Laparoscopic Radical Prostatectomy Surgery • Patient Education & Patient Engagement

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Your doctor has recommended a procedure, Laparoscopic Radical Prostatectomy to treat your prostate cancer.



Before we talk about the procedure, let’s review some information about the prostate and your medical condition.



The prostate is located under the bladder and behind the penis.



It is a walnut-sized gland that is part of the male reproductive system. It helps make semen.

      The Urethra is a tube that carries both urine and semen to the penis.  It passes through the prostate which surrounds it like a donut.



Prostate cancer is the second most common cancer in men. It usually occurs in men age 50 and older and those men that have a family history, especially a father or brother with prostate cancer. But the highest risk is for men that are African American and over age 70



The treatment of your cancer will depend on many factors including the size, spread and type of cancer, your age and health.



The options that you may have considered are watch and wait, medication including hormones, radiation therapy and/or surgery.

It is very important that you understand why this surgery has been recommended for you.  If you have questions, ask.



Radical Prostatectomy is surgery to remove the whole prostate gland, some nearby tissue and lymph nodes.  Everything removed is tested to be sure the cancer has not spread.



This surgery is only used as a treatment if the prostate cancer is still in the prostate.  If the cancer has already spread, then surgery does not help and can cause serious problems when other treatments are used.



 In fact, if during surgery, the surgeon finds that the cancer has already spread and is outside of the prostate, the procedure is stopped and other more effective treatments for the situation are planned.



There are different ways to operate and remove a cancerous prostate.  Your surgeon has recommended a laparoscopic surgical procedure.   

A long instrument with a light and camera, called a laparoscope is used.  The scope makes it possible for your surgeon to see and operate on hard to reach, delicate tissue.



This is minimally invasive surgery that uses very small incisions instead of a classic large incision.  Healing and return to normal activity is usually faster with less bleeding and fewer complications.

With all laparoscopic procedures, the surgical team is prepared to change your surgery to an open procedure with a larger incision if this becomes necessary.  An open procedure is sometimes needed to treat unexpected bleeding or other findings during a procedure that make it impossible to do using a laparoscope.  If this happens your stay in the hospital and recovery will be longer than you originally expected.

Be sure you understand why a laparoscopy has been recommended for you.

What is  Laparoscopic Radical Prostatectomy to treat your prostate cancer?

The prostate is located under the bladder and behind the penis.

It is a walnut-sized gland that is part of the male reproductive system. It helps make semen. The Urethra is a tube that carries both urine and semen to the penis.  It passes through the prostate which surrounds it like a donut... 

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#prostatectomy #prostatecancer #Incontinence #prostate #urology

PreOp® RTUP, Resección Transuretral de próstata Cirugía

RTUP, Resección Transuretral de próstata Cirugía



Su médico ha recomendado que se trate su próstata con una RTUP, o Resección transuretral de próstata.

Antes de hablar sobre este procedimiento, vamos a repasar un poco de información sobre la próstata y su condición médica.



La próstata se ubica debajo de la vejiga y atrás del pene.

Es una glándula del tamaño de una nuez que forma parte del sistema reproductor masculino. Ayuda a hacer el semen.

La uretra es un tubo que lleva tanto la orina como el semen al pene.  Pasa por la próstata que lo rodea como una rosquilla.

En algunos hombres la glándula prostática se agranda y obstruye la vejiga al apretarla o crecer hacia la uretra.

HBP - o Hiperplasia benigna prostática,



es la razón más común del agrandamiento de la próstata en hombres mayores de 50 años,

no es cáncer,

la HBP puede causar una obstrucción llamada Obstrucción de la salida de la vejiga o BOO, por sus siglas en inglés



Los síntomas del agrandamiento de la próstata son: 

vaciamiento incompleto de la vejiga o ser incapaz de vaciar la vejiga completamente

frecuencia, la necesidad de orinar de forma seguida

intermitencia, iniciar y parar varias veces durante la micción

urgencia, sensación fuerte de "tener que ir al baño"

flujo urinario débil, o goteo

pujo para vaciar la vejiga

y nocturia, orinar frecuentemente en la noche



Ahora hablemos sobre el procedimiento de RTUP

El cirujano utiliza un instrumento con una luz y una cámara, llamado endoscopio.  Tiene un asa en la punta que puede cortar con energía de calor.



El cirujano guía el asa para extirpar el tejido prostático que ha crecido hacia adentro para comprimir u obstruir la uretra.



Este procedimiento se emplea con la intención de aliviar sus síntomas al remover la obstrucción.

El tejido que se extirpa de la próstata se manda al laboratorio para hacer pruebas.

Ahora hablemos un poco más sobre lo que sucede durante una RTUP.



Antes de empezar la RTUP le dan anestesia general para dormirlo y mantenerlo libre de dolor durante el procedimiento.  Con cuidado, lo ponen en la posición indicada.

Un instrumento con una luz y una cámara, llamado el endoscopio, se introduce cuidadosamente adentro de la uretra.



Se utiliza un gel anestésico para que el endoscopio se deslice fácilmente.

