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NCCN Guidelines for Patients


Prostate Cancer, Version 1.2016


Overview of cancer treatments Surgical treatment

Radical perineal prostatectomy

. This surgery removes

tissue through a cut in your perineum. The perineum

is the area between your scrotum and anus as shown


Figure 10

. During the operation, you will lie on

your back with your legs spread open and supported

with stirrups.

Your prostate and seminal vesicles will be removed

after being separated from nearby tissues. Nerve

sparing is possible but more difficult. Lymph nodes

can’t be removed. After your prostate has been

removed, your urethra will be re-attached to your


This operation is completed in 1 to 3 hours. You may

need to stay 1 to 2 days in the hospital. It takes about

2 weeks to feel very well, and 4 to 6 weeks to resume

all normal activities.

Laparoscopic radical prostatectomy

A newer method for removing the prostate is the

laparoscopic radical prostatectomy. This operation

requires five small cuts, called ports, be made in

your pelvis. Tools will be inserted into these cuts to

see and remove tissue. It takes between 90 minutes

and 4 hours to complete this operation. You will likely

leave the hospital the next day. It may take another 2

weeks at home to recover.

Figure 10.

Open methods to

radical prostatectomy

Your prostate may be removed

through one large cut in your pelvis

or between your legs.

Illustration Copyright © 2016 Nucleus Medical Media, All rights reserved.