Question

A 65-year-old man is seen in the preoperative clinic 1 week before a scheduled radical prostatectomy. He has been diagnosed with femoral deep vein thrombosis (DVT) following a complaint of calf soreness.

1. What is a radical prostatectomy?

2. What would be a reason for this procedure (i.e. diagnostic, curative, restorative, etc.)

3. What is the level of urgency, degree of risk, and extent of urgency for this procedure?

4. What possible treatment would you anticipate being ordered for the treatment of DVT? (Discuss 2)

5. What are risk factors that contribute to the development of DVT? (Name 3)

Answer 1

1.The exision of the prostate and its surrounding parts by surgical means is called as radical prostatectomy

2.Diagnostic procedure are done to rule out the cause or find put a disease(Biopsy). Curative procedure are done to clear the underlying problem and protect from getting in future (appendectomy). Restorative procedure are done to reconstruct the structure of the lost part (cosmetic surgery)

Here radical prostatectomy is a curative procedure

3.The urgency depends on the level of obstruction in the pathway of the urinary system leading to uncontrolled pain ,bladder distension, hematuria. The risk depends on the age and its healing prognosis, erectile dysfunction, the rectum being injured ,structure.

4.The possible line of treatment can be

• Low molecular weight heparin injection to be given if needed and to be stopped before 72 hours of surgery .The effect of the medication lasts for about 24 hours if given in injection form
• DVT sticking
• Exercise