Best Prostatectomy Clinics in Spain

Who is a Good Candidate for Prostatectomy?

Prostatectomy may be recommended for patients with prostate cancer who have a life expectancy of more than 10 years and are in good health. The decision to undergo prostatectomy will depend on various factors, including the stage and grade of cancer, the patient's age, overall health, and personal preferences.

Patients with prostate cancer that are confined to the prostate gland are generally good candidates for prostatectomy. However, people with advanced prostate cancer that has spread beyond the prostate gland may not be suitable candidates for this procedure. It is important to discuss the risks and benefits of prostatectomy with your doctor and make an informed decision based on your individual circumstances.

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Preparing For Prostatectomy

The Urologist will examine the patient physically and ensure that the patient is in good condition to undergo this surgery. The following are the steps that will be followed in preparing for Prostatectomy:

• The Surgeon will conduct some tests like blood and urine analysis, transrectal ultrasound, Prostate biopsy, bone scan, CT scan, and MRI to make an accurate diagnosis and determine the best surgical approach.
• The Doctor will review your current medications and may advise you to stop taking certain medications that can increase the risk of bleeding or interfere with anesthesia.
• You will be provided with pre-operative instructions, such as when to stop eating and drinking before surgery.
• Your urologist will also discuss post-operative care with you, including pain management, recovery exercises, and how to care for your catheter after surgery.
• The Doctor should be informed about any medication the patient takes with or without a prescription. These may include supplements or herbs, or drugs.
• The patient may be required to take laxative medicine in the evening before the surgery if their intestine needs to be cleaned out before surgery.

Diagnostic Tests Before Prostatectomy in Spain

Before a Prostatectomy, Doctors in Spain may perform various diagnostic tests, including:

1. Digital Rectal Exam (DRE)
2. Prostate-Specific Antigen (PSA) Blood Test
3. Transrectal Ultrasound (TRUS) Guided Biopsy
4. Magnetic Resonance Imaging (MRI)
5. Bone Scan
6. Computed Tomography (CT) Scan

Why Is It Worth Visiting Prostatectomy in Spain?

Spain is known for its high-quality healthcare system, experienced medical professionals, and modern medical facilities. Spanish Prostatectomy clinics offer state-of-the-art equipment and advanced surgical techniques, including minimally invasive and robotic-assisted procedures.

In addition, Spanish hospitals typically have shorter waiting times than in other countries, and the cost of medical treatment in Spain is generally 30-35% lower than in the United States or other European countries.

Here is a narrowed-down list of top Prostatectomy Clinics in Spain based on their experience, available technology, and quality of care.

• Clinica Universidad de Navarra performs both Laparoscopic and cutting-edge Robotic Prostatectomy.
• Hospital Quironsalud Barcelona has advanced robotic technology (Da Vinci, SI HD) developed by Nasa Engineers and is used for Bladder and Prostate Surgeries.
• Teknon Medical Center possesses state-of-the-art Fluorescence-Guided Technology for Laparoscopy and open surgeries.

Best Prostatectomy Doctors in Spain

• Dr. José Manuel Rodríguez Luna heads the department of Urology at Quirónsalud Madrid University Hospital and is an expert in laparoscopic medical procedures and robotic surgery.
• Dr. Antonio Alcaraz Asensio has over 30 years of experience performing Prostatectomy and is an author of over 170 publications in international journals in the same field.
• Dr. Antonio Brugarolas Masllorens is one of the most renowned oncologists in Spain with over 43 years of experience, and he has been performing Prostatectomy since 1984.

Different Types of Prostatectomy Procedures in Spain

Following are the different types of Prostatectomy Procedures in Spain

1. Radical Prostatectomy

Radical Prostatectomy is a surgical procedure that involves the complete removal of the Prostate Gland and some surrounding tissues. This is typically done to treat Prostate Cancer, with a success rate of around 93% (NCBI).

2. Minimally Invasive Prostatectomy

Minimally invasive Prostatectomy is a type of Prostate surgery that uses small incisions and specialized surgical instruments to remove the Prostate Gland. This approach can lead to less pain, shorter hospital stays, and quicker recovery times compared to traditional open surgery, having a success rate of around 53.3% (NCBI).

