Michael Curran, who is our CEO—he and I meet weekly to review administrative issues and every now and then he would ask me how I was doing in relation to some of these challenges.
But after we talked some more, I decided to seriously consider the prosthesis. Q: A prosthesis? Les : Yes, a penile prosthesis, which is an implant that has three parts. It has two cylinders that essentially go into the channels where the blood flow goes when you get an erection. When you want an erection, you literally pump this thing up and voila: it works!
Very ingenious. Long story short, I got the prosthesis. And it definitely changed my life—for the better. You go back to normal so to speak.
It is quick, easy, functional, effective, and works like a charm. Founded in , Greater Boston Urology is an integrated urology practice. X Search. X Patient Support Hotline Call ZERO is a free, comprehensive patient support service to help patients and their families navigate insurance and financial obstacles to cover treatment and other critical needs associated with cancer.
X Subscribe to our E-Newsletter Stay up-to-date on the latest news about prostate cancer. Do some light exercise , such as walking, to help build up your energy. You can slowly increase the amount you do. If you think you might have any difficulties coping at home after your surgery, tell your nurse or social worker when you are admitted to hospital. They can arrange help for when you go home. It will be absorbed back into the body.
You may also have problems with erections or lose interest in sex after prostate surgery. Although you may feel embarrassed, doctors who deal with prostate cancer are very used to talking about these issues and will be able to give you advice. There are treatments that can help with this. We have more information about your sex life and treatment for prostate cancer. After your prostate has been removed, your PSA level should drop to a level so low that it is not possible to detect it in the blood.
Your PSA level will be checked about 6 to 8 weeks after surgery. This can help your doctors tell whether they removed all of the cancer. You will be given a clinic appointment to see the surgeon to check your wound is healing properly. They will also tell you about:. Below is a sample of the sources used in our prostate cancer information. If you would like more information about the sources we use, please contact us at cancerinformationteam macmillan.
Guidelines on Prostate Cancer. European Society for Medical Oncology. Prostate cancer overview. Available from: pathways. Surveillance report Prostate cancer: diagnosis and management It has been reviewed by expert medical and health professionals and people living with cancer. We try to make sure our information is as clear as possible. We use plain English, avoid jargon, explain any medical words, use illustrations to explain text, and make sure important points are highlighted clearly.
For example, we do so when talking about parts of the body or mentioning statistics or research about who is affected. Stirrups will be placed under your legs for support. An upside-down, U-shaped incision will be made in the perineal area between the scrotum and the anus. The prostate gland and any abnormal-looking tissue in the surrounding area will be removed. The seminal vesicles a pair of pouch-like glands located on each side of the male urinary bladder that secrete seminal fluid and promote the movement of sperm through the urethra may be removed if there's concern about abnormal tissue in the vesicles.
You'll be transferred from the operating table to a bed, then taken to the post-anesthesia care unit. After the procedure, you may be taken to the recovery room to be closely monitored. You'll be connected to monitors that will constantly display your heart beat electrocardiogram—ECG or EKG tracing, blood pressure, other pressure readings, breathing rate, and your oxygen level. You may receive pain medication as needed, either by a nurse, or by administering it yourself through a device connected to your intravenous line.
Once you're awake and your condition has stabilized, you may start liquids to drink. Your diet may be gradually advanced to more solid foods as you're able to tolerate them. Your activity will be gradually increased as you get out of bed and walk around for longer periods of time. The urinary catheter will stay in place upon discharge and for about one to three weeks after surgery.
You'll be given instructions on how to care for your catheter at home. Once you're home, it'll be important to keep the surgical area clean and dry. Your physician will give you specific bathing instructions.
The sutures or surgical staples will be removed during a follow-up office visit, in the event they weren't removed before leaving the hospital.
The surgical incision may be tender or sore for several days after a prostatectomy. Take a pain reliever for soreness as recommended by your doctor. Once your catheter is removed, you'll probably have some leaking of urine. The length of time this occurs can vary. Your doctor will give you suggestions for improving your bladder control.
Over the next few months, you and your physician will be assessing any side effects and working to improve problems with erectile dysfunction. Your doctor may give you additional or alternate instructions after the procedure, depending on your particular situation.
Health Home Treatments, Tests and Therapies. Read more. What is the prostate gland? These problems may occur in men of all ages and include: Benign prostatic hyperplasia BPH. Methods of performing prostatectomy include: Surgical removal includes a radical prostatectomy RP , with either a retropubic or perineal approach.
See all Urology Locations. Are there different types of radical prostatectomy? There are several methods of radical prostatectomy: Radical prostatectomy with retropubic suprapubic approach.
Reasons for the procedure The goal of radical prostatectomy is to remove all prostate cancer. Other less common reasons for radical prostatectomy include: Inability to completely empty the bladder Recurrent bleeding from the prostate Bladder stones with prostate enlargement Very slow urination Increased pressure on the ureters and kidneys from urinary retention called hydronephrosis There may be other reasons for your doctor to recommend a prostatectomy.
Risks of the procedure As with any surgical procedure, certain complications can occur. Some possible complications of both the retropubic and perineal approaches to RP may include: Urinary incontinence. Some risks associated with surgery and anesthesia in general include: Reactions to medications, such as anesthesia Difficulty with breathing Bleeding Infection One risk associated with the retropubic approach is the potential for rectal injury, causing fecal incontinence or urgency.
Before the procedure Some things you can expect before the procedure include: Your doctor will explain the procedure to you and offer you the opportunity to ask any questions you might have about the procedure. You'll be asked to fast for eight hours before the procedure, generally after midnight. You may receive a sedative prior to the procedure to help you relax.
Based on your medical condition, your doctor may request other specific preparation. During the procedure Radical prostatectomy requires a stay in the hospital. Generally, a radical prostatectomy retropubic or perineal approach follows this process: You'll be asked to remove any jewelry or other objects that may interfere with the procedure. You'll be asked to remove your clothing and will be given a gown to wear. You'll be asked to empty your bladder prior to the procedure.
An intravenous IV line will be started in your arm or hand. If there is excessive hair at the surgical site, it may be clipped off. The skin over the surgical site will be cleansed with an antiseptic solution. This type of surgery is not available in every hospital in the UK, but it is becoming more common. The surgeon sits slightly away from you and can see the operation on a magnified screen.
The robotic machine is next to you. The machine has 4 arms. One arm holds the camera, and the others hold the surgical instruments. The surgeon controls the arms of the machine to remove the cancer. These state that surgeons can use it to remove cancer of the prostate but they must:. Your surgeon might use a robotic system to help them remove your prostate gland. This is also called da Vinci surgery.
Surgery is one of the main treatments for prostate cancer. You might have an operation to remove the prostate or to help to relieve the symptoms of prostate cancer. Before your operation, you have tests to check your fitness and you meet members of your treatment team. Your treatment depends on a number of factors including how big the cancer is, whether it has spread anywhere else in your body and how well you are.
Prostate cancer is cancer that starts in the prostate gland, which is a walnut sized gland at the base of the bladder in men. About Cancer generously supported by Dangoor Education since
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