Prostatectomy: What You Need To Know
Here’s a breakdown of the procedure, recovery expectations, and potential side effects.
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By Darren Davey Mens Health Prostate Surgery Recovey 9 December 2024

SUMMARY

This article provides a comprehensive overview of prostatectomy, covering surgical types, recovery expectations, typical side effects, and strategies to support healing and function.

KEY POINTS

  1. It describes the various approaches (radical, simple, robotic, open) to prostatectomy and explains how nerve-sparing techniques may influence outcomes like erectile function.
  2. The article highlights typical recovery milestones, such as catheter use, hospital stay, and progressive return of urinary control (often within 6–12 months), and recommends pelvic floor rehabilitation and close follow-up for optimal recovery.

A prostatectomy is a surgical procedure to remove part or all of the prostate gland. This operation is commonly performed to treat prostate cancer or severe benign prostatic hyperplasia (BPH) that doesn’t respond to other treatments. In Adelaide, many patients find that understanding recovery expectations in advance helps them plan follow-up care effectively. Here’s a breakdown of what the procedure involves, recovery expectations, and potential side effects.

Types of Prostatectomy

  1. Radical Prostatectomy:
    This is the removal of the entire prostate gland, often to treat prostate cancer. It may involve nerve-sparing techniques to preserve erectile function.
    • Open Surgery: A traditional approach with an incision in the lower abdomen.
    • Robotic-Assisted or Laparoscopic Surgery: Minimally invasive methods with quicker recovery.
  2. Simple Prostatectomy:
    For BPH, this removes only the part of the prostate blocking the urethra.

What to Expect During Recovery

  • Hospital Stay: Typically, 1–2 days, but robotic-assisted procedures may require less time.
  • Short-Term Side Effects:
    • Urinary Catheter: Often required for a week or two post-surgery.
    • Pain and Swelling: Managed with medication and adequate rest.
  • Long-Term Recovery:
    • Urinary Incontinence: Leakage is common but improves over 6–12 months with pelvic floor exercises.
    • Erectile Dysfunction: Recovery varies; medications or devices may help.

How to Support Recovery

  • Perform pelvic floor exercises to rebuild bladder control.
  • Stay active with light walking to promote healing.
  • Follow up with your doctor to monitor recovery and address concerns.

A prostatectomy is a significant but effective procedure for managing prostate-related conditions. Most men recover well and regain quality of life with proper care and guidance. Consult your healthcare provider for personalised advice.

Want to get in touch?

We’re proud to serve men in Adelaide and the surrounding regions. If you’re in Adelaide and want local guidance or in-clinic support, you’re very welcome to reach out.

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