Our Summary

This research paper looks at the historical methods used to manage Santorini’s venous plexus - a network of veins in the prostate region. Controlling this area is important in reducing blood loss and performing prostate surgery. The first successful procedure was conducted by Chute in 1954, and since then, various other experts have modified and improved the procedure. However, the study concludes that there isn’t a perfect method to control Santorini’s venous plexus.

FAQs

  1. What is Santorini’s venous plexus and why is it important in prostate surgery?
  2. Who conducted the first successful procedure on Santorini’s venous plexus and when?
  3. What does the study conclude about the current methods used to control Santorini’s venous plexus?

Doctor’s Tip

After a prostatectomy, it is important to follow your doctor’s instructions for recovery, which may include avoiding heavy lifting, staying hydrated, and taking prescribed medications. It is also important to communicate any changes in symptoms or concerns with your healthcare provider to ensure proper healing and recovery.

Suitable For

Patients who are typically recommended for prostatectomy are those who have been diagnosed with prostate cancer that is localized to the prostate gland and has not spread to other parts of the body. Additionally, patients with benign prostatic hyperplasia (enlarged prostate) that is causing severe symptoms such as urinary retention, frequent urination, or difficulty urinating may also be recommended for prostatectomy.

It is important for patients to discuss their individual case with a healthcare provider to determine if prostatectomy is the best treatment option for them. Factors such as age, overall health, and the stage of the prostate cancer will all play a role in the decision-making process.

Timeline

Before prostatectomy:

  1. Consultation with a urologist to discuss treatment options for prostate cancer
  2. Pre-operative tests and evaluations to assess the patient’s overall health and suitability for surgery
  3. Education and preparation for the surgery, including instructions on fasting and medication management
  4. Consent form signing for the procedure
  5. Anesthesia administration before the surgery begins

After prostatectomy:

  1. Recovery in the hospital for a few days to monitor for complications and manage pain
  2. Catheter insertion to help with urine drainage post-surgery
  3. Physical therapy to help with bladder control and regain strength in the pelvic floor muscles
  4. Follow-up appointments with the urologist to monitor recovery progress and discuss any potential side effects
  5. Long-term monitoring for cancer recurrence and ongoing care for any complications that may arise.

What to Ask Your Doctor

  • What are the potential risks and complications associated with prostatectomy?
  • What is the success rate of the procedure in terms of cancer removal and long-term outcomes?
  • What is the recovery process like after prostatectomy?
  • Are there any alternative treatments or procedures that could be considered?
  • How experienced is the doctor in performing prostatectomies?
  • What type of anesthesia will be used during the procedure?
  • Will there be a need for additional treatments or follow-up care after the surgery?
  • How long will it take to see the full effects of the procedure on prostate cancer?
  • What lifestyle changes or precautions should be taken after prostatectomy to promote recovery and prevent complications?
  • Are there any specific dietary or activity restrictions that should be followed post-surgery?

Reference

Authors: Herranz Amo F. Journal: Actas Urol Esp (Engl Ed). 2020 Jul-Aug;44(6):417-422. doi: 10.1016/j.acuro.2020.04.009. Epub 2020 Jun 2. PMID: 32507362