Canis ISSN: 2398-2942

Prostatectomy

Synonym(s): prostate, surgery, urogenital

Contributor(s): Andrew Gardiner, Daniel Smeak

Introduction

  • Removal of part or (rarely) the whole of the prostate gland.

Uses

  • The indications are:
    • Subtotal prostactectomy- for recurrent abscessation Prostate: abscessation or cystic disease Prostate: cyst.
    • Total prostatectomy- forin situtumors Prostate: neoplasia. This procedure is infrequently performed (see below) - malignant neoplasia is almost always too advanced at presentation to justify surgical treatment.

Disadvantages

  • Total prostatectomy is fraught with complications, especially urinary incontinence. It will not be described here. Specialist advice should be sought if this procedure is contemplated.

Requirements

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Prognosis

  • Depends on the reasons for subtotal prostatectomy.
  • Abscessation and cystic conditions carry a fair to good prognosis.
  • Carcinoma of the prostate carries poor prognosis unless anin situtumor is removed in entirety prior to metastasis. This is rare.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Rawlings C A, Mahaffey M B, Barsanti J A et al (1997) Use of partial prostatectomy for treatment of prostatic abscesses and cysts in dogs. JAVMA 211 (7), 868-871 PubMed.
  • Hardie E M, Stone E A, Spaulding K A et al (1989) Prostatectomy vs Drainage treatment of prostatic disease in the dog. Vet Surg 18 (1), 69 VetMedResource.


ADDED