The nurse explains to a client with prostate cancer that the surgeon has ordered a nerve-sparing radical prostatectomy. How would the nurse describe this procedure?
A) "The prostate will be removed through an incision below the umbilicus and above the symphysis pubis."
B) "The prostate gland, seminal vesicles, and part of the urethra will be removed in an open procedure through the abdomen."
C) "An incision will be made in the perineum and a special tool inserted to the area of the prostate cancer to freeze the tissue."
D) "The prostate will be removed through an incision in the perineum, with catheter drainage through the perineal incision only."
A
Feedback:
Nerve-sparing radical prostatectomy removes the prostate through an incision below the umbilicus and above the symphysis pubis. This procedure causes less erectile dysfunction, incontinence, and bleeding than do other methods. A radical prostatectomy (removal of the prostate gland, seminal vesicles, and part of the urethra) sometimes cures prostatic cancer that has not metastasized. With cryosurgery, an incision is made in the perineum and a special tool is inserted to the area of the prostate cancer to freeze the tissue. If the surgeon removes gland tissue through an incision in the perineum, catheter drainage is through the perineal incision only.
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