Doctors for Prostatectomy in Bangalore

A prostatectomy is a surgical procedure that involves the removal of all or part of the prostate gland in men. This small gland, located below the bladder and shaped like a walnut, is typically removed to treat prostate cancer. However, it can also be used to address other conditions such as benign prostatic hyperplasia, chronic prostatitis, or prostate bleeding.

The following are the several types of prostatectomy:

• Open prostatectomy: This involves making a large cut in the lower abdomen to access and remove the prostate gland. However, this method is less commonly used nowadays due to the advancements in minimally invasive procedures.
• Minimally invasive prostatectomy: Minimally invasive techniques for prostate removal involve utilizing small incisions or natural body openings to reach the prostate gland and remove it.
• Laparoscopic prostatectomy: In this technique, a laparoscope - a long and slender tube fitted with a camera - and small surgical tools are used to extract the prostate gland through multiple small incisions made in the abdomen.
• Robot-assisted laparoscopic prostatectomy: The procedure is similar to laparoscopic prostatectomy, but instead of the surgeon directly using surgical instruments, they use a robotic arm controlled through small incisions in the abdomen.
• Transurethral resection of the prostate (TURP): A procedure called Transurethral Resection of the Prostate (TURP) is used to treat benign prostatic hyperplasia (BPH), which involves inserting a small instrument into the urethra to remove a portion of the prostate gland.

Before a prostatectomy surgery, a series of tests and evaluations are usually conducted to assess the patient's general health, determine the stage and location of cancer, and confirm the need for surgery. Some of the common diagnostic tests and evaluations that are done before prostatectomy surgery include:

• Physical examination: An inspection of the body that is performed to search for indications of any existing medical conditions.
• Digital rectal exam (DRE): An examination of the prostate gland via physical means, with the goal of locating any abnormalities, such as lumps or bumps.
• MRI: Magnetic Resonance Imaging (MRI) is a technique that produces detailed images of the organs of the body, including the prostate, by utilizing powerful magnets and radio waves.
• CT Scan: During a computed tomography, or CT, scan, X-rays are used to create slices of the patient's body, which can then be examined for any abnormalities.
• Prostate-specific antigen (PSA) blood test: A blood test that determines whether or not prostate cancer is present by measuring the amount of PSA that is present in the blood.
• LFT: A Liver Function Test, also known as an LFT, is a blood test that checks for any issues with the liver that might make prostate surgery more difficult.
• KFT: A Kidney Function Test, also known as a KFT, is a blood test that evaluates the kidneys' level of functionality.
• Urine R/M: Urine R/M is an abbreviation that stands for "urinary routine and microscopy." This test can check for any traces of blood or bacteria that may be present in the urine. It can also look for any bacteria that may be present.
• Lipid Profile: The levels of fat molecules in the blood are measured using a lipid profile, which is a group of different tests.
• Thyroid Profile Tests: The thyroid gland is responsible for producing a number of hormones, which can be measured using this test.
• Hemoglobin Test: The amount of hemoglobin, a protein found in red blood cells that is responsible for transporting oxygen throughout the body, can be determined with the help of a hemoglobin test. This can be helpful in determining whether or not a person suffers from anemia.
• Complete Blood Count (CBC): A complete blood count, also known as a CBC, is a type of blood test that counts the number of platelets, red blood cells, and white blood cells that are present in a given blood sample. This can be helpful in determining whether or not you have anemia, an infection, or any other type of medical problem.

The general steps involved in Prostatectomy are:

• Pre-operative preparation: The patient will be requested to give a urine sample prior to the procedure so that a urine culture can be performed to check for any underlying infections of the urinary tract. The patient's general health may also be assessed using blood tests and chest X-rays.
• Positioning the patient: The patient is positioned with the feet in stirrups in the dorsal lithotomy position. This makes it simpler to access the patient's prostate area.
• Anesthesia: Depending on the patient's preferences and health, a general or spinal anesthesia procedure may be performed.
• Visualization: A catheter is then inserted into the patient's perineum while a cystoscope is used to view the bladder.
• Dissection: The prostate is first dissected, and the surgeon has the option of performing open or laparoscopic surgery. To access the prostate during open surgery, an incision is made in the abdomen or perineum. Numerous little incisions (ports) are created in the abdomen during laparoscopy. The surgeon then inserts the laparoscope and the other required instruments.
• Removal: The prostate is then surgically removed while safeguarding the nearby nerves and blood vessels.
• Closure: The ports or incisions are then sealed after the prostate has been removed (if necessary).

