Expert Guidance by Dr. Rahul Jena, Leading Urologist in Bhubaneswar
For many men diagnosed with prostate cancer, surgery—specifically a prostatectomy—is one of the most effective ways to eliminate the disease, especially when it’s caught early. While the idea of surgery can feel overwhelming, understanding what to expect from the procedure, recovery, and long-term outcomes can help patients and families feel more confident about their next steps.
In this guide, Dr. Rahul Jena, one of Bhubaneswar’s most experienced urologists, explains the essentials of prostatectomy and why it remains a gold-standard treatment for many cases of prostate cancer.
Understanding Prostatectomy
A prostatectomy involves surgically removing the prostate gland, along with some surrounding tissue and, in some cases, nearby lymph nodes. This procedure is typically recommended when cancer is confined to the prostate or has only begun to spread locally. The goal is simple: remove the cancer completely and prevent its return.
There are multiple surgical approaches. The traditional method, known as open radical prostatectomy, is performed through a single larger incision in the lower abdomen. Minimally invasive techniques, such as laparoscopic or robotic-assisted prostatectomy, use smaller incisions and are associated with less pain, faster recovery, and reduced hospital stay. Robotic surgery, now available in many advanced urology centers, provides enhanced precision and better visualization for the surgeon, improving outcomes in many cases.
Who Should Consider Surgery?
Prostatectomy is often advised for men who have localized prostate cancer and are in good overall health. It’s especially beneficial for patients with an intermediate or high risk of disease progression and those expected to live more than ten years, as surgery offers long-term disease control. In younger patients, surgery also provides a chance to eliminate the cancer with one primary treatment, reducing the need for further therapy in many cases.
Dr. Rahul Jena emphasizes the importance of individualized care: “Every patient is different. Our approach is tailored based on your stage, PSA level, age, and personal preferences. We make sure you’re fully informed and comfortable with your treatment decision.”
What Happens Before and During Surgery
Before the procedure, patients undergo a series of evaluations including blood work, imaging studies (such as MRI or CT scans), and cardiac assessments to ensure they’re fit for anesthesia and surgery. Dr. Jena also conducts a thorough consultation to explain the surgery, answer questions, and prepare patients mentally and physically.
The surgery itself typically lasts two to four hours. Under general anesthesia, the prostate is removed, and if needed, surrounding tissues and lymph nodes are also taken out to ensure the cancer has been completely addressed. In robotic-assisted surgeries, small instruments are inserted through tiny incisions, which are guided with great precision using advanced robotic systems.
Recovery and Healing
After surgery, most patients spend one to two nights in the hospital. A urinary catheter is usually placed to help the bladder heal and is removed within 7 to 14 days. While recovery varies from person to person, many resume light activities within two to three weeks and return to their normal routines after about six weeks.
Some side effects are common in the initial weeks. Urinary incontinence—meaning some leakage or urgency—is a typical concern, but this often improves significantly with time, especially with pelvic floor exercises. Erectile dysfunction can also occur, particularly if the cancer was close to the nerves that control erections. However, with nerve-sparing techniques and post-operative therapies, many men regain satisfactory sexual function.
Dr. Jena advises patients not to rush recovery: “It’s not just about removing the cancer. It’s about helping you heal—physically and emotionally—so that you can return to a full, healthy life.”
Benefits and Risks of Prostatectomy
The major benefit of prostatectomy is that it can offer a complete cure in early-stage prostate cancer. It also allows doctors to closely examine the removed tissue to determine the exact stage and grade of the disease. Many patients, especially younger men, find peace of mind knowing the cancer has been removed and often don’t require radiation or hormone therapy afterward.
That said, prostatectomy—like any major surgery—comes with potential risks. Bleeding, infection, or injury to surrounding organs can occur, though these complications are rare in experienced hands. Urinary and sexual side effects may persist for some men, but with proper rehabilitation, many patients return to a high quality of life.
Life After Surgery
Post-surgery, regular follow-ups are essential. PSA levels are monitored every few months to check for any signs of recurrence. Lifestyle modifications, pelvic exercises, and medications to support urinary and sexual function may be part of the recovery plan.
Dr. Rahul Jena takes a holistic approach to post-operative care. He ensures his patients receive not only medical treatment but also guidance on nutrition, emotional wellness, and rehabilitation. “Our role doesn’t end in the operating room. We’re here every step of the way — from diagnosis through recovery,” he says.
Choosing the Right Surgeon Matters
The success of prostate surgery depends greatly on the skill and experience of the urologist. Dr. Rahul Jena has years of expertise in performing prostatectomies using both open and minimally invasive methods. His reputation in Bhubaneswar and surrounding areas stems from a strong track record of successful outcomes, patient-centered care, and transparent communication.
If you’re considering surgery for prostate cancer, choosing an expert like Dr. Jena ensures you get the best chance at both cancer cure and quality of life afterward.
Final Thoughts
Prostate cancer may be life-altering, but with early detection and the right treatment, it is also highly treatable. Prostatectomy remains a powerful option for many men, offering the possibility of complete cancer removal and a return to normal life.
If you or someone you know is facing a prostate cancer diagnosis, don’t wait. Schedule a consultation with a qualified urologist. For patients in Odisha, Dr. Rahul Jena in Bhubaneswar is a trusted choice for prostate cancer surgery and comprehensive urological care.