perineal prostatectomy

August 12, 2017 17:50 | Diagnosis Of Disease

With this type of surgery, an incision is made between the anus and the scrotum, which contains the testicles.It causes less blood loss, and patients recover from it more quickly than after retropubic prostatectomy.Unfortunately, this approach makes it difficult, and sometimes just makes it impossible to determine the exact position and preservation of nerve bundles that correspond to the prostate.Moreover, the surgeon is not able to take samples of nearby lymph vessels.For these reasons, this method of removing the prostate is now used less often.

you can approach the operation if:

The cancer has not spread beyond the prostate gland.

you are healthy enough to undergo surgery.

your expected life span of more than allow you to survive cancer.

for cancer localized in the prostate, surgery is a very effective method of treatment.You can completely cured of cancer.

All major surgical procedures carry some risk of death.In radical prostatectomy, this risk is quite small.One large study that involved mo

re than 100 men Ltd, showed that 30 days after surgery died from complications of 0.5% of men aged 65 to 69 years, and about 1% of men older than 75 years.

You can become impotent.This largely depends on your age.In 1999 it was published the results of research, which was attended by 1800 men who underwent radical retropubic prostatectomy and who had managed to keep the nerve bundles.The study showed that the potency was restored in 80% of men under the age of 60 years, 60% of men between 60 and 70 years old and 47% - over 70. According to the American Cancer Association of the United States, some cancer centers are fixed restoration po-

tion in70-75% of men under 60 years and 20-30% of men older than 70 years who underwent surgery with preservation of nerve bundles.The end result depends on the surgeon's art, and the potency of the quality before surgery.If you have had problems with achieving and maintaining potency before surgery, your chances of becoming impotent after surgery increases.

You may have incontinence, at least temporarily.After the catheter is removed almost all men experience difficulty in controlling the bladder.It can last a few days, and maybe weeks or months.In this case, special treatment and medications help to improve bladder control.About 90% of men, in the end, achieve full control when they do not need to always use the pads and they do not imply the urine in moderate exercise.From 5 to 10% suffer from stress incontinence.This means that they can not hold the urine stream when the bladder is under pressure as by sneezing, coughing, laughing, lifting objects.

recovery can last one to two months or longer.

There is a small risk of damage to the lower intestinal tract.Then, an additional operation is required to restore it.

Some statistics llja reflections

blood loss 800-1400 ml.

Impotence 60-80%.

»Incontinence 15-20%.

urethral stricture 7-9%.

«flebotromboz 1-8%.

Pulmonary embolism is less than 1%.

damage the rectum less than 1%.