Prostate Restored
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How long does a prostate operation take?

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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How do I get my prostate back to normal?

Prescription Medications The first higher-level treatment is to begin taking prescription drugs for an enlarged prostate. One class of medication is an alpha blocker. These medications, such as Flomax, Rapaflo, and Cardura, work by relaxing the affected muscles around the prostate to encourage urine flow.

An enlarged prostate is a condition that most commonly affects men over 50, but it can begin once you reach your 30s. This condition, often called benign prostatic hyperplasia or BPH, is non-cancerous but can sometimes have similar symptoms to prostate cancer. BPH is believed to be the result of natural cell growth and hormone changes from testosterone and dihydrotestosterone. The prostate is a significant organ in the male reproductive system because it helps produce fluid for semen. Beginning around age 25, the prostate begins a natural growth period that continues throughout a man's life. Nearly all men experience prostate growth, with the majority developing BPH as they age. Common symptoms of an enlarged prostate include frequent and urgent urination, troubles with urine stream, incontinence and dribbling, pain after urination, and urine remaining in the bladder. About 50 percent of men in their 50s and 60s show symptoms that can make daily life frustrating, as do 90 percent of men 80 and older. Check in with your doctor if you are concerned about any urinary changes. This can help to rule out other issues and help you return to more comfortable trips to the bathroom.

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