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Prostate Cancer: Surgery

Medically Reviewed by Michael W. Smith, MD on May 10, 2021

If your prostate cancer hasn't spread, surgery could cure your cancer. Even if it has gone into other parts of your body, having surgery -- along with radiation or systemic therapy -- can help control the disease.

Some options your doctor might discuss with you include:

Radical Prostatectomy for Prostate Cancer

Radical prostatectomy is the most common form of surgery for prostate cancer. It involves surgically removing the entire prostate gland and some surrounding tissue. This treatment is recommended to treat early stages of the disease.

Minimally Invasive Surgery for Prostate Cancer

Laparoscopic prostate surgery is a type of minimally invasive surgery performed with the aid of a small camera.

Transurethral Resection of the Prostate (TURP)

In most cases, doctors use this procedure to help people with something called benign prostatic hyperplasia (BPH), an enlargement of the prostate that isn't cancer.

People with prostate cancer have TURP done to ease symptoms like trouble peeing. Doctors don't use this surgery to try to cure the cancer.

A surgeon removes the inner portion of your prostate gland that surrounds something called the urethra. That's the tube where the urine leaves your bladder. Then they'll pass a tool called a resectoscope past the tip of your penis into the urethra. From there, they'll either send electricity through a wire to heat the area up or use a laser to vaporize or cut tissue.

High-Intensity Focused Ultrasound (HIFU)

This uses highly focused ultrasound to heat and kill prostate cancer cells. The procedure's noninvasive, so you won't have to be cut. HIFU also leaves your healthy tissue unharmed.

You might get this if you have early-stage prostate cancer. It's also an option if you still have some small tumors after you've had radiation or another surgery.

You'll be asleep during this procedure. A small probe goes inside your rectum. Then it goes to the level of your prostate. The probe creates a 3D map of your prostate and the areas where you need treatment. Once your urologist determines how to treat you, focused ultrasound waves destroy the harmful tissue.

The whole thing usually takes about 2 hours. It's an outpatient procedure, and in most cases, you can return to normal activities the next day.

Cryotherapy

Although some call this cryosurgery, it's not actually surgery. It's freezing prostate cancer cells.

Your doctor might recommend this if your cancer has come back after you've had radiation therapy. It's also an option for people who can't have surgery or radiation.

You'll have anesthesia that'll either numb the lower half of your body or put you to sleep. Then your doctor will use something called transrectal ultrasound to guide needles through the skin between your scrotum and anus.

After that, very cold gases go through those needles to freeze the prostate and destroy it. While that's happening, warm saltwater goes through a catheter in your urethra to keep it from freezing. You'll keep that catheter for a couple of weeks so that your bladder can empty while you recover.

You'll probably have blood in your urine for a couple of days afterward. You could also have:

Preparing for Your Surgery

You'll work with your health care team to get ready. They'll give you specific instructions that'll depend on the procedure you'll have. Write down any questions you have so that you can ask them before you have your surgery.

Make sure to let your doctor know:

WebMD Medical Reference

Sources

SOURCES:

Memorial Sloan Kettering Cancer Center: "Prostate Cancer Surgery: What You Should Know," "About Your Prostate Surgery."

Mayo Clinic: "Cryotherapy for prostate cancer."

American Cancer Society: "Cryotherapy for Prostate Cancer," "Surgery for Prostate Cancer."

Cleveland Clinic: "High-Intensity Focused Ultrasound (HIFU) for Prostate Cancer."

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