Perineal Prostatectomy

What you should know

A perineal prostatectomy is surgery to remove your prostate gland.


Care Agreement

You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

Risks

Surgery may increase your risk for bleeding or an infection. Nerves, organs, or tissues near your prostate may be injured during surgery. After surgery, you may leak urine and bowel movements. Urine leakage may be short-term or permanent. You may have trouble having an erection or ejaculating. You may get a blood clot in your leg. This may become life-threatening.

Getting Ready

The week before your surgery:

  • Write down the correct date, time, and location of your surgery.

  • Arrange a ride home. Ask a family member or friend to drive you home after your surgery or procedure. Do not drive yourself home.

  • Ask your caregiver if you need to stop using aspirin or any other prescribed or over-the-counter medicine before your procedure or surgery.

  • Bring your medicine bottles or a list of your medicines when you see your caregiver. Tell your caregiver if you are allergic to any medicine. Tell your caregiver if you use any herbs, food supplements, or over-the-counter medicine.

  • Your healthcare provider may start you on hormone therapy to shrink your prostate gland before surgery.

  • Tell your healthcare provider if you have hip or spine problems. These problems may not allow you to be in the position needed for a perineal prostatectomy.

  • You will need to be on a clear liquid diet the day before your surgery. You may drink clear liquids, including water, broth, apple juice, or lemon-lime soft drinks. You may also suck on ice chips or eat gelatin. Ask your healthcare provider for more information about a clear liquid diet.

  • You may need blood or urine tests before your surgery. You may also need an ultrasound or cytoscopy (procedure to look at your bladder and urethra). Write down the date, time, and location of each test.

The night before your surgery:

You may need to drink medicine the night before your surgery that empties your bowel. Ask your caregiver if you need to avoid food or drink after midnight.

The day of your surgery:

  • You or a close family member will be asked to sign a legal document called a consent form. It gives caregivers permission to do the procedure or surgery. It also explains the problems that may happen, and your choices. Make sure all your questions are answered before you sign this form.

  • You may be given an enema (liquid medicine put in your rectum) to help empty your bowel.

  • You may be given medicine to help prevent a bacterial infection.

  • You may need to wear pressure stockings to help prevent blood clots.

  • Caregivers may insert an intravenous tube (IV) into your vein. A vein in the arm is usually chosen. Through the IV tube, you may be given liquids and medicine.

  • An anesthesiologist will talk to you before your surgery. You may need medicine to keep you asleep or numb an area of your body during surgery. Tell caregivers if you or anyone in your family has had a problem with anesthesia in the past.

Treatment

What will happen:

Your healthcare provider will make an incision between your scrotum and anus. He will move layers of skin, tissue, and muscle to get to your prostate. Your healthcare provider will cut your prostate gland away from your urethra (tube that drains urine from your bladder). He will reattach your bladder to your urethra and place a Foley catheter to drain urine. Your healthcare provider may make another incision in your abdomen and remove lymph nodes. Your incisions will be closed with stitches and covered with a bandage. Your prostate gland will be sent to a lab for testing.

After your surgery:

You will be taken to a room to rest until you are fully awake. You will be monitored closely for any problems. Do not get out of bed until your healthcare provider says it is okay. You will then be taken to your hospital room.

Contact a caregiver if

  • You cannot make it to your surgery.

  • You have a fever.

Seek Care Immediately if

  • You are urinating very little or not at all.

  • You have new or increased abdominal or pelvic pain.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Perineal Prostatectomy (Precare)

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