Radical prostatectomy is surgery to remove the entire prostate gland to effectively treat localized prostate cancer. For low-risk tumors, this procedure may be sufficient. However, for cancers with an intermediate or high risk of spreading, lymph node dissection is usually added to remove lymph nodes that may be affected by cancer cells.
- People suffering from prostate cancer.
- Between 1 and 3 hours.
- The average hospital stay is one week.
Radical prostatectomy: Cost of surgery in Turkey
Do you have prostate cancer? Consider a radical prostatectomy in Turkey.
The cost of a radical prostatectomy in Turkey generally varies between $6,100 and $20,300, depending on the technique used and additional care required.
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Total prostatectomy: When is it appropriate?
Total prostatectomy is considered in cases of:
- Localized prostate cancer: If the cancer is confined to the prostate and has not yet spread to surrounding tissue, total prostatectomy is often suggested as a curative treatment.
- Aggressive tumors: For fast-growing prostate cancers or those at high risk of spreading, surgery may be recommended.
- Failure of other treatments: If other treatments, such as radiotherapy or hormone therapy, are ineffective or no longer appropriate, surgery may be considered.
When is a total prostatectomy not recommended?
If prostate cancer has spread to other organs (metastasized),total prostatectomy is generally not curative and other treatments are preferred.
For men with a very short life expectancy due to other serious illnesses, the risks of surgery may not be justified.
Finally, each situation is unique. Some patients may prefer other treatments (radiation therapy, hormone therapy, cryosurgery) or active surveillance, depending on their preferences and health profile.
Types of radical prostatectomy
Surgical treatment of prostate cancer is primarily based on radical prostatectomy. This can be done using three main techniques:
- Open prostatectomy: A traditional procedure in which an abdominal incision is made below the belly button to access the prostate. It offers great precision but is associated with a longer recovery time.
- Laparoscopic prostatectomy: A minimally invasive technique that uses small incisions and specialized instruments. It reduces postoperative pain and speeds recovery.
- Robotic prostatectomy: An evolution of laparoscopy that uses a robotic system for greater precision and visualization. It is especially indicated for complex tumors.
The choice of surgical technique depends on several factors, including the type of tumor, its stage of progression, your overall health, and the surgeon's expertise.
Preparation for radical prostatectomy in Turkey
Before your radical prostatectomy, several consultations will be arranged in Turkey to prepare you as well as possible.
- Consultation with your urologist: Together, you will discuss all aspects of the surgery: the procedure, benefits, and potential risks. You'll have the opportunity to ask questions and give your informed consent at every stage.
- Consultation with the anesthesiologist: A complete medical evaluation will be performed to determine the most appropriate anesthesia for your situation. Do not hesitate to mention all your medical history, current treatments and lifestyle habits.
To ensure a quick and uncomplicated recovery, we recommend that you stop smoking at least a few weeks before the surgery. Your doctor can help you with this if necessary.
Total prostatectomy: Step by step
Total prostatectomy is performed under general anesthesia. During the surgery, the urological surgeon completely removes the prostate and the seminal vesicles (small glands located nearby). The urethra is then reconnected to the bladder to ensure normal urinary continence.
In some cases, a lymph node biopsy may be performed: the urologist will also remove some lymph nodes to check for the presence of cancer cells.
The sample taken during surgery will be analyzed in the laboratory to determine the exact type and stage of prostate cancer. This information will help your healthcare team determine if further treatment is needed.
To best preserve your ability to have an erection, your surgeon will try to preserve the erectile nerves. However, their preservation will depend on the location of your tumor.
We invite you to discuss the different options and their potential impact on your sex life with your urologist in Turkey.
When you wake up and for the first few days
After the surgery, you will wake up in a monitoring room. It is normal to feel tired and sometimes a little nauseous due to the anesthesia. Do not hesitate to report any pain to the nursing staff.
A temporary urinary catheter will be placed to aid healing. Drains may also be placed to drain any excess fluid. These devices will be removed as soon as possible. To prevent blood clots from forming, you will be given anticoagulant medication and wear compression stockings.
Side effects specific to prostatectomy
A prostatectomy, while often effective, can have certain side effects. Rest assured, most of these effects are temporary and can be alleviated:
- Urinary incontinence: In the weeks following surgery, it is common to experience a slight leakage of urine, especially with physical exertion. Perineal re-education exercises can help restore bladder control.
- Erectile dysfunction: The nerves responsible for erection may be damaged during surgery. This can make it difficult to achieve and maintain an erection. Fortunately, there are many effective treatments available to help restore a satisfying sex life, such as drug therapy or erection devices.
- Absence of ejaculation: Ejaculation is altered or absent following prostatectomy. However, this does not change sexual pleasure or prevent orgasm.
- Narrowing of the urethra (stenosis): In rare cases, the urinary canal may narrow slightly, causing difficulty urinating. In this case, simple surgery can correct the problem.
Your recovery is our priority. Don't hesitate to share any concerns, no matter how small, with your doctor or nurse in Turkey. They will listen to you and do all they can to help you.
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