Risks

Radical prostatectomy risks

In addition to the risks associated with any surgery, risks with radical prostatectomy include:

  • Bleeding
  • Urinary tract infection
  • Urinary incontinence
  • Erectile dysfunction (impotence)
  • Injury to the rectum (rare)
  • Narrowing (stricture) of the urethra or bladder neck
  • Formation of cysts containing lymph (lymphocele)

At Mayo Clinic, the urologists who perform prostatectomy procedures have advanced training and extensive experience in all aspects of the surgery. Much of this expertise stems from the high numbers of patients treated: more robotic surgery is performed at Mayo Clinic than anywhere else in the world. Additionally, Mayo's team multidisciplinary approach assures the lowest complication rates and delivers the best outcomes possible for patients.

Simple prostatectomy risks

Although simple prostatectomy works well at relieving urinary symptoms, it has a higher risk of complications and a longer recovery time than other enlarged prostate procedures such as transurethral resection of the prostate (TURP), laser PVP surgery or holmium laser prostate surgery (HoLEP).

Risks of open simple prostatectomy include:

  • Bleeding
  • Injury to adjacent structures
  • Urinary incontinence
  • Dry orgasm
  • Erectile dysfunction (impotence)
  • Narrowing (stricture) of the urethra or bladder neck
July 25, 2017
References
  1. AskMayoExpert. Radical prostatectomy. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2016.
  2. Klein EA, et al. Radical prostatectomy for localized prostate cancer. http://www.uptodate.com/home. Accessed Feb. 20, 2017.
  3. Cunningham GR, et al. Transurethral procedures for treating benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed Feb. 20, 2017.
  4. Wein AJ, et al., eds. Radical retropubic and perineal prostatectomy. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Feb. 20, 2017.
  5. Wein AJ, et al., eds. Laparoscopic and robotic-assisted laparoscopic radical prostatectomy and pelvic lymphadenectomy. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Feb. 20, 2017.
  6. Wein AJ, et al., eds. Retropubic and suprapubic open prostatectomy. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed Feb. 20, 2017.
  7. Riggin EA. Allscripts EPSi. Mayo Clinic, Rochester, Minn. October 22, 2016.
  8. Karnes RJ (expert opinion). Mayo Clinic, Rochester, Minn. Mar 23, 2017.
  9. Tollefson MK, et al. The impact of clinical stage on prostate cancer survival following radical prostatectomy. The Journal of Urology. 2013;189:1707.
  10. Barbara Woodward Lips Patient Education Center. Standard prostate cancer surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  11. Barbara Woodward Lips Patient Education Center. Your robotic-assisted prostate surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  12. Ashfaq A, et al. Incidence and outcomes of ventral hernia repair after robotic retropubic prostatectomy: A retrospective cohort of 570 consecutive cases. International Journal of Surgery. 2017;38:74.
  13. Moris L, et al. Impact of lymph node burden on survival of high-risk prostate cancer patients following radical prostatectomy and pelvic lymph node dissection. Frontiers in Surgery. 2016;3:65.
  14. Kaushik D, et al. Oncological outcomes following radical prostatectomy for patients with pT4 prostate cancer. International Brazilian Journal of Urology. 2016;42:1091.
  15. Alshalalfa1 A, et al. Low PCA3 expression is a marker of poor differentiation in localized prostate tumors: Exploratory analysis from 12,076 patients. Oncotarget. In press. Accessed April 12, 2017.
  16. Gettman MT, et al. Current status of robotics in urologic laparoscopy. European Urology. 2003;43:106.
  17. Krambeck AE, et al. Radical prostatectomy for prostatic adenocarcinoma: a matched comparison of open retropubic and robot-assisted techniques. BJU International. 2008;103;448.
  18. Leibovich BC (expert opinion). Mayo Clinic, Rochester, Minn. June 2, 2017.