Prostatectomy is a surgery performed to treat prostate cancer, especially in men diagnosed with localized prostate cancer. The surgery involves the removal of the prostate gland, and sometimes the seminal vesicles are removed as well.

This procedure is often the first step in your prostate cancer treatment journey. Let’s explore what you can expect after undergoing prostate removal surgery.

The Days After Surgery: Immediate Recovery

In the initial days after surgery, you might experience several changes as your body begins to heal. Here’s a look at what you might encounter:

First Few Days at Home

  • Rest and Recovery: Your body will need time to heal. It’s important to relax and avoid strenuous activities.
  • Medication Management: Pain management will be crucial. Work with your healthcare provider to determine the best medication for you. Over-the-counter drugs like ibuprofen or prescribed analgesics may be recommended.
  • Managing Discomfort: You may experience discomfort or cramping. Applying ice or taking a warm bath might help ease these sensations.

Urinary Experience

  • Catheter Awareness: A urinary catheter will be in place to drain urine from your bladder. It’s usually removed one week after surgery. After the catheter is removed, you might notice some urine leakage.
  • Urinary Incontinence: Many men experience temporary urinary incontinence post-surgery. Kegel exercises can strengthen the muscles that control urination, potentially reducing incontinence over time.

Physical Changes

  • Erection and Semen: Erectile dysfunction might occur due to nerve changes around the prostate. Semen production will also change as the prostate and seminal vesicles are no longer present.
  • Pelvic Floor Strengthening: Engaging in pelvic floor exercises can help with urinary control and potentially improve erectile issues.

Longer-Term Adjustments: Life Post-Prostatectomy

Living With Side Effects

  • Common Side Effects: The major side effects of removing the entire prostate gland include urinary incontinence and erectile dysfunction. It’s essential to discuss these with your doctor and explore potential treatments.
  • Side Effects of Prostate Cancer: Some effects of prostate cancer surgery might be temporary, such as discomfort or changes in urination patterns.

Recovery Time and Lifestyle

  • Returning to Normal Activities: Give yourself time before resuming regular activities. You may need to take off work for three to four weeks after surgery, depending on the surgery type.
  • Exercise and Activity Level: Avoid heavy lifting and strenuous activities until cleared by your healthcare provider. Light exercises like walking and jogging are encouraged over time.

Key Considerations: Making Informed Decisions

Surgery Options and Techniques

  • Type of Surgery: A prostatectomy can be done through open surgery or minimally invasive procedures like laparoscopic radical prostatectomy or robotic-assisted methods. Each has its recovery path and side effects.
  • Nerve-Sparing Surgery: In cases where it’s possible, nerve-sparing surgery aims to preserve erectile function.

Post-Surgery Monitoring

  • Follow-Up Tests: Regular blood tests to monitor PSA levels (prostate-specific antigen) will help in assessing the success of the prostate removal and ensuring cancer has not spread beyond the prostate.

Support and Communication

  • Ask Your Doctor: Never hesitate to ask your doctor or urologist about any concerns or symptoms. They can provide personalized advice and reassurance.
  • Community and Support Groups: Consider connecting with other prostate cancer patients or men’s health groups for support.

Conclusion

Life after prostate removal surgery involves various changes and adjustments. Understanding what to expect can help you plan your recovery and manage any side effects impacting your quality of life. 

Keep open communication with your healthcare team and explore all available resources to support your journey. For more detailed insights into prostate and penile surgery, explore our offerings at Andromedical. Stay informed and take an active role in your recovery. Contact us today.

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