity, with minor restrictions, around four weeks after surgery. Simple prostatectomy provides long-term relief of urinary symptoms due to an enlarged prostate. Although it's the most invasive procedure to treat an enlarged prostate, serious complications are rare. Most men who have the procedure generally don't need any follow-up treatment for their BPH. Clinical trialsExplore Mayo Clinic studies of tests and procedures to help prevent, detect, treat or manage conditions. Sept. 01, 2020 How long does it take to recover from prostate surgery after catheter is removed?Recovering at home
It's common to feel tired and under the weather for a week or two after having a TURP. Most men are up and about after 3 to 4 weeks recovery. For the first 3 to 4 weeks, you shouldn't lift or move any heavy objects (including shopping) or do any strenuous exercise.
How many hours after catheter removal should you urinate?Try to urinate every 2 hours to keep your bladder empty for the first 8 hours after removing the Foley catheter.
What are the after effects of having a catheter removed?Possible symptoms after removal of a catheter:. Burning. Your child may complain of a slight feeling of burning when he or she urinates after the catheter is removed. ... . Urination. You may see a slight amount of pink-colored urine the first time your child urinates after the catheter is removed. ... . Swelling. ... . Discomfort.. How long does it take to get bladder control after prostate surgery?Most people regain control in the weeks after we remove the catheter. The vast majority of men who had normal urinary control before the procedure achieve it again within 3 to 18 months after the surgery.
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