El cirujano utiliza el endoscopio para alcanzar la próstata y ver el tejido prostático que está causando la obstrucción.

La misma asa se utiliza para quemar y detener cualquier sangrado que se observe.

Cuando se termina la cirugía, se remueve el endoscopio.



Su cirujano le colocará una sonda de Foley para ayudar a drenar su orina por unos días.



Una sonda de Foley es un tubo delgado que se introduce por la uretra y hasta su vejiga. 

 

El tubo mantendrá la vejiga vacía y permitirá que se sane y se sienta más cómodo. 

La sonda de Foley se remueve fácilmente unos días después del procedimiento.



El globo se desinfla y el tubo simplemente se desliza hacia afuera.



Debido a que se extirpa tejido con la RTUP, ocurre algo de sangrado.  Un porcentaje pequeño de los pacientes tienen complicaciones debido a la pérdida de sangre durante o después del procedimiento.

Una ventaja de la RTUP es que el tejido prostático se manda a un laboratorio para hacer pruebas de cáncer.

Nuevos procedimientos para la HPB utilizan láser, microonda u otras fuentes de energía para vaporizar o destruir el tejido prostático.



Estos tienden a tener menos sangrado, pero como no se extirpa nada, no es posible realizar ninguna prueba.

Puede esperar estar hospitalizado de 1 a 3 noches después de una RTUP.     

La sonda de Foley generalmente se remueve antes de su alta.



Después de la cirugía de la próstata, algunos hombres sienten mejoría rápidamente, pero con frecuencia se puede tardar mucho más.  Habrá algo de sangre en su orina justo después de la cirugía y tendrá algo de dolor. Se puede tardar algunos días o semanas antes de que pueda orinar sin dolor o dificultad.

Puede ocurrir una retención urinaria e infección del tracto urinario, Llame a su médico si: no puede orinar, tiene fiebre, el dolor empeora o hay sangrado rojo brillante que no se detiene

La cicatrización en tejidos y nervios delicados puede ocasionar cambios permanentes después de la RTUP, incluyendo



Disfunción eréctil, 2 por ciento, o 2 de 100 hombres tendrán DE o dificultad con sus erecciones después de la RTUP

Incontinencia o fuga de orina para 10 por ciento o 10 de 100 hombres

y la mayoría de los hombres notarán menos semen o podrían tener una eyaculación seca.



Para evitar una cancelación o complicaciones por la anestesia o su procedimiento, su deber como paciente es no comer ni beber nada después de la medianoche, la noche antes de la cirugía, ni siquiera goma de mascar

Tome sólo los medicamentos que le dijeron en la mañana antes de la cirugía con un sorbo de agua

Pregunte cuándo descontinuar la aspirina o diluyentes de la sangre antes de la cirugía

Llegue a tiempo y tenga a una persona de apoyo disponible



Debe estar listo para verificar o confirmar su

lista de problemas médicos y cirugías

todos sus medicamentos, incluyendo vitaminas y suplementos

consumo actual de tabaco, alcohol y drogas

y todas sus alergias, especialmente a medicamentos, látex y cinta adhesiva



Avise a su enfermera, doctor y equipo de cuidados si tiene dificultad para respirar, mareo o dolor inesperado



Asegúrese de entender el motivo por el que se ha recomendado este procedimiento para usted.

Esto se considera una cirugía mayor, aunque usted pudiera irse a casa el mismo día.  Toda cirugía y anestesia tiene un pequeño riesgo de daños graves o muerte.

Si tiene preguntas sobre este procedimiento o necesita más información sobre las alternativas, pregúntele a su cirujano.



Este video sirve como herramienta para ayudarle a mejorar su entendimiento sobre este procedimiento.  No tiene como fin el reemplazar ninguna conversación o consejo de su médico.



PreOp® RTUP, Resección Transuretral de próstata Cirugía



Su médico ha recomendado que se trate su próstata con una RTUP, o Resección transuretral de próstata.



https://preop.com/urology/



#RTUP #TURP #Prostata #pacienteinformado

PreOp® Transrectal Ultrasound and Prostate Biopsy

Transrectal Ultrasound and Prostate Biopsy | PreOp® Patient Engagement and Patient Education



Prostate Biopsy how is it done? How to do transrectal ultrasound?

What is a transrectal ultrasound of the prostate?



Your doctor has recommended an exam of your prostate with a Transrectal Ultrasound and Prostate Biopsy.



Before we talk about this procedure let’s review some information about the prostate and why these tests may be necessary.

The prostate is located under the bladder and behind the penis.

It is a walnut-sized gland that is part of the male reproductive system. It helps make semen.



The Urethra is a tube that carries both urine and semen to the penis.  It passes through the prostate which surrounds it like a donut.



If you are scheduled for this procedure your surgeon is concerned that you may have prostate cancer. 



Prostate cancer is the most common cancer found in men.

At most risk are men age 50 and older and those with a family history, especially a father or brother with prostate cancer.

