OTHER NAMES

• Prostate intervention.
• Prostatectomía.
• Prostatectomía transuretral.
• Prostatectomía suprapúbica.

DEFINITION

The prostatectomía is the surgical intervention to extract the totality or she departs from the prostate gland (prostate).

DESCRIPTION

The prostate gland surrounds the urethra and when it grows can cause problems on having urinated. The increase of the size of the prostate (hypertrophy of prostate) can be caused by a sobrecrecimiento of the gland (benign hypertrophy of prostate) or by a tumoración or cancer (prostate carcinoma).

The extraction of the prostate can be done by means of a resection transuretral or by means of an access route suprapúbica with an incision in the low abdomen.

It is possible to realize under general anesthesia or with sedation and local anesthesia.

The resection transuretral realizes by means of a special type of citoscopio (resectoscopio) that interferes across the orifice of the urethra placed in the end of the penis (meato uretral day pupil) to gain access up to the prostate. By means of a cutting instrument the prostate comes out. It is cauterized by means of an electrical scalpel and then a probe is left in the urethra to allow to empty the bladder for some days, which simultaneously serves like drainage of exudados, of blood or pus. The access intervention suprapúbico is realized by means of an abdominal incision. One gains access to the prostate and is extracted.

It is possible to know if there exists an increase of the size of the prostate if they appear:

• Frequent micturitions with small urine quantities.
• Pressing need to urinate in the night (nicturia).
• Make difficult to begin to urinate.
• Scarce flow (jet) of urine.
• I drip on having stopped urinating.
• Sensation of an absence of emptying of the bladder in spite of urinating.

INDICATIONS

• Inability to empty completely the bladder (urinal retention).
• Blood in urine appellant from the prostate.
• Calculations retained in the bladder by the increase of the prostate.
• Endless micturitions.
• Prostate cancer.
• Retention of urine that produces a pressure increase on the uréteres and kidneys (hidronefrosis).

There is counterindicated the intervention of prostate in persons with:

• Alterations in the coagulation.
• Illness neurogénica of bladder.

EXPECTATIONS AFTER THE SURGERY

The prostatectomía transuretral is very grateful and they eliminate the obstruction symptoms. Rarely it will be necessary to repeat the intervention, since the prostate does not turn to enlarge after the surgery.

CONVALESCENCE

It usually remain in the hospital during 7 to 10 days. The entire recovery is at the age of 3 weeks. It is necessary to avoid the ingestion of coffee, drinks of tail and alcoholic beverages; since they cause annoyance of the bladder and the urethra.

RISKS

• The risks of any intervention under anesthesia:

• Reactions to the medication.
• Respiratory problems.
• Hemorrhages.
• Infections.

• Additional risks:

• Problems to retain the urine.
• Alterations in the erection of the penis (powerlessness).
• Unfertility.
• I go on from semen towards the bladder during the ejaculation (retrograde ejaculation).

COST

The cost of any surgery changes significantly between surgeons, medical facilities, and regions of the country. The costs can be ordained for groups:

• Surgeon: 601,00 to 1.505,00 euros.
• Anesthetist: 120,00 to 300,00 euros.
• Hospital expenses, including taken care of infirmary and operating theater: 1.205,00 to 3.010,00 euros.
• Medicines: 30,00 to 601,00 euros.
• Other additional expenses, if complications exist (transfusions, etc...) or analysis or Rx are realized: 150,00 to 601,00 euros.

The changeability of every case is a fact being able to be considering to be a basic cost for 2.105,00 euros by intervention without complications.

WHAT DOCTOR CAN TREAT ME?

Select a province A Coruna Alava Albacete Alicante Almeria Asturias Avila Badajoz Barcelona Burgos Caceres Cadiz Cantabria Castellón Ciudad Real Cordova Cuenca Gipúzcoa Girona Granada Guadalajara Huelva Huesca Illes Balears Jaen La Rioja Las Palmas León Lleida Lugo Madrid Malaga Murcia Navarre Ourense Palencia Pontevedra Salamanca Santa Cruz Tenerife Segovia Seville Soria Tarragona Teruel Toledo Valencia Valladolid Biscay Zamora Saragossa

Service offered for