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Prostate Cancer >> Questions & Answers >> What Is The Best Surgical Procedure To Treat Prostate Cancer?

What Is The Best Surgical Procedure To Treat Prostate Cancer?

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The best surgical procedure to treat your prostate cancer will be the procedure that you and your doctor decide upon. It is a good idea to do your own research on the Internet about the different surgical procedures and what they entail. Your doctor may suggest a certain type of surgery; you should get a second opinion to see if another doctor agrees with your doctor about your prognosis in relationship to the suggested treatment. There are a few different surgeries that may be an option. The least invasive may be the best for some men; and other men may require more invasive surgery.

Transurethral resection

Transurethral resection of the prostate (TURP) is done with a cystoscope. This is a type of laparoscopic surgery that goes through the urethra of the penis. The doctor is able to snip away at the prostate to relieve the squeezing pressure of the prostate gland against the male urethra. The prostate gland is normally about the size of a walnut, and it surrounds the urethra. If this gland gets very swollen, it can cut off the flow of urine and cause a lot of problems. The TURP is one of the least invasive ways to treat prostate cancer. There may be some blood in the urine for awhile, and this is normal. The patient may have a urinary catheter for a few hours, because the trauma of surgery may cause swelling in the area and make it difficult to pass urine. Anesthesia also can interfere with the man’s ability to void on his own for a few hours.

Perineal approach prostatectomy

A prostatectomy can be done in a couple of different ways. One way the surgery is done is through the perineal area that is located between the anus and the scrotum. The perineal approach to the prostatectomy is less likely to cause nerve damage. The surgeon cuts through the perineum, and into the connective tissue and muscles in that area.

Retropubic approach prostatectomy

The abdominal, or retropubic approach, to the prostatectomy is done just above the pubic bone. This approach is the best approach when the cancer has metastasized to the lymph nodes in the lower abdominal and pubic area. The prostatectomy may cause impotence in most men. However, many men can enjoy a healthy sex life with the aid of medications like Viagra and Cialis, because these medications are quite effective at treating erectile dysfunction. Men must be in fairly good health to take medications for erectile dysfunction, because these drugs increase the heart rate and lower the blood pressure in the body.

Orchiectomy (castration)

An orchiectomy is the removal of the testicles. An orchiectomy is done to stop the production of testosterone. Prostate cancer needs testosterone to keep growing. An orchiectomy causes your testosterone levels to drop, which in turn will induce shrinking of the prostate. Prostate cancer cannot grow without testosterone. Some men prefer an orchiectomy to having estrogen shots every 3 months. Estrogen blocks the production of testosterone, but many men would rather have their testes removed than to continue to take shots. If you choose to have an orchiectomy to treat prostate cancer, you can ask your surgeon to insert prosthetic testes into your scrotum to give you the feeling that you have testes inside your scrotum.

Side effects of orchiectomy

Middle aged men who get prostate cancer may opt to have an orchiectomy. If these men want to have children, they should store their sperm before surgery, because removal of the testes will make you sterile. An orchiectomy may also lower your libido due to the drop in testosterone levels. Men being treated for prostate cancer should not take exogenous testosterone to increase libido, because even artificial testosterone can promote tumor growth. Drugs such as Viagra and Cialis can be used to help men maintain a sufficient erection to have sexual relations.

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