3. Robotic Prostatectomy

Robotic Prostatectomy is a type of minimally invasive Prostate Surgery that uses a robotic system to assist the Surgeon. The robotic system provides high-definition 3D imaging and enhanced surgical precision, allowing the Surgeon to perform the complex operation through small incisions. The success rate is 86.5% (liebertpub).

4. Laparoscopic Prostatectomy

Laparoscopic Prostatectomy is a type of minimally invasive Prostate Surgery that involves the use of a Laparoscope, which is a small camera that provides a detailed view of the surgical site. The Surgeon uses specialized instruments to remove the Prostate Gland through small incisions. The success rate of Laparoscopic Prostatectomy is 82%-90% (Sciencedirect).

5. Open Prostatectomy

Open Prostatectomy with a success rate of 76% to 82% (ScienceDirect) is a traditional surgical approach to removing the Prostate Gland. It involves making a larger incision in the abdomen or Pelvic area to access the Prostate Gland and surrounding tissues.

How Do Spanish Doctors Perform Prostatectomy?

The technique used to perform a Prostatectomy will depend on the patient's individual diagnosis, including the size and location of the Prostate Gland and the Surgeon's preference and expertise. However, the general procedure for a Prostatectomy is as follows:

• The duration of a Prostatectomy is anywhere between two to four hours.
• The patient will be given anesthesia to ensure they are unconscious and pain-free during the surgery.
• Spinal or epidural anesthesia is also administered to numb the lower body.
• The patient's heart rate, blood pressure, and blood oxygen levels are closely monitored throughout the procedure.
• Depending on the type of surgery, incisions are made either from the belly button to the pubic bone (retropubic), through small incisions with a laparoscope (laparoscopic), or between the anus and scrotum (perineal).
• The prostate gland will be carefully removed from the surrounding tissues and structures, such as the bladder and urethra.
• Depending on the surgical technique used, the surgeon may also remove nearby lymph nodes or other tissues.
• The surgeon will then reconstruct the urinary tract by connecting the bladder to the urethra, either directly or through the use of a surgical graft or stent.
• The incisions will be closed with stitches or surgical staples, and the patient will be taken to a recovery area to begin the post-surgical healing process.
• After the Anesthesia is in effect, the Doctor then, depending upon the type of surgery, proceeds to make incisions and remove the Gland.
• A Jackson-Pratt drain is used to drain fluid, and a catheter is inserted to drain urine from the bladder.
• The patient has to stay for around 3 to 5 days in the hospital.

Recovery and Aftercare Following a Prostatectomy

Recovery time can vary from 2 weeks to 6 weeks, depending on the type of procedure performed and the patient's individual condition. During the recovery period, patients will need to follow specific instructions provided by their healthcare provider, which may include:

• After prostatectomy surgery, you will be moved to the recovery room for close monitoring of your vital signs.
• Pain medication will be given to manage any discomfort.
• Your physician may recommend minimal exercises to improve blood flow.
• You will be discharged with a catheter in place, which will be removed after 5-10 days.
• As you recover, you should gradually increase your normal daily activities.
• Driving should be avoided until your surgeon permits you.
• Sexual activity can be resumed after 6-8 weeks.
• If you experience fever, redness, swelling, pain, or urinary incontinence, it's important to consult your physician.

Complications and Risks of Prostatectomy Surgery

Complications and risks of Prostatectomy surgery can include:

• Bleeding: Bleeding may occur during surgery or after surgery. You'll receive blood transfusions if needed to prevent bleeding problems during or after surgery.
• Infection: Infection is a risk with any type of invasive procedure and may occur after this type of surgery.
• Blood Clots: Blood clots can form in your legs or arms, but they can also travel to other areas of your body, like your heart or brain, which could cause serious complications if not treated quickly.
• Erectile Dysfunction: Erectile dysfunction occurs when there's a problem getting an erection or maintaining one long enough for sex
• Incontinence: In some cases, a man may lose control of his bladder or bowel. This is most common if he has nerve damage related to the Prostatectomy surgery.
• Bowel Problems: Bowel problems occur because the Surgeon removes part of the rectum during the operation. These problems can lead to diarrhea or constipation, requiring medication treatment.
• Damage to Surrounding Organs or Tissues: The urethra, which carries urine from the bladder out of the body, is connected to the Prostate Gland. If it becomes damaged during surgery, urine can leak out slowly into the scrotum (the sac that holds testicles). This is called a urethral fistula.