Surgery
If your cancer is localized to the prostate, and you are in reasonably good health and younger than 75 years old, your doctors may recommend that you have surgery to treat your prostate cancer.
Prostate surgery for SCCA patients is performed at University of Washington Medical Center by surgeons who are leaders in prostate cancer surgery in the Pacific Northwest and who have performed more laparoscopic prostatectomies than any other cancer center in the region.
Radical prostatectomy
The most common procedure is called a radical prostatectomy, which is surgery to remove the entire prostate gland and the seminal vesicles. When this surgery is performed by a skilled and experienced surgeon, it offers a very good chance for a cure. (Ask your surgeon how many of these surgeries he has done and how many he does each year. Should be at least 250 in total, and at least 40 a year.)
Generally, a radical prostatectomy is an option for men who have localized cancer (meaning their cancer has not spread beyond the prostate gland). Some urologists will offer this procedure to men who have a slight spread of cancer beyond the prostate.
The major advantage of surgery is that, if your cancer is localized, surgery may cure the disease. Another advantage is that your doctors will be able to give you more detailed information about your cancer, including how aggressive it is. The major disadvantages of surgery are the potential for impotence and incontinence.
A radical prostatectomy can be done in several ways. Ask your surgeon which procedure he prefers and why. Also, ask your surgeon if nerve-sparing surgery is an option for you.
Radical retropubic prostatectomy
The surgeon removes the entire prostate and surrounding lymph nodes through an incision in the abdomen.
During this procedure, it is sometimes possible for the surgeon to avoid removing the nerves that control erections; this lowers—but does not eliminate—the risk of impotence following surgery.
Laparoscopic prostatectomy (with or without robotics)
The surgeon removes the prostate using laparoscopic techniques (operating through special instruments and cameras so that only very small incisions are necessary). The potential advantage of this type of surgery is that you may probably heal faster and experience less pain than with other types of prostate surgery, although this has not been proven.
Laparoscopy, with or without robotics, has not been proven to have better urinary continence or sexual function results over open surgery. Additionally, we have not yet shown that the cancer control with well-done robotic surgery is comparable to well-done open surgery.
More information on Surgical Options:
Nerve-sparing Surgery
This surgical method saves the nerves that control a man's ability to have an erection.Nerve Graft Surgery
In order to retain sexual potency after prostate cancer surgery, one or both of the nerve bundles must be spared, or not removed, during surgery.Laparoscopic Prostatectomy
If your cancer is localized to the prostate, and you are in reasonably good health and younger than 75 years old, your doctors may recommend that you have surgery to treat your prostate cancer. The most common procedure is called a radical prostatectomy.Laparoscopic Robotics
If you choose to have a laparoscopic prostatectomy, your surgeon will operate with the help of a robot.What to Expect After Surgery
Recovery from surgery takes time. Learn about how much time and when you can resume normal activities.
Map & Directions
Driving directions to SCCA on South Lake Union.
Driving directions to SCCA on South Lake Union.
Patient Guide to Clinical Studies
Find out more about clinical studies, what they are, and how to participate in them.