Surgery
Hormone manipulation surgeries
Removing a gland to change the hormonal balance of the body.
Orchiectomy
Surgical removal of the testes to control testosterone production (testosterone typically feeds the prostate tumor).
Key:
X = complete
* = partial
o = optional
Prostate | Lymph Nodes | Ducts Sem. vesicles | Bladder | Other organs | |
---|---|---|---|---|---|
Transurethral resection of prostate (TURP) only | * | ||||
Cryoprostatectomy only | * | ||||
Local excision of lesion | * | ||||
Transurethral resection of prostate (TURP) with lymph node dissection | * | X | |||
Cryoprostatectomy with lymph node dissection | * | X | |||
Local excision of prostate lesion with lymph node dissection | * | X | |||
Segmental resection of prostate only (prostatic capsule remains intact) | * | ||||
Subtotal/simple prostatectomy only (prostatic capsule remains intact) | X | ||||
Enucleation of prostate only (prostatic capsule remains intact) | X | ||||
Segmental resection of prostate with node dissection (prostatic capsule remains intact) | * | X | |||
Subtotal/simple prostatectomy with node dissection (prostatic capsule remains intact) | X | X | |||
Enucleation of prostate with node dissection (prostatic capsule remains intact) | X | X | |||
Radical/total prostatectomy only | X | X | |||
Radical/total prostatectomy with node dissection | X | X | X | ||
Cystoprostatectomy, radical cystectomy with/without node dissection | X | X | o | X | X |
Pelvic exenteration | X | X | X | X | X |
Surgery of regional/distant sites/nodes only | X |
Note 1: Transurethral resection prostate (TURP) is a procedure used primarily to relieve bladder outlet obstruction symptoms and evaluate the urethral passage. It is generally not considered to be adequate cancer-directed therapy except in very low stage disease; it is usually considered a diagnostic procedure.
Note 2: Radical prostatectomy includes removal of prostate, ejaculatory ducts and seminal vesicles.