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Prostatectomy (from the Greek προστάτης prostátēs, "prostate" and ἐκτομή ektomē, "excision") is the surgical removal of all or part of the prostate gland. This operation is done for benign conditions that cause urinary retention, as well as for prostate cancer and for other cancers of the pelvis .
The type of complications depend on the treatment modality used: Urinary incontinence can happen after prostate surgery, especially stress urinary incontinence. The prostate is located right beneath the bladder, and surrounds the urethral sphincter. Any damage to the sphincter or surrounding muscles and nerves can lead to urinary incontinence.
However, because radiation therapy causes tissue changes, prostatectomy after radiation has higher risks of complications. To avoid the adverse side effects of a radical prostatectomy, doctors may recommend deferred treatment which can involve observation and palliative treatment or active monitoring with some local treatments as needed.
In one 2010 study of men experiencing post-prostatectomy problems, the rate of Peyronie’s disease was significantly higher than the rate in patients with intimacy dysfunction who did not undergo ...
The current gold standard of management for persistent urinary incontinence after prostatectomy is the placement of an artificial urinary sphincter. [11] Male slings are an alternative for mild to moderate post-prostatectomy incontinence. [12] [13] Retrograde ejaculation due to injury of the prostatic urethra. This is one of the most frequent ...
The most common serious complications of radical retropubic prostatectomy are loss of urinary control and impotence. As many as 40% 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.
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