Surgery for advanced prostate cancer

Some men are offered surgery to help with their symptoms. Your doctor will discuss the operation with you. It’s important that you understand what it involves, the possible side effects, and whether or not there are other treatments that may be more appropriate for you.

Some men may have a subcapsular orchidectomy surgery or a transurethral resection of the prostate (TURP).

Percutaneous nephrostomy and JJ stent

In some men, one or both ureters (the tubes that connect the kidneys to the bladder) may get blocked by the prostate cancer. If this happens, your doctor may insert a tube from the kidney(s) to a bag outside, on the skin to drain your urine. This is called a percutaneous nephrostomy. Another way to drain the urine from the kidney(s) to the bladder is to insert a fine tube called a JJ stent into the ureter.

Your doctor or specialist nurse can give you more information about these procedures.

Care after an operation

If you think that you might have any difficulties coping at home after your surgery, let your nurse or social worker know when you are admitted to hospital so that they can arrange help.

As well as being able to offer practical advice, many social workers are also trained counsellors who can offer valuable support to you and your family, both in hospital and at home. If you would like to talk to a social worker, ask your nurse or doctor to arrange this for you.

Before you leave hospital you will be given an appointment to attend an outpatient clinic for your post-operative check-up. This is a good time to discuss any problems you may have.

Back to Surgery explained

Who might I meet?

A team of specialists will plan your surgery. This will include a surgeon who specialises in your type of cancer.

What happens after surgery?

You’ll be monitored very closely after your operation. You will be very tired so it’s important to rest and look after yourself.