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Recovery: What to expect after prostate surgery

Recovery: What to expect after prostate surgery

There are several questions that come to our minds when we think about recovery after prostate surgery: How long it takes to recover after surgery? What dietary steps should I take after prostatectomy to facilitate recovery and overall prostate health?, How much pain will I have after surgery?, What are the chances my cancer will return or recur after surgery?, What other side effects or complications are possible after prostate surgery?… and many more.

It’s important to establish from the beginning of this article that there are different types of surgery for prostate cancer, each one with its consequences and benefits. The type of surgery you need for prostate cancer depends on:

  • The size of cancer and whether it has spread outside the prostate gland;
  • What the cells look like under a microscope;
  • The likely outlook for your condition (your prognosis);
  • Your general health;
  • Your symptoms.

Radical prostatectomy and robotic prostate surgery are the most common terms for prostate removal surgery. Nowadays, many surgeons use robotic or laparoscopic prostatectomy to remove a cancerous prostate, but early methods involved traditional or open surgery. Dr. David Samadi who is at the forefront of prostatectomy and prostate removal surgery has performed more than 7.000+ successful procedures using his innovative SMART technique.

Recovery: What to expect after prostate surgery

The Samadi Modified Advanced Robotic Technique (SMART) is a minimally invasive robotic-assisted laparoscopic prostatectomy (RALP). The much larger incision required in open surgery means pain is greater and recovery takes longer. Known as bloodless prostate surgery, the custom SMART technique does not require opening the endopelvic fascia or cutting the dorsal vein complex. This results in no sutures and less damage to the neurovascular bundle. Lots of many positive side effects have placed SMART surgery in the first place for prostate cancer.

Let’s move on and discuss what are the possible long-term side effects of a prostate surgery. The major possible side effects of a radical prostatectomy are urinary incontinence (being unable to control urine) and erectile dysfunction (impotence; problems getting or keeping erections).

A recent survey of 247 patients treated at the University of California at Los Angeles Medical Center highlights some of these types of problems. Two years after the surgery, 60 percent of patients still had some trouble achieving or maintaining erections. Thirty months after the surgery, 37 percent still reported some loss of urinary function. Despite these setbacks, however, most patients had an upbeat attitude. More than 90 percent said their overall quality of life was back to normal within six to nine months of the surgery. Younger men proved to be especially likely to rebound quickly from the operation.

Impotence and erectile dysfunction (ED) after prostate surgery:

Expect some ED, but know that for most men it is temporary. During recovery, medications like Viagra and Cialis will help. Dr. David Samadi says restoring an enjoyable sex life after prostate cancer surgery is in part dependent on the prostate cancer treatment and choice.

Also, Kegels are a simple exercise of clenching and releasing the muscles that control your urine flow. Patients who experienced normal continence prior to surgery should regain function within 12-13 months of their surgery. There is never a 100% guarantee, but every surgeon does its best and with these advanced techniques available today, they should get everyone there.

In Dr. Samadi’s skilled hands, patients are assured superior quality of life results in both sex after prostate surgery and urinary control after prostate surgery. Following proper prostatectomy recovery guidelines, patients who experienced normal continence prior to surgery should regain function within 12-13 months.

Dr. Samadi’s prostate surgery takes just 1.5-2 hours and almost all of his patients return home the day after having a robotic prostatectomy. Around 80% of open prostatectomy patients leave the hospital within the first week.

Recovery: What to expect after prostate surgery

Surgery can be hard, but nothing compares to cancer! This disease can be an emotional journey for the entire family, but try to keep your positive attitude and don’t give up because everything will be back to normal faster than you could possibly imagine.

For any questions that you may have about the recovery after prostate cancer, you can contact Dr. David Samadi who is more than happy to answer your questions.

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Preparing for Surgery – Patient guide

Preparing for Surgery

From the patient’s perspective, the period before surgery can be very stressful and full of unknowns. This is why it is crucial to prepare both mentally and physically for the big day.
Of course, you will need to follow your doctor’s instructions before anything else, but there are a couple of things you can do to prepare yourself on a personal level:

Surgery isn’t a passive event in your life. A highly cooperative patient, disciplined and ready before the surgery will always recover faster and have decreased risks towards complications.

  • Even if the surgery itself probably has the goal to reduce pain, you should try to diminish the number of painkillers you take before surgery; it will be easier to manage the pain after surgery. Please ask your doctor before dropping any kind of medication.
  • You need to make you home post-surgery proof, make sure you prepare your house for the period after the surgery, remove rugs and other objects that may cause you to trip over and fell or harm yourself in any way.
  • If you are a smoker, it would be for the best to quit smoking before surgery as well as after surgery, at least until you are fully recovering. You need to understand that smoking reduces healing by 25%.
  • Don’t take aspirins and anti-inflammatory drugs or other similar meds ten days before surgery because such drugs may have a negative effect and can influence the normal blood coagulation.
  • Keep in mind that there aren’t special meds you can take to recover more quickly; the recovery needs to be natural.
  • Most of the times you need to avoid food as well as liquids for at least 8 hours before surgery.

These were the general notes on preparing for a general surgery, but what do you need to do to prepare yourself for prostate cancer surgery?

  • First of all, you need to make sure this is the decision you want to make. Otherwise, prostate cancer surgery is a relatively simple operation.
  • You need to make sure you flush out any blood thinning medication before the surgery. Bleeding is a risk for any kind of surgery, and this is especially true for prostate cancer surgery, which involves operating around a lot of blood vessels.
  • The day before surgery you will probably need to drink only liquids and drop food intake altogether. Expect a ball-prep with magnesium something similar to an enema but done for the bladder by drinking a special liquid that contains magnesium. Also, expect your doctor not to allow you to drink anything after this prep as well as giving you nothing to eat at least a few hours before your prostate cancer surgery.
  • No matter the surgical technique used (open or robotic) as I said, are relatively simple and painless for most of the patient cases.
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