ASSOCIATE PROFESSOR HAREWOOD
SPECIALISING IN ROBOTIC
OR "DA VINCI PROSTATECTOMY"
Open Radical Prostatectomy
Open Surgical Radical Prostatectomy
for Carcinoma of the Prostate:
This consists of surgical excision of the entire prostate
and seminal vesicles, with the anastomosis (sewing together)
of the bladder to the urethra.
It is a standard treatment for cancer that is localised to
the prostate, and is generally considered to have the highest
rate of cure of cancer of the prostate.
The common problems associated with this treatment are:
• Erectile dysfunction or impotence. This is because
the nerves to the penis travel very close to the prostate
and maybe affected by the surgery. Most men suffer a loss
of erections after this surgery, but many may recover them
in the months after surgery.
• Urinary incontinence. This is because the surgery
may affect the sphincter muscle that controls the flow of
urine. Most men however have minimal urinary leakage that
does not cause any significant concern.
When Dr Harewood carries out this surgery he operates using
both a head lamp and operating loupes that provide a magnified
view of the surgical field. This allows him to carry out a
meticulous nerve sparing procedure without compromising excision
of all the cancer. This maximises the chance of recovery of
erections, and also minimises the likelihood of urinary incontinence