Prostatectomy (removal of the prostate)

Prostatectomy is a surgical procedure involving removal of the prostate gland. It is performed for prostate cancer, benign prostatic hyperplasia (BPH), and other serious conditions. Modern surgical techniques help minimize trauma, accelerate recovery, and reduce the risk of complications.

When is prostatectomy required?

• In prostate cancer when the tumor is confined to the gland and radical removal is required.
• In cases of benign prostatic hyperplasia (BPH) causing significant urinary obstruction.
• In chronic inflammatory conditions (prostatitis) resistant to medical therapy.
• In prostatic adenoma accompanied by complications such as bladder stones or acute urinary retention.

Types of prostatectomy

• Radical prostatectomy – complete removal of the prostate gland, typically performed for cancer.
• Retropubic prostatectomy – performed through an incision in the lower abdomen.
• Perineal prostatectomy – access through the perineum (used less frequently).
• Laparoscopic prostatectomy – minimally invasive removal via small trocar incisions.

How is the procedure performed?

1. Diagnostics and preparation – PSA testing, MRI, prostate biopsy, ultrasound.
2. Anesthesia – the operation is performed under general or spinal anesthesia.
3. Removal of the prostate gland – the surgeon isolates and excises the affected tissues.
4. Nerve-sparing technique (when possible) – to reduce the risk of erectile dysfunction.
5. Postoperative period – placement of a urinary catheter and monitoring of urinary function recovery.

Main advantages of modern prostatectomy methods in Belarus

• Effective tumor removal in prostate cancer with a low risk of recurrence.
• Minimal blood loss and faster recovery with laparoscopic and robot-assisted surgery.
• Preservation of erectile function and urinary continence when nerve-sparing techniques are used.
• Short hospital stay – typically 2–3 days for laparoscopic procedures.
• Reduced risk of postoperative complications due to modern surgical approaches.

The procedures are performed in leading urology and oncology centers in Belarus using advanced laparoscopic and robotic technologies. Experienced surgeons ensure precise intervention, minimal risks, and rapid patient recovery.