Prostatectomy is a procedure that's getting more and more popular because of all of its advantages. Prostatectomy has a few notable benefits, including the following:

• Improved Quality of Life: Prostatectomy can improve the quality of life for men with prostate cancer. Sexual dysfunction, urinary incontinence, and pain are just a few of the symptoms that the procedure can help with, all of which can significantly lessen pain and discomfort.
• Reduced Risk of Prostate Cancer Recurrence: Due to the removal of the entire prostate gland during the procedure, prostatectomies can lower the risk of prostate cancer recurrence. This reduces the likelihood that cancer will spread to other body regions, thereby lowering the risk of developing new complications and diseases.
• Increased Survival Rates: Prostate surgery has been shown to improve survival rates for men with prostate cancer. According to studies, the procedure can increase survival rates by up to 10 years, which will benefit the patient's health.
• Improved Urinary Control: The prostate gland, which can cause urinary issues, is removed during a prostatectomy procedure, which can help improve urinary control. This can lessen the need for urinary catheterization and other urinary incontinence treatments, which lowers the risk of side effects.
• Reduced Risk of Complications: The likelihood of complications from other diseases and prostate cancer can be reduced by prostate surgery. The procedure may reduce the risk of infection and other issues, improving the outcomes for patients by raising their quality of life.

The following risks and side effects involved in Prostatectomy:

• Urinary incontinence: One of the most noticeable and frequent side effects that can develop after a prostatectomy surgery is urinary incontinence. In essence, this denotes a patient who is unable to control urination, leading to accidents and involuntary urine leakage.
• Sexual dysfunction: Sexual dysfunction is another side effect of prostatectomy. Erectile dysfunction (ED), a frequent side effect, typically results from nerve damage from surgery. This might also lead to a drop in libido or a lack of interest in having sex.
• Bowel difficulties: Patients having prostatectomy surgery might have bowel issues. This may result in an inability to control bowel movements or, in rare instances, an excessive or sudden urge to use the loo.
• Blood clots: Blood clots can develop in the lower legs during a prostatectomy or any other major surgery. A blood clot may travel to the lungs and result in a pulmonary embolism, which can be fatal if left untreated.
• Infections: Patients who undergo a prostatectomy run the risk of getting an infection because of the open wound. Serious side effects from wound infections, including abscesses, sepsis, and even death, are possible.
• Inflammation: After a prostatectomy, the rectal wall may sustain damage that can result in proctitis, an inflammation of the rectum. Rectal bleeding is one of the signs of proctitis, which may need to be treated with antibiotics.
• Bladder irritation: Urinary incontinence is a risk after prostatectomy, but so is bladder irritation. In some cases, pain and a burning sensation may also be present, along with an uncomfortable feeling and a frequent or urgent need to urinate.

If you want to fully recover, you must follow your doctor's instructions. The following tips will help you recover after a prostatectomy:

• Get ample rest: It's important to give your body enough time to recover after surgery. When possible, take naps and refrain from being overly active or strenuous.
• Drink plenty of fluids: It's critical to maintain hydration because dehydration can contribute to increased fatigue. Avoid alcoholic and caffeine-containing beverages.
• Follow your doctor’s instructions: Your surgeon will provide you with specific instructions on how to care for your incision following surgery. Following your doctor's instructions exactly is essential if you want to recover properly and avoid problems.
• Eat healthy foods: Even though eating nutrient-rich foods like fruits, vegetables, whole grains, and lean proteins can be challenging after surgery as your appetite may be difficult to maintain, it's still important to do so. Sugary and processed foods should be avoided because they can decrease your energy.
• Exercise: Light exercise, like walking and stretching, can help you regain your strength and endurance even though it's crucial to avoid strenuous activities while you're recovering. Before starting an exercise program, seek medical advice.
• Seek psychological help: Every surgery recovery can be difficult and distressing. You can learn to control your anxiety and adjust to the physical changes in your body by speaking with a therapist or attending a support group.
• Set realistic recovery goals: It's crucial to establish optimistic but practical recovery goals that are in keeping with the anticipated time frame for recovery. After a prostatectomy operation, the recuperation period is typically 4 to 6 weeks long, depending on the type of procedure, the patient's age, and general health.