Doctors for Prostatectomy in Delhi

A prostatectomy is a surgical treatment that removes all or part of the prostate gland. In males, the prostate gland is a small, walnut-shaped gland positioned below the bladder. It is primarily used to treat prostate cancer, but it may also be used to treat other problems such as an enlarged prostate (benign prostatic hyperplasia), chronic prostatitis, or prostate bleeding.

The following are the several forms of prostatectomy:

• Open prostatectomy: This entails creating a big incision in the lower abdomen to reach and eliminate the prostate gland. This approach is less common nowadays due to advances in minimally invasive techniques.
• Minimally invasive prostatectomy: This includes several techniques that involve making small incisions or using natural body openings to access the prostate gland and remove it.
• Laparoscopic prostatectomy: This uses a laparoscope (a long, thin tube with a camera) and small surgical instruments to remove the prostate gland through several small incisions in the abdomen.
• Robot-assisted laparoscopic prostatectomy: This procedure is identical to laparoscopic prostatectomy, except that a surgeon directs a robotic arm via small incisions in the abdomen.
• Transurethral resection of the prostate (TURP): A small instrument inserted into the urethra is utilized to extract a portion of the prostate gland. It is mainly used to treat benign prostatic hyperplasia (BPH).

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 the 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 examination of the body to check for signs of any medical conditions.
• Digital rectal exam (DRE): A physical inspection of the prostate gland to look for lumps, bumps, or abnormalities.
• MRI: Using powerful magnets and radio waves, Magnetic Resonance Imaging (MRI) produces detailed images of the organs of the body, including the prostate. MRI can check for prostate cancer and identify any possible tumors that could be difficult to detect with other imaging tests.
• CT Scan: A Computed Tomography (CT) scan uses X-rays to create slices of the body, which can be viewed to look for any abnormalities. A CT scan of the prostate may be done before the prostatectomy operation to visualize any tumors that may be present.
• Prostate-specific antigen (PSA) blood test: A blood test that measures the quantity of PSA in the blood to identify the presence of prostate cancer.
• LFT: A Liver Function Test (LFT) is a blood test that checks for any liver issues that could complicate prostate surgery. Before having a prostatectomy operation, it is crucial to rule out any hepatic issues.
• KFT: A Kidney Function Test (KFT) is a blood test that monitors how the kidneys are working. When there are any problems with the kidneys, it can lead to an increased risk of infection and other surgical complications, which makes it important to rule out any kidney problems before having a prostatectomy surgery.
• Urine R/M: Urine R/M stands for urine routine and microscopy. This test can check for any bacteria present in the urine, as well as any traces of blood, which can be a sign of infection. This is vital prior to any kind of surgery, including prostatectomy.
• Lipid Profile: A lipid profile is a group of tests that measure the levels of fat molecules in the blood. High levels of these fats, called “lipids”, can be an indication of an underlying health condition, such as diabetes, which must be ruled out before undergoing a prostatectomy.
• Thyroid Profile Tests: This test checks the levels of hormones produced by the thyroid gland. High or low levels of these hormones can affect the body’s ability to heal properly and can increase the risk of surgical complications.

Surgical Procedure for Prostatectomy includes:

• Pre-operative preparation: Before the procedure, the patient will be asked to provide a urine sample for urine culture, which will test for any underlying infections in the urinary tract. In addition, blood tests and chest X-rays may be carried out to evaluate the patient's general health.
• Positioning the patient: The patient is put in the dorsal lithotomy position, with the feet placed in stirrups. This helps access the area of the patient’s prostate more easily.
• Anesthesia: The patient may be given a general or a spinal anesthesia procedure, depending on their preference and medical condition.
• Visualization: The perineum of the patient is then prepped, and a catheter is inserted while the bladder is visualized with a cystoscope.
• Dissection: The dissection of the prostate begins, and the surgeon can perform open or laparoscopic surgery. In open surgery, an incision is created in the abdomen or perineal area to reach the prostate. In laparoscopy, multiple small incisions (ports) are made in the abdominal area. The surgeon continues by inserting the laparoscope and the other necessary tools.
• Removal: The prostate is then removed while protecting the adjacent blood vessels and nerves.
• Closure: Once the prostate is removed, the incision or the ports are then closed (if necessary).
• Post-operative care: Once the procedure is completed, the patient may be monitored in the recovery area or discharged home with instructions from the surgeon. The patient may encounter certain negative effects upon discharge from the hospital, including erectile dysfunction and urine incontinence. These may subside over time, but if necessary, the patient can work with their doctor to address them.

