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NCI Dictionary of Cancer Terms

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NCI Dictionary of Cancer Terms



radical prostatectomy  listen  (RA-dih-kul PROS-tuh-TEK-toh-mee)

  Surgery to remove the entire prostate and some of the tissue around it. Nearby lymph nodes may also be removed. In a radical retropubic prostatectomy, an incision (cut) is made in the wall of the lower abdomen. In a radical perineal prostatectomy, an incision (cut) is made in the perineum (the area between the anus and scrotum). In a laparoscopic radical prostatectomy, several small incisions (cuts) are made in the wall of the abdomen. A laparoscope (a thin, tube-like instrument with a light and lens for viewing) is inserted through one opening to guide the surgery. Surgical instruments are inserted through the other openings to do the surgery.

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Two panel drawing showing two ways  of doing a  radical prostatectomy;  in the first panel, dotted line shows where incision is made through the wall of the abdomen for a retropubic prostatectomy;  in the second panel, dotted line shows where incision is made in area between the scrotum and the anus for a perineal prostatectomy.