At the age of 64, Suresh (name changed) led a fulfilling and active lifestyle. Aside from a minor urinary issue attributed to a slightly enlarged prostate, he enjoyed good health. During a routine health check that included a prostate-specific antigen (PSA) test, his elevated PSA levels raised concerns, prompting further investigation. An MRI identified a suspicious lesion, and a biopsy confirmed the diagnosis of early-stage prostate cancer. To assess whether the cancer had spread, a PSMA PET scan was conducted, and fortunately, the results showed that the cancer remained localized within the prostate.
Given his overall health and the early stage of the disease, a surgical team opted for a robot-assisted radical prostatectomy. This minimally invasive procedure involves the removal of the prostate gland along with nearby lymph nodes. Following the surgery, Suresh experienced a smooth recovery and was able to leave the hospital just a few days later.
Post-Surgery Considerations
Despite the advantages of robotic surgery, including improved precision and faster recovery times, patients should be aware of certain post-surgical realities associated with prostatectomy, the surgical removal of the prostate gland. Common issues include:
- Transient Urinary Leakage: Many men experience urinary incontinence, characterized by a small flow of urine during activities such as coughing, sneezing, or exertion. This condition can last from a few weeks to several months but is often temporary. Engaging in Kegel or pelvic floor exercises can help enhance bladder control and expedite recovery both before and after surgery.
- Erectile Function: The surgical manipulation of nerves may lead to temporary erectile dysfunction post-procedure, even when nerve-sparing techniques are employed. Many patients gradually regain erectile function over time through medication, exercise, and improved lifestyle choices.
- Follow-Up Treatments: A small fraction of patients may require radiation therapy if there are concerns regarding undetected microscopic disease or if their PSA levels rise again, despite most early-stage cases being addressed through surgery alone. Each patient”s situation is unique, and follow-up evaluations guide necessary treatment adjustments.
The Importance of Regular Monitoring
Post-surgical monitoring is crucial to ensure that cancer does not return. Patients undergo PSA testing at regular intervals to track their health status. In Suresh”s case, he resumed light activities and walking a few weeks after surgery. He prioritized follow-up appointments, maintained a nutritious diet, and stayed physically active. Over time, his energy levels returned to normal, and he experienced improved bladder control.
When detected early, prostate cancer is highly treatable. Advances such as robot-assisted radical prostatectomy enable patients to return to their daily routines with minimal disruption. Early intervention not only enhances cancer management but also facilitates quicker recovery with reduced pain and preserved functions. Awareness of the importance of early screenings, realistic post-prostatectomy expectations, and a well-structured recovery plan can significantly help patients transition back to normal life.
Dr. Rahul Wagh, a consultant in surgical oncology at Manipal Hospital, emphasizes the significance of comprehensive post-surgery planning for successful recovery.