Because of its many benefits, prostatectomy is a treatment that is becoming more and more common. The following are a few significant advantages of prostatectomy:

• Improved Quality of Life: Men with prostate cancer can enhance their quality of life through prostatectomy. The procedure can alleviate symptoms such as pain, urinary difficulty, and sexual problems.
• Reduced Risk of Prostate Cancer Recurrence: Prostatectomy surgery can reduce the risk of prostate cancer recurrence, as it removes the entire prostate gland. This lessens the possibility that the cancer may spread to other parts of the body.
• Increased Survival Rates: For males with prostate cancer, prostate surgery has been demonstrated to increase survival rates. Studies have found that the procedure can improve survival rates by up to 10 years.
• Improved Urinary Control: Prostatectomy surgery can help improve urinary control, as it removes the prostate gland, which can be a source of urinary problems. This can help reduce the need for urinary catheterization and other treatments for urinary incontinence.
• Reduced Risk of Complications: Prostatectomy can decrease the likelihood of complications from prostate cancer and other diseases. The treatment has the potential to lessen the likelihood of infection and other problems, enhancing outcomes for patients.

The following risks and side effects involved in Prostatectomy:

• Urinary incontinence: Urinary incontinence is one of the most prominent and typical negative consequences that may occur after a prostatectomy surgery. This basically means that the patient loses control over urination, causing involuntary urine leakage and urine accidents.
• Sexual dysfunction: Another side effect of prostatectomy is sexual dysfunction. ED (erectile dysfunction), which is a common side effect, usually occurs because of nerve damage during surgery. This may also result in a decrease in libido or a lack of desire to engage in sexual activities.
• Bowel difficulties: Patients undergoing prostatectomy surgery may experience bowel difficulties. This can lead to difficulty in controlling bowel movements, or in some cases, an excessive and sudden urgency to go to the bathroom.
• Blood clots: During a prostatectomy, or any other major surgery, it is possible to form blood clots in the lower legs. If not treated, a blood clot may move to the lungs and cause a pulmonary embolism, which can be deadly.
• Infections: During a prostatectomy, patients may contract an infection due to the open wound. Wound infections have the potential to cause serious complications, such as abscesses, sepsis, and even death.

It's crucial to act as prescribed by your doctor if you want to make a full recovery. Here is some advice on how to recover following a prostatectomy:

• Get ample rest: It's crucial to allow your body plenty of time to recuperate following surgery. Take naps when possible, and avoid overexerting yourself or doing strenuous activities.
• Drink plenty of fluids: Dehydration can cause increased fatigue, so it’s important to stay hydrated. Avoid caffeinated and alcoholic beverages.
• Follow your doctor’s instructions: After surgery, you'll need to take special care of your incision, and your doctor will give you detailed instructions on how to do so. If you want to recover correctly and prevent issues, it's crucial that you follow these guidelines.
• Eat healthy foods: It can be difficult to maintain your appetite after surgery, but it’s important to eat foods that are high in nutrients such as fruits and vegetables. Avoiding processed and sugary foods can also help to boost your energy levels.
• Exercise: Although it’s important to avoid strenuous activities during recovery, light exercise like walking can help you regain your strength and endurance.Get medical advice before commencing an exercise regimen.
• Seek psychological help: Recovering from any surgery can be stressful and overwhelming. Talking to a therapist or joining a support group can help you manage your anxiety and cope with the changes to your body.

The recovery time after prostatectomy operation varies depending on several factors such as the type of procedure performed, age, general health status, and any complications that may arise during or after the surgery. In general, the estimated recovery time is 4 weeks to 6 weeks