ISSN 2398-2942      

Prostatectomy

icanis

Synonym(s): prostate, surgery, urogenital


Introduction

  • Removal of part or (rarely) the whole of the prostate gland.

Uses

  • The indications are:
    • Subtotal prostactectomy- for recurrent abscessation Prostate: abscessation or cystic disease Prostate: cyst.
    • Total prostatectomy- forin situtumors Prostate: neoplasia. This procedure is infrequently performed (see below) - malignant neoplasia is almost always too advanced at presentation to justify surgical treatment.

Disadvantages

  • Total prostatectomy is fraught with complications, especially urinary incontinence. It will not be described here. Specialist advice should be sought if this procedure is contemplated.

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Depends on the reasons for subtotal prostatectomy.
  • Abscessation and cystic conditions carry a fair to good prognosis.
  • Carcinoma of the prostate carries poor prognosis unless anin situtumor is removed in entirety prior to metastasis. This is rare.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Rawlings C A, Mahaffey M B, Barsanti J A et al (1997) Use of partial prostatectomy for treatment of prostatic abscesses and cysts in dogs. JAVMA 211 (7), 868-871 PubMed.
  • Hardie E M, Stone E A, Spaulding K A et al (1989) Prostatectomy vs Drainage treatment of prostatic disease in the dog. Vet Surg 18 (1), 69 VetMedResource.

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