+982188520815 Unit 3, No 12, Rahbar Alley, 7th St, Nilufar Sq, Tehran, Iran

Open Prostatectomy 

All-inclusive Open Prostatectomy price

Tour Length: 10 Days 9 Nights

Pre-Operative

 Require medical images/Initial assessment

Before surgery, your doctor will give you a general anesthetic, which means you’ll be unconscious during the procedure. Or you may receive a spinal anesthetic, which means you’ll be conscious during surgery but won’t feel any pain, although spinal anesthetic is rarely used anymore. In some instances, intrathecal injections are also provided in addition to general anesthetic.

Your doctor may also give you an antibiotic right before surgery to help prevent infection.

  • Your medications. Tell your doctor about any prescription or over-the-counter medications or supplements you take. This is especially important if you take blood-thinning medications, such as warfarin (Coumadin) or clopidogrel (Plavix), and nonprescription pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others). Your surgeon may ask you to stop taking medications that increase your risk of bleeding several days before the surgery
  • Medication allergies or reactions. Also talk to your care team about any allergies or reactions you have had to medications.
  • Fasting before surgery. Your doctor will likely ask that you not eat or drink anything after midnight. On the morning of your procedure, take only the medications your doctor tells you to with a small sip of water.
  • Bowel prep before surgery. Your surgeon may ask you to do an enema prior to surgery. You may be given a kit and instructions for giving yourself an enema to clear your bowels the morning of surgery.

Surgery

Procedure takes approximately 2 to 3 hours

Once the anesthetic is working, your doctor may perform a cystoscopy. A long, flexible viewing scope (cystoscope) is inserted through the tip of your penis to see inside the urethra, bladder and prostate area.

Your doctor will then insert a tube (Foley catheter) into the tip of your penis that extends into your bladder. The tube drains urine during the procedure. Your doctor will make a cut (incision) below your navel. Depending on what technique your doctor uses, he or she may need to make an incision through the bladder to reach the prostate.

If you also have a hernia or bladder problem, your doctor may use the surgery as an opportunity to repair it.

Once your doctor has removed the part of your prostate causing symptoms, one to two temporary drain tubes may be inserted through punctures in your skin near the surgery site. One tube goes directly into your bladder (suprapubic tube), and the other tube goes into the area where the prostate was removed (pelvic drain).

Pre-Operative

Aftercare as standard within our packages

Postoperative care of patients who have had an open (simple) prostatectomy parallels care following most major open surgical procedures. Because the need for postoperative blood transfusions is minimized through improvements in understanding of the relevant surgical anatomy and advancements in operative technique, most patients are discharged comfortably on the second day following surgery. For the surgeon, the most significant concern is to observe drain output and fluid status immediately after surgery, as patients generally ambulate and tolerate a regular advancement of their diet by the first day following surgery.

Monitor the patient in the clinic after surgery. If the Foley catheter was not removed during the hospitalization, a voiding trial can be performed on an outpatient basis.

Transfers: To Hotel, Hospital and the Airport

4-Star Hotel: Receive a 4-star accommodation depending on availability

Escort Interpreter: Greet you and help to check in and admit

  • Obtaining a visa (extra charge)
  • Booking airline tickets (extra charge)
  • Recreational tours (extra charge)
  • VIP services (extra charge)
  • Insurance and legal services (extra charge)

Open Prostatectomy FAQ’s:

What kind of room will I go to after the recovery room?

Most of our patients recover on the ward, which has nurses specialized in the care of patients with prostate cancer. Often, patients’ families are able to stay with them in their rooms.

What are the potential complications of this surgery?

All surgical procedures have inherent risks. Obviously, we would not perform your operation if we felt that the risks of surgery out-weighed the benefits. During your initial meeting and consultation, we will discuss the potential complications of bleeding, infection, incontinence (loss of urinary control), bladder neck contracture, impotence (loss of sexual function), injury to surrounding tissues (i.e. rectum, bladder, and ureters), the need for further treatment, blood clots, and the risks of anesthesia (heart attack, stroke, blood clots, and death).

What limitations will I have after I go home?

Most people recover quite rapidly from their prostate surgery. Some begin working after only a few days or weeks. Nonetheless, because recovery can be variable, you should forewarn your employer that you will be absent from your job for six weeks after open prostatectomy, and for two to three weeks after laparoscopic prostate surgery. During this period, you should refrain from vigorous exercise and lift no more than ten pounds at a time. You should refrain from driving while the catheter is in place.

When do I Schedule my Prostatectomy?

Hospital stay

You should plan on being in the hospital for two to three days (including the day of surgery) after both open and laparoscopic prostate surgery.

Time off work

Most people recover quite rapidly from their surgery. Some begin working after only a few days or weeks. Nonetheless, because recovery can be variable, you should forewarn your employer that you will be absent from your job for six weeks after open prostatectomy, and for two to three weeks after laparoscopic prostate surgery. During this period, you should refrain from vigorous exercise and lifting more than ten pounds.

Preparations for surgery

One to two weeks before your operation you will need to meet with the anesthesiologists at The University of Chicago. At that same time, you will be given the opportunity to donate blood to be used, if necessary, at the time of surgery. The day before surgery you may be placed on a clear liquid diet and given a laxative, in order to clean out the rectum.

Time between diagnosis of prostate cancer and surgery

The growth rate of prostate cancer varies from person to person. Many patients can delay surgery safely for two to three months after the diagnosis is made. In fact, we rarely perform surgery for before six weeks has elapsed since the biopsy is performed to allow for resolution of inflammation. Hence, there is some flexibility in scheduling your operation and each individual case needs to be reviewed with a surgeon to determine the optimal timing of surgery.

Limitations after surgery

Most people recover quite rapidly from their surgery. Some begin working after only a few days or weeks. Nonetheless, because recovery can be variable, you should forewarn your employer that you will be absent from your job for six weeks after open kidney surgery, and for two to three weeks after laparoscopic surgery. During this period, you should refrain from vigorous exercise and lift no more than ten pounds at a time.

Planning vacations

Because of the risk of deep vein thrombosis (blood clots), it is prudent to wait at least three weeks after surgery before flying in an airplane. Otherwise, the major limitations to travel involve your comfort with traveling.

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