What the operation involves
Radical prostatectomy removes the prostate and usually the seminal vesicles. The bladder is joined to the urethra, and a catheter supports healing. Pelvic lymph nodes may also be removed when indicated.
This differs from procedures for benign enlargement that remove obstructing tissue from within the prostate.
Preservation and personalised planning
The plan takes account of MRI and biopsy findings, baseline urinary control, erections, age and general health. Nerve preservation is considered when consistent with adequate cancer removal.
Dr. Sachin’s surgical interests include techniques that preserve supportive anatomy, including hood and Retzius-sparing approaches in suitable cases. The relevance of any specific technique should be explained for your cancer and anatomy.
Recovery and functional health
Recovery includes a plan for the catheter, walking and activity, wound care and review of the final pathology. Urinary control and erections can take time to recover and may remain affected. Rehabilitation is tailored to the individual.
Fertility and ejaculation change after radical prostatectomy. Discuss fertility preservation before surgery if having children in the future matters to you.
Understanding the result
The pathology report assesses the removed cancer, margins and any lymph nodes sampled. Together with postoperative PSA, it helps guide further monitoring or treatment.
- Ask what findings would lead to a radiotherapy or systemic treatment discussion.
- Confirm when the catheter and wounds will be reviewed.
- Agree whom to contact for problems after discharge.
- Ask about pelvic floor and sexual rehabilitation.
Common questions
Can continence and erections be guaranteed?
No. Baseline function, cancer extent, the surgery required and recovery all influence the outcome.
Will I still need PSA testing?
Yes. PSA surveillance remains an important part of follow-up after the prostate has been removed.
How soon can I return to work?
This depends on recovery and the physical demands of your work. Your discharge plan should give individual advice rather than a fixed promise.