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Radical Prostatectomy: A Definitive Treatment for Prostate Cancer

Radical prostatectomy is a major surgical procedure aimed at treating prostate cancer by completely removing the prostate gland along with surrounding tissues, including seminal vesicles. It is primarily recommended for men diagnosed with localized prostate cancer, meaning the cancer has not spread beyond the prostate. This surgery is considered a highly effective curative option, especially when cancer is detected at an early stage. The goal of a radical prostatectomy is to eliminate the cancer while preserving urinary and sexual function as much as possible.

How Radical Prostatectomy Is Performed

Radical prostatectomy can be performed through different approaches, including open surgery, laparoscopic surgery, or robotic-assisted laparoscopic surgery. In open surgery, an incision is made in the lower abdomen to access and remove the prostate. In minimally invasive approaches, smaller incisions are made, and specialized instruments or robotic systems are used for more precision. Robotic-assisted surgery, in particular, has become very popular because it allows for enhanced visualization, better control, and quicker recovery. Regardless of the method, the procedure involves careful removal of the prostate while trying to preserve surrounding nerves critical for urinary control and sexual function.

When Is Radical Prostatectomy Recommended?

Radical prostatectomy is usually recommended for patients with prostate cancer that is confined to the prostate or has only slightly extended beyond it. It is especially suggested for men who are in good overall health and have a life expectancy of 10 years or more. In some cases, the surgery may also be considered for patients whose cancer has recurred after initial treatments like radiation therapy. Proper evaluation, including imaging and biopsy results, helps doctors determine whether radical prostatectomy is the best course of action.