Goals of Radical Prostatectomy
Cancer Removal – To remove the entire prostate gland, including the cancerous portion. Your doctor will recommend periodic PSA testing to confirm that the cancer has been completely removed. In certain cases, additional therapy (e.g., radiation therapy) may be recommended if there is a relapse, or a high likelihood of relapse.
Maintain Urinary Control – To preserve the urinary sphincter muscle during surgery. After surgery, you will wear a foley catheter (a tube which drains urine to a bag) for approximately 1 week. After this catheter is removed, you may have some difficulty controlling your urine. We recommend that you wear a protective pad or an absorbent undergarment for the first few weeks after surgery as you may have urinary leakage during the recovery process. Most patients regain urinary control within a few weeks after surgery if they utilize our rehabilitation protocol .
Maintain Erectile Function – To preserve the cavernous nerves that enable erections. A ‘nerve-sparing’ prostatectomy is appropriate for most patients who are sexually active, allowing them to regain the ability to get an erection. These delicate nerves run closely alongside the prostate. The prostate is carefully removed without injuring them. For the first few months after surgery, you may not be able to have sexual intercourse. We will recommend a rehabilitation protocol in order to speed up your recovery. There are many options for patients with erectile dysfunction , talk to your Premier Urology physician about them.
Achieving all these goals is known as a “trifecta” in the Urology community. At Premier Urology we strive to attain this goal with each patient. Please call and make an appointment to learn more.