Prostatectomy

Prostatectomy

Interventions infobox
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ICD9 = 60.2
ICD9_mult = - ICD9proc|60.6
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A prostatectomy is the surgical removal of all or part of the prostate gland. Abnormalities of the prostate, such as a tumour, or if the gland itself becomes enlarged for any reason, can restrict the normal flow of urine along the urethra.

There are several forms of the operation:

*Transurethral resection of the prostate:Also called a TURP, this is a cystoscope [A Resectoscope Rather, which has 30 degree of viewing angle, along with Resectoscopy Sheath & Working Element] is passed up the urethra to the prostate, where the surrounding prostate tissue is excised. This is a common operation for benign prostatic hyperplasia (BPH) and outcomes are excellent for a high percentage of these patients (80-90%). A more refined and safer operation is by means of a holmium(Nd:YAG) high powered "red" laser. A related laser procedure for relief of prostatic obstruction utilizes a potassium titanyl phosphate(KTP) laser to vaporize the adenoma. More recently the KTP laser has been supplanted by a higher power laser source based on a lithium triborate crystal, though it is still commonly referred to as a "Greenlight" or KTP procedure. The specific advantages of utilizing laser energy rather than a traditional electrosurgical TURP is a decrease in the relative bloodloss, elimination of the risk of TUR-syndrome, the ability to treat larger glands, as well as treating patients who are actively being treated with anti-coagulation therapy for unrelated diagnoses.3,4
*Open Prostatectomy:A surgical procedure involving a skin incision and enucleation of the prostatic adenoma, through the prostatic capsule (RPP-retropubic prostatectomy) or through the bladder (SPP-suprapubic prostatectomy). Reserved for extremely large prostates.
*Laparoscopic Radical Prostatectomy:a laparoscopic or four small incisions are made in the abdomen, and the entire prostate for prostate cancer.
*Robotic-assisted Laparoscopic Radical Prostatectomy:Laparoscopic robotic arms are controlled by a surgeon. The robot gives the surgeon much more dexterity than conventional laparoscopy while offering the same advantages over open prostatectomy: much smaller incisions, less pain, less bleeding, less risk of infection, faster healing time, and shorter hospital stay. Center for the Advancement of Health; August 29, 2005; Robot-assisted Prostate Surgery Has Possible Benefits, High Cost [http://www.sciencedaily.com/releases/2005/08/050829073446.htm] ] . While the cost of such procedures is high, costs are declining rapidly Cost Analysis of Radical Retropubic, Perineal, and Robotic Prostatectomy; Scott V. Burgess, Fatih Atug, Erik P. Castle, Rodney Davis, Raju Thomas; Journal of Endourology 2006 20:10, 827-830 [http://www.liebertonline.com/doi/abs/10.1089/end.2006.20.827?cookieSet=1&journalCode=end] ] .
*Radical perineal prostatectomy:an incision is made in the perineum, midway between rectum and scrotum, and the prostate is removed. Radical prostatectomy is one of the key treatments for prostate cancer.
*Radical retropubic prostatectomy:an incision is made in the lower abdomen, and the prostate removed, by going behind the pubic bone (retropubic). Radical prostatectomy is one of the key treatments for prostate cancer.
*Transurethral plasmakinetic vaporization prostatectomy :This is also caleed a TUPVP.

External links

* [http://www.prostate-answers.com/surgery-prostate.html Prostate Cancer Treatment Guide]
* [http://prostatecancer.info/prostatectomy-basics The Basics of the Prostatectomy Procedure Explained]
* [http://www.fightprostatecancer.org/site/PageServer?id=wp National Prostate Cancer Coalition]

References

[http://www.fightprostatecancer.org/site/PageServer]

3. Malex, RS. et al. Photoselective vaporization of the prostate for the treatment of benign prostatic hyperplasia:12-month results from the first United State multicenter prospective trial. J Urology: Vol. 172(4). Pages 1404-1408.


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Look at other dictionaries:

  • prostatectomy — [präs΄tə tek′tə mē] n. pl. prostatectomies [ PROSTAT(O) + ECTOMY] the surgical removal of all or part of the prostate gland …   English World dictionary

  • prostatectomy — n. surgical removal of the prostate gland. The operation is necessary to relieve retention of urine due to enlargement of the prostate or to reduce lower urinary tract symptoms thought to be due to benign prostatic hyperplasia (see prostate… …   The new mediacal dictionary

  • prostatectomy — Removal of a part or all of the prostate. [prostat + G. ektome, excision] * * * pros·ta·tec·to·my .präs tə tek tə mē n, pl mies surgical removal or resection of the prostate gland * * * n. surgical removal of the prostate gland. The operation is… …   Medical dictionary

  • prostatectomy — An operation to remove part or all of the prostate. Radical (or total) prostatectomy is the removal of the entire prostate and some of the tissue around it …   English dictionary of cancer terms

  • prostatectomy — noun (plural mies) Date: circa 1890 surgical removal or resection of the prostate gland …   New Collegiate Dictionary

  • prostatectomy — /pros teuh tek teuh mee/, n., pl. prostatectomies. Surg. excision of part or all of the prostate gland. [1885 90; PROSTATE + ECTOMY] * * * …   Universalium

  • prostatectomy — noun The surgical removal of part or all of the prostate gland …   Wiktionary

  • prostatectomy — prÉ‘stÉ™ tektÉ™mɪ / prÉ’s n. surgical removal of the prostate …   English contemporary dictionary

  • prostatectomy — [ˌprɒstə tɛktəmi] noun (plural prostatectomies) a surgical operation to remove all or part of the prostate gland …   English new terms dictionary

  • prostatectomy — pros·ta·tec·to·my …   English syllables

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