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Wednesday, January 28, 2015
Can the Prostate Gland Be Removed Permanently?
Why can`t the prostate gland be removed permanently through surgery?
In fact, the prostate can be removed permanently through surgery, called prostatectomy. This can be done via several approaches:
- Radical retropubic approach - The entire prostate and nearby lymph nodes are removed through an incision in the abdomen.
- Radical perineal approach - The entire prostate but no lymph nodes are removed through an incision between the scrotum and the anus; nearby lymph nodes are sometimes removed through a separate incision in the abdomen. This is the less common form of surgery.
- Laparoscopic approach - This is a form of "minimally invasive surgery" in which the surgeon's hands never enter the patient's body. Instead, the surgeon makes small incisions into which a laparoscope (a thin, lighted tube), tiny surgical instruments, and a tiny video camera (so the surgeon can see the surgery on a video monitor) are placed.
- Robotic laparoscopic approach - In this advanced, computer controlled form of laparoscopic prostatectomy, robotic arms manipulate the tiny surgical tools. The surgeon controls their movements through a computer system that allows the surgery to be extremely precise.
Lee E Ponsky, MD
Associate Professor of Urology
School of Medicine
Case Western Reserve University