Radical Prostatectomy

Prostate Diseases

Prostate Cancer

Chemotherapy

Cryosurgery

Hormone Therapy

Radiation Therapy

Radical Prostatectomy

Transurethral Resection of the Prostate (TURP)

Watchful Waiting

Benign Prostatic Hyperplasia (BPH)

Prostatitis

Doc, I've Been Wondering...

Think of Screening as a Good Thing


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Understanding Prostate Diseases
Radical Prostatectomy

Radical prostatectomy removes the entire prostate gland, as well as some surrounding tissues and structures.¹ Typically, this surgery is done if it appears the cancer has not spread outside the prostate.² There are two basic types of radical surgery for removal of the prostate: radical retropubic prostatectomy and radical perineal prostatectomy.³ The only difference between these two types that is of importance to the patient is the surgeon uses different routes to reach the prostate.

In radical retropubic prostatectomy, the surgeon makes an incision down to the prostate through the lower abdomen.⁴ In a radical perineal prostatectomy, the surgeon makes an incision up to the prostate between the anus and the scrotum.⁵

What are possible side effects: Impotence (or the lack of penile erections), urinary incontinence (leaking of urine),⁶ bleeding during and after surgery, as well as the possibility of developing a bladder-neck contracture, deep venous thrombosis, pulmonary emboli, or a urinary-tract infection.⁷

Who makes a good candidate: Men who have prostate cancer that is believed to be confined to the prostate, who should be able to safely undergo an operation requiring general anesthesia, and who should have a life expectancy of at least seven to 10 years.⁸

References


	Important Safety Considerations Viadur should not be used by patients who are allergic to the drug leuprolide. Viadur should not be used by women or children and was not studied in women or children. Viadur, like other similar medications, causes a temporary increase of testosterone in the blood during the first week of treatment. During this initial period, patients may experience worsening of symptoms or onset of new symptoms including bone pain, nervous system disturbances, blood in the urine, difficulty urinating, and spinal cord compression. During treatment, the most common side effects reported throughout the body were hot flashes, lack of energy, breast enlargement, depression, and sweating. The most common side effects reported where the implant was inserted in the arm were bruising and burning. See Your Healthcare Provider Remember, your doctor or health care provider is the single best source of information regarding you and your health. Please consult your doctor if you have any questions about your health, your symptoms, or your medication. This information does not take the place of your doctor’s advice or instructions but should help answer some of the questions you might have about prostate cancer therapies.
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	© Copyright 2007 Bayer HealthCare Pharmaceuticals. Viadur is a trademark of ALZA Corporation under license to Bayer HealthCare Pharmaceuticals. DUROS® is a registered trademark of ALZA Corporation. The information provided on Bayer products is only intended for the United States audience. Regulatory requirements, regulations, laws, and distribution of information about drug products may vary from country to country. Product names and indications (product uses) also may be different in different countries. The prescribing information provided here is based on United States labeling and may not be appropriate outside of the United States.