Radical Prostatectomy in India

What is Radical Prostatectomy ?

Radical retropubic prostatectomy is a surgical procedure in which the prostate gland is removed through an incision in the abdomen. It is most often used to treat individuals who have early prostate cancer. Radical retropubic prostatectomy can be performed under general, spinal, or epidural anesthesia and requires blood transfusion less than one-fifth of the time.

Radical retropubic prostatectomy is associated with complications such as urinary incontinence and impotence, but these outcomes are related to a combination of individual patient anatomy, surgical technique, and the experience and skill of the surgeon.

Description

Radical retropubic prostatectomy was developed in 1945 by Terence Millin at the All Saints Hospital in London. The procedure was brought to the United States by one of Millin's students, Samuel Kenneth Bacon, M.D., adjunct professor of surgery, University of Southern California, and was refined 1982 by Patrick C. Walsh[1] at the James Buchanan Brady Urological Institute, Johns Hopkins Medicine. It can be performed in several different ways with several possible associated procedures.

Radical Prostatectomy

Complications

The most common serious complications of radical retropubic prostatectomy are loss of urinary control and impotence. As many as forty percent of men undergoing prostatectomy may be left with some degree of urinary incontinence, usually in the form of leakage with sneezing, etc.(stress incontinence) but this is highly surgeon-dependent. Impotence is common when nerve-sparing techniques are not used.

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