A prostatectomy is a surgical removal of the prostate that can be performed for various reasons, including prostate cancer or prostate enlargement (benign prostatic hyperplasia, BPH).

Indications for prostatectomy:

  1.  Prostate cancer: Prostatectomy can be used to treat prostate cancer, especially if the cancer is limited to the prostate or locally spread.
  2.  Benign prostatic hyperplasia (BPH): Prostatectomy may be indicated when an enlarged prostate causes severe symptoms such as frequent urination, weak urine flow, or difficulty urinating that are not improved by conservative treatment.

Prostatectomy methods:

  1.  Radical Prostatectomy (open access): This is a surgical procedure in which the prostate is removed through an incision in the lower abdomen. During this operation, the entire prostate and seminal vesicles are removed. This procedure can be performed for prostate cancer.
  2.  Laparoscopic radical prostatectomy: It is a minimally invasive surgical procedure in which the prostate is removed using laparoscopic equipment through several small incisions in the abdomen. This method usually has faster recovery and fewer scars than an open radical prostatectomy.
  3.  Robotic assisted Prostatectomy: This method is also minimally invasive and represents an evolution of laparoscopic prostatectomy, in which the surgeon uses a robot to control instruments through several small incisions in the abdomen. This method allows for more precise control and improved visibility during the operation.

Risks of prostatectomy may include erectile dysfunction, incontinence (urinary incontinence), altered orgasmic sensation, scar tissue formation, infections, bleeding, thrombosis, and reactions to general anesthesia.

Recovery from prostatectomy may vary depending on the method used for the procedure. Physical rehabilitation, following the doctor's recommendations, and family support can contribute to a more successful recovery of the patient.