Radical Prostatectomy

Radical Prostatectomy

Radical prostatectomy is carried out for prostate cancers that appear confined to the prostate. It involves removal of the entire prostate gland, and rejoining the bladder to the urethra. Following surgery, a catheter is needed until this join has healed (usually for a week or so). Typically, hospital stay is generally around 3 post-operative days, depending on progress and residential circumstances. The operation is traditionally carried out through an abdominal incision, though it can also be carried out by laparoscopy or with robotic arms.

The most important issue is cancer clearance minimizing the risks of long term erectile dysfunction and continence. The surgical technique required to preserve the nerves for erectile function is highly specialised, and referred to as nerve-sparing or anatomic radical prostatectomy. It should then be possible for good urinary control to be maintained in the majority of patients and functional erections in at least half of men who have erections prior to surgery. In addition to meticulous surgical technique, it is also most important for the patient to adhere to correct recommendations in the first few weeks and months following surgery.

For further advice on prostate cancer treatment, please call us on +44 (0)20 3651 6065 to book an appointment, with Mr. Mark Feneley at The London Clinic, 120 Harley Street, London, W1G 7JW