Prostatectomy

Prostatectomy is a common procedure to remove the prostate gland, most often for prostate adenocarcinoma, although occasionally performed for benign prostatic hyperplasia. When performed for tumor, it is only indicated for tumors that are confined to the prostate.

There are two main types of prostatectomy:

  • radical prostatectomy (cancer surgery)
    • open retropubic (RRP)
    • laparoscopic (LRP)
      • robot-assisted laparoscopic (RALP)
    • perineal (RPP)
  • simple prostatectomy (for benign prostatic hyperplasia)
    • open retropubic
    • open suprapubic
    • robot-assisted laparoscopic

Complications

  • early
    • pelvic hematoma
    • anastomotic leak
      • not with simple prostatectomy, which does not have a vesicourethral anastomosis
    • nerve injury
    • rectal injury (rare)
    • ureteral injury (rare)
  • remote
    • bladder neck stricture
    • incontinence
    • impotence (less common with modern nerve-sparing technique)
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Article information

rID: 53933
System: Urogenital
Synonyms or Alternate Spellings:

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