Radical perineal prostatectomy

Radical perineal prostatectomy is generally presented as an option for men who cannot undergo retropubic surgery due to other medical problems, or if the surgeon believes there is little chance that the cancer has spread to the lymph nodes.

According to the American Cancer Society, if done correctly, this surgical approach can be as curative as the retropubic approach.

How it differs from radical retropubic prostatectomy

This procedure for prostate removal is generally a shorter surgery (one and a half hours to four hours). According to the American Cancer Society, recovery may also be less painful.

During this surgery for prostate cancer, an incision is made under the man’s scrotum, in front of his rectum.

Lymph nodes cannot be viewed or removed with the same incision. The surgeon also cannot easily view and save the nerve bundles. So it is not a nerve-sparing approach.

Recovery

Like radical retropubic prostatectomy, a man’s hospital stay is generally 2 to 3 days following surgery, and 3 to 5 weeks of recovery time at home. He will also need to have a catheter for up to 2 weeks.

Always discuss everything you read on this web site with a qualified medical professional.

Updated 10/10

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