- 30 Mar 2009
To reach the prostate, a urologist makes an incision in the skin and muscles of the lower abdomen to expose the lower part of the bladder, which is opened next. The surgeon’s index finger reaches into this incision in the bladder and through the bladder neck to remove the tissue at the prostate’s innermost core, the part compressing the urethra. The surgical description for what happens here is that the tissue “enucleates.” For the most part, what this means is that the tissue separates from the surrounding tissue like a walnut from its shell. (At some places, however, a few cuts must be made so some stubborn bits of tissue can be removed along with the rest.)
Because it allows access to the bladder, this procedure is ideal if any problem there, such as a bladder stone or a large bladder diverticulum, needs attention. With the patient’s permission (given before surgery), some surgeons perform a vasectomy during this operation to prevent the development of inflammation in the epididymis. (Epididymitis can result from damage to the ejaculatory ducts, which allows infected urine to “back up” into the vas deferens.) A vasectomy involves cutting the vas deferens, so sperm can no longer exit the urethra during ejaculation but are reabsorbed into the body.
The prostate tissue the surgeon has removed is sent to a pathologist, who will examine it for the presence of hidden cancer. The average hospital stay for this surgery is five to seven days.
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- Tags: Erectile Dysfunction, Men’s Health
- Category: Men's Health-Erectile Dysfunction