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Prostatectomy (from the Greek προστάτης prostátēs, "prostate" and ἐκτομή ektomē, "excision") is the surgical removal of all or part of the prostate gland. This operation is done for benign conditions that cause urinary retention, as well as for prostate cancer and for other cancers of the pelvis .
This procedure likely improves quality of life without additional negative side effects when compared with a sham surgery. [ 14 ] Compared with transurethral resection of the prostate , the standard surgery for treating benign prostatic hyperplasia, this procedure may be less effective in reducing urinary symptoms but may preserve ejaculation ...
It is less commonly used than the alternative methods of the retropubic route, or the robot assisted laparoscopic approach. [3] [4] When the cancer is small and confined to the prostate, radical perineal prostatectomy achieves the same rate of cure as the retropubic approach but less blood is lost and recovery is faster.
Robotic surgery in the field of urology has become common, especially in the United States. [84] There is inconsistent evidence of benefits compared to standard surgery to justify the increased costs. [85] Some have found tentative evidence of more complete removal of cancer and fewer side effects from surgery for prostatectomy. [86]
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The evidence from this review with a 12-month follow-up is very uncertain if aquablation leads to similar rates of serious side effects or a similar need for retreatment when compared to transurethral resection of the prostate. Aquablation may lead to fewer ejaculatory problems, but no difference in erectile function.
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