Why Laparoscopic Radical Prostatectomy ward round 1 скачать в хорошем качестве

Why Laparoscopic Radical Prostatectomy ward round 1

Why Laparoscopic Radical Prostatectomy? Dr HODO HAXHIMOLLA MBBS, FRACS Urology www.prostatecancercanberra.com Suite 6, National Capital Private Hospital Corner of Hospital Road and Gilmore Crescent Garran ACT 2605 Tel: 02 6281 7900 Fax: 02 6281 7955 Mobile: 0412 533 542 Email : hodo_haxhimolla@yahoo.com Why Surgery? 'Currently, radical prostatectomy is the only treatment for localised prostate cancer that has shown a cancer-specific survival benefit...in a prospective, randomized trial.'
European Association of Urologists Guidelines on Prostate Cancer, 2008. Why Laparoscopy? Laparoscopy is a technique of performing a surgical operation using instruments inserted through narrow hollow tubes ('ports') rather than through a larger incision, as in traditional surgery. The result is shorter hospitalisation and convalescence, less bleeding and post-operative pain and fewer wound complications. Although laparoscopy is a type of keyhole surgery, the view obtained is much better than looking through a keyhole. Modern equipment produces a wide, bright, clear and magnified view of the operation. The gas used to distend the abdomen during laparoscopy also greatly reduces bleeding during surgery. Patient information on laparoscopic radical prostatectomy Before the operation
you will be admitted either the day before or on the day of your operation. You will already have had the necessary pre-operative (e.g. blood, urine and ECG) tests. You will be visited by an anaesthetist and a surgeon before the operation to answer any remaining questions. The operation
although laparoscopic surgery avoids a large incision, laparoscopic radical prostatectomy is still a complex operation and takes 2-3 hours to perform through five 5-10 mm incisions. Following the operation
when you wake from the anaesthetic you will have a catheter (a tube that drains urine from the bladder into a bag) in the penis, a drain in your abdomen and a drip in the arm. You will have minimal discomfort but may feel the desire to urinate. Patients are allowed to drink freely 6 hours following surgery and to eat after 12 hours. Patients are ready for discharge with their catheter after 2-3 days and are re-admitted after the 13th day for catheter removal. This is painless. Constipation is common after any major operation and should not be a concern to you. If you are uncomfortable take 2 senna tablets at night (they take 12 hours to work). Do not strain to open your bowels. Continence, you may not be continent immediately. This is because the valve which normally keeps you dry (sphincter) is swollen and has sutures in it, preventing it from moving through its full range. The number of pads you need to use will reduce step-wise with time. Performing the pelvic floor exercises you will have been taught will hasten this process. Most (75%) of patients are dry by 3 months but a few take up to a year. If you are unfortunate enough to need a pad beyond a year (4% of patients) you will be offered insertion of an artificial sphincter. Sex,
do not be afraid to experiment with erections and sex at any time after the operation, but remember that it can take up to 2 ½ years for erections to reach their maximum strength and that intercourse is much easier with adequate lubrication (e.g. KY jelly). You should also be aware that you do not need an erection to climax. Remember also that if erections do not return that all men can be made potent again somehow. Resuming activities and follow-up you should expect to return to most activities about 3 weeks after laparoscopic and 3 months after open surgery. You are safe to drive as soon as you are comfortable enough to brake hard to avoid a possible accident (usually by 10 days). Your first outpatient appointment will be 4 weeks after the operation, when the results of the laboratory analysis (histology) of your prostate should be available. Your first PSA test will be done 2 weeks before your next outpatient appointment (3 months following surgery). You will be seen every 3 months for a year, every 6 months for 5 years and then annually until 15 years. Produced by David Westbrook Westymedia www.westymedia.com.au ivideou@nex.net.au Medical athletics business communications language humanities health engineering economics computer science math media medicine Australia Canberra erectile dysfunction sex penis love making prostate cancer australia