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.

What is a radical prostatectomy?

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

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

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

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

Answer 1

Radical prostatectomy means the removal of the entire prostate gland. In this procedure the surgeon removes the whole prostate so, it is known as radical prostatectomy.

It is a curative procedure, it normally has done with BPH, other benign tumors or prostate cancer. We remove the prostate gland before tumor or cancer spread to other organs.

The degree of urgency in radical prostatectomy is depended upon the type of cancer you have, if you have a benign tumor then you can delay but if t is cancerous and spreading rapidly then you should be in hurry.

There is always the risk involved because the prostate gland is surrounded by many pelvic organs, blood vessels, and nerves.

DVT (Deep vein thrombosis) can be treated in thrombolytic agents, which dissolves the blood clot otherwise surgery is the option.

The potential risk factors are long procedural time and damage to blood vessels during surgery.