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Prostate Problem Guide

Types of Prostate Surgery

In early stage prostate cancer, where the disease is confined to the prostate gland, prostate surgery is often the preferred treatment. But the question is what type of prostate surgery should your have?

prostate doctor image

There are various different types of prostate surgery that can be performed including:

  • Radical retropubic prostatectomy. The entire gland, and nearby lymph nodes, is removed through an incision in the abdomen.


  • Radical perineal prostatectomy. The entire gland is removed through an incision between the scrotum and the anus. Nearby lymph nodes can also be removed at the same time through a separate incision in the abdomen.


  • Laparoscopic prostatectomy. The entire gland, and nearby lymph nodes, is removed through a number of small incisions, rather than a single long cut in the abdomen. A thin, lighted tube known as a laparoscope is used to remove the prostate.


  • Transurethral resection of the prostate (TURP). Part of the gland is removed using a long, thin device which is inserted through the urethra. TURP may not remove all of the cancer, but it can remove tissue that is blocking the flow of urine.


  • Pelvic lymphadenectomy. This procedure is routinely carried out during prostate surgery. Lymph nodes in the pelvis are removed to see if cancer has spread to them, indicating that the disease may have spread to other parts of the body.


Prostate surgery can cause a number of short-term problems, such as incontinence, although these normally disappear within a few weeks of surgery.

In some cases however prostate surgery results in impotence which may be permanent. This normally occurs where nerves are damaged during surgery and while nerve-sparing surgical techniques can be employed to help prevent impotence, the extent of the prostate surgery necessary to remove the cancer cells means that sometimes nerve damage is inevitable.

You should also note that, if your prostate is removed, you will no longer be able to produce sperm and will experience what is known as a dry orgasm. You should therefore consider sperm retrieval and sperm banking prior to prostate surgery if you wish to retain the ability to father children.

Additional Reading:

Should I Have Prostate Surgery?

A Revolutionary Prostate Operation

What Is The Procedure For Prostate Biopsy?

Robotic Prostate Surgery - The da Vinci System

Prostate Cancer Surgery - 3 Forms Of Prostatectomy

Further information on prostate surgery:

Pioneering prostate cancer therapy could stop thousands of men needing surgery - Daily Mail


Daily Mail

Pioneering prostate cancer therapy could stop thousands of men needing surgery
Daily Mail
A pioneering therapy using high powered laser beams may cure prostate cancer, according to research. The sci-fi style technology doesn't require surgery and has already been successful in zapping the tumours of 19 men. It 'fuses' an MRI (magnetic ...
NHS approves laser treatment for common prostate conditionTelegraph.co.uk
Prostate laser therapy recommended to NHSBBC News
NICE backs use of Boston Scientific laser therapy for outpatient enlarged prostate treatmentFierceMedicalDevices (press release) (registration)
NICE -ITV News -Mirror.co.uk
all 20 news articles »

Watch a man get his prostate cancer removed — live - New York Post


New York Post

Watch a man get his prostate cancer removed — live
New York Post
You won't have to watch this over anybody's shoulder — but you may need to watch it through your fingers. A doctor at New York's Mt. Sinai Hospital will use a robot to perform a prostate surgery on Monday morning, and the whole thing will be broadcast ...
Technical improvements preserve potency after treatment for prostate cancerThe Australian Financial Review

all 7 news articles »

Robotic hands boost prostate surgery - Independent Online


Independent Online

Robotic hands boost prostate surgery
Independent Online
Cape Town - With the lifetime risk for prostate cancer among South African men being one in 27, a new robotic procedure is revolutionising patient treatment. In support of men's health awareness month, Mediclinic Durbanville on Thursday hosted a live ...
Robotic Surgery Reduces Blood Loss and Length of Stay in Obese Men With Prostate CancerOncology Nurse Advisor

all 2 news articles »

Scots doctors buy £2m prostate surgery robot originally designed for military - Deadline News


Deadline News

Scots doctors buy £2m prostate surgery robot originally designed for military
Deadline News
SCOTTISH health chiefs are spending £2m on a robot originally designed for the military to perform keyhole prostate surgery. Prostate removal – known as a “prostatectomy” – is frequently required in order to treat the early stages of cancer. In the ...