But at highest risk are african american men and men over age 70

 Usually there are no early signs of prostate cancer, but some men have problems with urination or pain that warn a physician that more testing is needed



Prostate Cancer Screening can help physicians find prostate cancer early, before a patient has problems. The screening includes

the digital rectal exam or DRE, where a physician examines the prostate for lumps by placing a gloved finger in a man’s rectum and

Prostate specific antigen or  PSA ,  is a blood test ordered for some men based on their age and risk factors.  Routine PSA testing is not recommended after age 70.



A prostate ultrasound with biopsies is done to test for cancer when a nodule or lump is felt. It is also done for a high PSA and for some problems especially with urination that can be a sign of prostate cancer.



With an ultrasound, your surgeon is able to scan and measure the prostate without xays or radiation.  The ultrasound also guides the needle used to biopsy your prostate.



The tissue biopsies are sent to a pathology lab for examination.

The next steps for your care are discussed after the procedure and with the final lab results.  This may take 1-2 weeks.



If cancer is found, the lab will give the tumor a number called a Gleason score, which is a grade of how abnormal or aggressive the tumor cells look.

 DNA gene testing is commonly done on the tumor cells as a new way to measure how aggressive the tumor is.

This is different than a cancer stage which is based on where, how large and if the tumor has spread. 



Treatment decisions for prostate cancer are based on many factors including a patient’s age and general health, the cancer gleason score, DNA results and  stage



A biopsy can be false negative 

That means  the biopsies did not find  prostate cancer that was there.



30 % of men with prostate cancer, about 1 in 3, will have normal biopsy results from the first procedure. .



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A second procedure with more biopsies is done to search for  prostate cancer if a PSA stays high, and cancer is strongly suspected but was not found with the first set of biopsies.

Sometimes MRI, Magnetic Resonance Imaging technology is used with the ultrasound to help find or target a tumor for biopsy.

Ultrasound guided prostate biopsy tends to be a short procedure,  available at many hospitals and is the most common procedure used to biopsy the prostate

MRI technology uses magnetic coils to get detailed information about the prostate and possible cancer. 

MRI is very expensive, takes longer to do, is newer and still being studied, is less available but is helpful in managing difficult cases



Now let’s talk a little more about what happens during a Transrectal Ultrasound and prostate biopsy.

To start, you are positioned comfortably. 

Most patients are awake for this procedure.



An ultrasound probe is coated with lubricant gel and gently placed into your rectum. The gel helps the probe to be more comfortable for you and is needed to get clear ultrasound pictures.



The size and shape of the prostate is checked and measured by gently moving the probe near the prostate.





Numbing medication is injected near the prostate to decrease the discomfort of  the biopsies.





The ultrasound probe is used to guide a needle biopsy device to take about 12  tiny pieces of prostate tissue.  You will hear a snapping sound with each biopsy.



After the biopsies the ultrasound probe and needle are removed.



This procedure is done as an outpatient, that means you will go home the same day as the procedure.



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Cataract - Small Incision PreOp PreOp® Patient Education and Engagement

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Your doctor has recommended that you undergo lens replacement surgery to treat a cataract. But what does that actually mean?

The human eye is constructed like a camera - with a clear lens in the front. The lens is located just behind the iris. It is contained in an elastic capsule. This capsule will serve as the housing for the new lens. All light that enters the eye has to pass through this lens.

As we age, this lens can become cloudy and gradually lose its ability to focus properly. This is called a cataract.If left untreated, a cataract can grow steadily worse - interfering more and more with your vision.

Generally, replacing a cataract with an artificial lens is a simple procedure.

It usually involves a single incision in the white of the eye. Through this single opening the cataract is removed and the artificial lens is inserted.

Your Procedure:

On the day of your operation, you will be asked to put on a surgical gown.

You may receive a sedative by mouth and an intravenous line may be put in.

And you'll given eye drops to dilate, or open, the pupil.

You will then be transferred to the operating table.

To begin, the surgeon will use a special instrument to gently hold the eyelids apart.

Then the surgeon will apply an antiseptic solution to the skin around the eye before injecting a local anesthetic.

While the anesthetic is taking effect, the surgeon will position a microscope in front of the eye.

By now, the pupil will be fully open, or dilated.

When the operative field is numb, the surgeon will use the microscope to help make a very small incision just 3 millimeters above the iris. The lens is located just behind the iris contained in the elastic capsule.

Next the surgeon will open the top of the capsule and remove the lens. Most likely, your doctor will use a small probe which vibrates at a high frequency.

The probes vibrations break the old lens into microscopic pieces which can then be drawn out with gentle suction.

Through the small incision, the surgeon will then insert the new lens.

The lens is actually rolled up inside a special injector, designed to fit through the small incision made above the iris.

With the tip of the injector inside the eye, the surgeon slowly injects the new lens where it unfolds into position.

Because of the small size of the incision, often your surgeon will complete surgery without putting in any stitches.

Vision will gradually improve during normal healing over a period of 5 to 8 weeks.

Patient Education Company

https://preop.com/preop/cataract-small-incision/

#cataractAwarenessMonth #optometrist #eyehealth #Cataract