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