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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 .
HoLEP can be an option for men who have a severely enlarged prostate and is the only prostate size-independent treatment option approved by the American Urologic Association. [8] HoLEP is largely similar to the HoLAP procedure; the main difference is that instead of ablating the tissue, the laser cuts a portion of the prostate, which is then ...
For men over 64 with prostate cancer limited to the pelvis, using fewer, larger doses of radiation (hypofractionation) results in similar overall survival rates. [28] The risk of dying from prostate cancer or having acute bladder side effects may be similar to that of longer radiation treatment. [28]
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] In 2000, the first robot-assisted laparoscopic radical prostatectomy was performed. [87]
Laparoscopic radical prostatectomy and open radical prostatectomy differ in how they access the deep pelvis and generate operative views. In contrast to open radical prostatectomy, the laparoscopic radical prostatectomy makes no use of retractors and does not require that the abdominal wall be parted and stretched for the duration of the operation.
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