Diagnosis

The surgeon may prescribe some diagnostic tests before a prostatectomy to confirm the condition. These include:

• Blood Tests such as PSA (Prostate-Specific Antigen) Test, CBC and Kidney Function Tests.
• Imaging Tests such as Transrectal Ultrasound (TRUS), MRI (Magnetic Resonance Imaging), CT Scan, and Bone Scan.
• Biopsy to confirm prostate cancer.
• Urinalysis
• Cystoscopy

Treatment

Simple Prostatectomy: During a simple prostatectomy or the surgical removal of the prostate gland, a surgeon makes a vertical cut in the lower abdomen and removes the inner portion of the prostate through the cut. Depending on the patient's condition, the surgeon may decide to perform a traditional open surgery or minimally invasive laparoscopic prostatectomy. During the laparoscopic surgery, the surgeon will make small two to four incisions in the abdomen, through which they insert a thin rod with a camera at the end (laparoscope). They insert surgical tools into the other incisions, to remove the inner portion of the prostate.

Radical Prostatectomy: During a radical prostatectomy, a surgeon removes the entire prostate gland, along with fat and tissues around the gland. A radical prostatectomy may be an open surgery, or the surgeon may perform it laparoscopically. During an open radical prostatectomy, the surgeon makes a vertical incision between the belly button and pubic bone to remove the prostate gland.

Pre-surgical Care

At Felix Hospital, our urologic surgeons may take care of some key considerations in preparing a patient for the surgical procedure. They will ensure to take the patient’s personal and family medical history into consideration and will assess the patient's overall health, and potential risks.

During the pre-op assessment, the patient may have to undergo general check-up, lab, diagnostic and imaging tests, to ensure if they are fit for the procedure. In case of prostate cancer, they would want to get the exact information about cancer or any other conditions affecting the prostate gland.

Based on the patient’s general health, they will be asked to stop taking any anti-inflammatory medications/blood thinning medications before the surgery as it may increase the risk of complications during the surgical process.

A night before the surgery, the patient will be asked to have a light meal.

Besides, they will be advised to stop their alcohol intake and quit smoking before the procedure, since it can interfere with healing.

Post-surgical Care

Post surgery, the patient is moved to the recovery room, where the support team will keep a track of the patient's vitals and overall health.

Based on simple or radical prostatectomy surgery, patients may need to stay in the hospital for one or two days. The patients are expected to walk the next day of the surgery to ensure a speedy recovery.

The urinary catheter will be in place when the patient leaves the hospital. However, it will be removed at the next follow-up visit, which depends on the type of surgical technique performed.

The recovery after the prostatectomy depends on the general health of the patient and the surgical technique performed.

Recovery

At Felix Hospital, the best hospital for prostatectomy in Noida, we provide personalized rehabilitation services to help patients recover from the surgical removal of the prostate gland and get back to everyday life as quickly as possible.

• Avoid heavy physical activities like jogging, heavy lifting, and more for at least four weeks.
• Take proper rest
• Take all the medications as prescribed
• Maintain a healthy lifestyle
• Maintain appropriate wound care to avoid any risk of developing an infection.
• Wear loose and comfortable clothes
• Eat a balanced diet as advised by the medical team