How to take good care before prostate cancer surgery

During the treatment of prostate cancer, patients are routinely given anal examinations and systemic examinations before surgery to understand the functions of the patient's important organs and determine whether the patient can tolerate surgery. The patient's suitability for surgery and the surgical method are determined based on the tumor stage, lesion size, range, and the possibility of metastasis. Patients who undergo prostate puncture should schedule surgery after 8 weeks, and patients who undergo transurethral resection of the prostate (TURP) should wait 12 weeks before undergoing a second surgery, which can reduce adhesion of surrounding tissues and reduce the incidence of surgical complications.

Experts introduce the care before prostate cancer surgery:

(1) The night before surgery, the patient should receive a cleansing enema and have the surgical field skin prepared. Fasting is recommended on the day of surgery. Antibiotics can be used prophylactically half an hour before surgery. The best surgery for bladder orifice obstruction is TUR, which can only relieve symptoms and improve the patient's quality of life for stage C lesions, but is meaningless for cure.

(2) Radical prostatectomy: This surgery is mainly used for patients with stage A and stage B prostate cancer. For some patients, radical surgery means the cure of prostate cancer. However, clinically, there are very few patients who are suitable for radical prostatectomy, and patients often miss the best time for surgery when they are diagnosed. There are two surgical approaches: perineal prostatectomy and retropubic prostatectomy.

(3) Extended radical prostatectomy: refers to the extensive removal of local tumors, and the removal of the bladder base, residual parts of the seminal vesicles and vas deferens, posterior bladder fascia and urogenital diaphragm. However, studies have shown that extended radical prostatectomy does not necessarily prolong the patient's survival. It is not often used now.

(4) Cystoprostatectomy and pelvic clearance: mainly refers to extended cystoprostatectomy with radical urinary diversion and radical resection of pelvic organs. This surgery is highly destructive and has high surgical complications and mortality. It is only used for strictly selected young people. Its value needs further exploration.

In addition, although surgery can remove a large area of ​​tumor tissue, it is easy to miss small lesions or metastatic lesions (residual tumor cells) after surgery. Therefore, experts from the Beijing Tumor Biological Center pointed out that combining biological immunotherapy after prostate cancer surgery to prevent metastasis and recurrence, and biological immunotherapy can be performed for patients who have already metastasized and recurred, which can achieve twice the result with half the effort.

The above is a brief introduction to prostate cancer. For people who are related to the pathogenic factors of prostate cancer, it is recommended to take preventive measures for prostate cancer and receive specific treatment according to the doctor's instructions. I hope that patients can recover soon! If you have other questions about prostate cancer, please consult our experts online or call for consultation.

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