Prostate Restored
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Do they put you to sleep for prostate surgery?

A prostatectomy takes about two hours. You will be under general anesthesia, so you'll be completely asleep. During the surgery, your doctor will: Make a small incision to gain access to your prostate.

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The Johns Hopkins Hospital performs more of these procedures than almost anywhere else in the world. One of the most common questions they hear from patients: “What should I expect after surgery?” If you’ve been diagnosed with prostate cancer , your doctor will consider many factors before recommending the best treatment. For many men, that may mean a prostatectomy. In this surgery, doctors remove the entire prostate. A prostatectomy takes about two hours. You will be under general anesthesia, so you’ll be completely asleep. During the surgery, your doctor will: At Johns Hopkins, doctors use the latest techniques to perform prostatectomies. There are two approaches surgeons can use when performing a prostatectomy. In both of these approaches, the end goal is the same — remove the prostate and destroy the cancer.

After Prostatectomy: What to Expect

At the hospital : You should expect to be in the hospital for one night. At Johns Hopkins, all rooms on the urology floor are private. Here, nurses help patients get moving shortly after surgery to prevent blood clots and other postoperative risks. First few days at home : After you’re sent home, you might find that regular ibuprofen or acetaminophen will be sufficient pain management for the first few days. If over-the-counter medications aren’t enough, your doctor can help you with alternatives. One week after surgery : After your surgery site heals, your catheter will be removed. This is usually seven to 10 days after surgery. This can easily be done at your doctor’s office. Some people decide to take out their catheter at home. If that’s the case, ask your doctor for instructions first. This is also about the time your surgeon will call you with the final pathology results. He or she will discuss what you should know and whether further treatment is necessary. (Many men do not need any more treatment.) One month after surgery : Doctors recommend no strenuous activity or heavy lifting for at least one month after surgery. Most people take off work for three to four weeks. If you work from home, you could return to work sooner. By one month after surgery, your life should start getting back to normal. Some men experience side effects, including:

Urinary incontinence (urine leaking)

Erectile dysfunction

Recovery from surgery takes time. These side effects are often temporary. However, if they are affecting your quality of life, ask your doctor about options that can help.

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Can prostate cure itself?

If your enlarged prostate symptoms are mild and not bothersome, there's likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment.

Symptoms and the need for treatment vary with each man's enlarged prostate , also called benign prostatic hyperplasia ( BPH ). And every treatment has its own benefits and risks. These factors must be weighed as you decide how to treat your BPH symptoms.

Your Quality of Life With an Enlarged Prostate

If your enlarged prostate symptoms are mild and not bothersome, there's likely no need for treatment. One-third of men with mild BPH find that their symptoms clear up without treatment. They may just watch and wait. However, when enlarged prostate symptoms are bothersome or are affecting your quality of life or overall health, it's time to talk to your doctor about the treatment options. Together you will determine if you would benefit most from medication, a minimally invasive procedure, or surgery. It's important to talk with a doctor when you begin noticing changes in urinary function. You need to find out what's going on so you can be treated for enlarged prostate if necessary. For many men, especially those who are young when the prostate starts growing, getting early treatment can head off complications later on.

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