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Prostate Cancer Surgery

Prostate Cancer Surgery: Options & How To Choose

Receiving a prostate cancer diagnosis can feel overwhelming. There is often a flood of emotions and a mountain of information to process. After a diagnosis, your urologist may recommend prostate cancer surgery. Understanding your surgical options can empower you to make the most informed decisions.
Let’s explore the most common options for prostate cancer surgery and the factors to consider when choosing.

Prostate Cancer Surgery

If surgery is recommended for prostate cancer, several options may be available. The best choice depends on your condition and health. Here are the most common surgical procedures:

Radical Prostatectomy

A radical prostatectomy involves the complete removal of the prostate gland. This procedure is typically recommended for cancer localized to the prostate. There are two main methods:

  • Open Radical Prostatectomy: Performed through a single incision in the lower abdomen.
  • Laparoscopic Prostatectomy: A minimally-invasive procedure using robotic-assisted technology. Small punctures are made rather than a larger incision.
Transurethral Resection of the Prostate (TURP)

A TURP is not a cure for cancer but is used to relieve symptoms of an enlarged prostate. A thin tool called a resectoscope is inserted into the urethra. An electric current then removes excess tissue. TURP is often recommended for advanced cancer cases. It’s also for patients who aren’t candidates for more invasive procedures.

Pelvic Lymph Node Dissection (PLND)

PLND may be performed to determine if cancer has spread to the pelvic lymph nodes. During this procedure, lymph nodes are removed either through an open or laparoscopic approach. PLND can be done alongside a radical prostatectomy or as a standalone procedure.

Cryosurgery

Cryosurgery uses freezing temperatures to destroy cancer cells. A device called a cryotube delivers argon gas directly into the prostate. This option is often recommended for early-stage cancer or cases where the cancer is unlikely to spread quickly.

Minimally-Invasive Alternatives

In certain situations, minimally invasive alternatives to prostate cancer surgery may be an option. Transurethral ultrasound ablation is one such treatment.

TULSA uses precise, MRI-guided ultrasound energy to remove prostate tissue. This innovative technique allows for targeted treatment with minimal impact on surrounding structures. This reduces the risk of side effects such as incontinence or erectile dysfunction. TULSA is typically recommended for patients with localized prostate cancer

Factors to Consider When Choosing Prostate Cancer Surgery

Deciding on a surgical approach is deeply personal and should be guided by your health needs and goals. Key factors to consider include:

  • Your Overall Health: Your age, health, and ability to recover will impact your surgery options.
  • Your Cancer’s Stage: Early-stage, localized cancer will have different options than more advanced cancer.
  • Potential Side Effects: Each prostate cancer surgery option comes with different side effect risks. Changes in sexual function, urinary incontinence, or pain should be considered. Understanding these risks helps weigh the benefits of each option.
  • Recovery Time: Minimally invasive procedures like laparoscopic prostatectomy or TURP often have shorter recovery periods. Open surgeries may require more downtime.

Making the Final Decision

Choosing the right prostate cancer surgery is a team effort. Your doctor can help you evaluate each option. They each have their benefits and considerations. An experienced urologist can help you navigate these difficult decisions.

If you’ve been diagnosed with prostate cancer, it’s time to talk with an expert urologic surgeon – call 843.347.2450 to schedule an appointment today!

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