RADICAL PROSTATECTOMY

Radical Retropubic Prostatectomy: A Comprehensive Surgical Care for Prostate Cancer

What is a Radical Prostatectomy?

A radical prostatectomy is a surgical procedure to remove the entire prostate gland, along with surrounding tissue, to treat localized prostate cancer. Depending on your cancer stage and overall health, this procedure may offer a curative outcome.

✅ Goal: Remove cancer and preserve urinary and sexual function when possible.

Who is a Candidate?

Radical prostatectomy is recommended for:

• Men with localized or locally advanced prostate cancer

• Patients in good overall health

• Individuals seeking definitive treatment with curative intent

Here at Urology Services (Barbados) Inc, will assess your cancer stage (using PSA, biopsy, and imaging), life expectancy, and preferences before recommending surgery.

🔹 Open Radical Retropubic Prostatectomy

• Traditional approach with an abdominal incision

• Preferred in select complex or high-risk cases

What to Expect

Before Surgery

• Full evaluation including labs, imaging, and anesthesia clearance

• Discussion of potential side effects and recovery plan

• Blood donation and Cross Matching

• Bowel prep and fasting instructions

During Surgery

• Procedure typically lasts 2–4 hours

• General anesthesia is used

• Lymph nodes may be removed for staging

After Surgery

• Hospital stay: 5 or more days 

• A catheter remains in place for 7–14 days

• Gradual return to activity over 4–6 weeks

Recovery & Outcomes

Most patients return to regular activities in a few weeks. Outcomes may vary based on cancer aggressiveness and baseline health.

✅ Cancer Control

• Excellent long-term survival for early-stage cancers

• PSA should fall to undetectable levels after surgery

✅ Urinary Function

• Temporary incontinence is common but often improves

• Pelvic floor therapy may help recovery

✅ Sexual Function

• Nerve-sparing techniques preserve erectile function when possible

• Recovery may take months; medications or devices can help

Risks & Considerations

As with any major surgery, there are risks:

• Bleeding

• Infection

• Urinary incontinence

• Erectile dysfunction

• Rare complications (blood clots, rectal injury)

Schedule a Consultation

Take control of your prostate cancer journey.
Let our experienced team guide you through your treatment options with skill, care, and respect.