Surgical removal of an infected portion of the prostate, known as prostatectomy, is a treatment option for severe cases of prostatitis or prostate abscess. This procedure involves excising the affected area while preserving healthy tissue to minimize complications. It's typically considered when antibiotics or other conservative treatments fail to resolve the infection. Prostatectomy aims to alleviate symptoms, eradicate the infection, and prevent complications, although it may carry risks like urinary incontinence or erectile dysfunction.

Types of Surgery

  • Transurethral Resection of the Prostate (TURP): Involves removing infected tissue through the urethra using a resectoscope.
  • Open Prostatectomy: Surgical removal of infected portions through an abdominal or perineal incision, suitable for larger prostates.
  • Laparoscopic Prostatectomy: A minimally invasive approach using small incisions and a camera for precise removal, offering faster recovery.
  • Robotic-Assisted Prostatectomy: Utilizes robotic technology for enhanced precision and dexterity, often resulting in reduced blood loss and shorter hospital stays.
  • Laser Prostatectomy: Involves using laser energy to vaporize infected tissue, with potentially shorter recovery times compared to traditional methods.

Why Do You Need Surgical Removal Of The Infected Portion Of Prostate? 

  • Severe Prostatitis: Surgical removal may be necessary if prostatitis is severe, chronic, or recurrent despite antibiotic therapy.
  • Prostate Abscess: When antibiotics fail to resolve a prostate abscess, surgical drainage or removal of infected tissue may be required.
  • Urinary Retention: In cases of severe urinary retention due to prostatic infection, surgery may be necessary to relieve obstruction.
  • Prevention of Complications: Surgical removal aims to prevent complications such as recurrent infections, abscess formation, or urinary tract obstruction.
  • Failure of Conservative Treatment: Surgery becomes necessary to address the underlying infection when conservative treatments like antibiotics or drainage procedures are ineffective.

How Are Patients Selected For The Procedure?
Patients are selected for surgical removal of an infected portion of the prostate based on several factors. These include the severity and chronicity of the infection, response to antibiotic therapy, complications like abscess or urinary retention, and overall health status. Preoperative evaluation involves assessing the patient's medical history, symptoms, diagnostic tests, and imaging studies to determine the appropriateness of surgery. Shared decision-making between the patient and healthcare provider considers the risks, benefits, and alternatives to surgery, ensuring informed consent and personalized treatment plans tailored to the individual's needs.

Risks And Benefits Associated With The Procedure
Risks of Surgical Removal of Infected portion of Prostate:

  • Bleeding: Potential risk of intraoperative or postoperative bleeding requiring transfusion or additional procedures.
  • Infection: Surgical site or systemic infection risk, especially in immunocompromised individuals.
  • Urinary Incontinence: Possible temporary or permanent loss of bladder control due to damage to urinary sphincter muscles.
  • Erectile Dysfunction: Risk of impaired sexual function due to nerve damage or blood vessel injury during surgery.
  • Complications: Rare risks include injury to surrounding organs, urinary tract strictures, or anesthesia-related complications.

Benefits of Surgical Removal of Infected portion of Prostate:

  • Infection Resolution: Surgical removal eradicates infected tissue, resolving prostatic infection and preventing recurrence.
  • Symptom Relief: Alleviates symptoms such as pain, urinary retention, or recurrent urinary tract infections.
  • Prevention of Complications: Reduces the risk of complications like abscess formation, sepsis, or urinary obstruction.
  • Improved Quality of Life: Restores normal urinary function, alleviating discomfort and improving overall well-being.
  • Long-Term Effectiveness: A durable solution offers long-term relief from chronic or recurrent prostatic infections.

Recovery And Rehabilitation After The Procedure
Recovery after surgical removal of an infected portion of the prostate involves several stages. Initially, patients may experience pain, urinary catheterization, and hospitalization for monitoring. Gradually, activities are resumed under medical guidance, with emphasis on pelvic floor exercises and bladder training to restore urinary function. Antibiotics may be prescribed to prevent infection. Follow-up appointments monitor healing and address any concerns. Patients are advised to avoid heavy lifting and strenuous activities during the initial recovery period. Full recovery typically takes several weeks to months, with gradual improvement in urinary symptoms and overall well-being.

What To Expect After The Surgical Removal Of Infected Portion Of Prostate?
After surgical removal of an infected portion of the prostate, expect initial pain, discomfort, and urinary catheterization. Hospitalization may be necessary for monitoring. Gradually, pain subsides, and urinary function improves. Follow-up appointments monitor healing and address concerns. Avoid heavy lifting and strenuous activities. Full recovery typically takes several weeks to months, with improved urinary symptoms.

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Frequently Asked Questions

The duration of surgical removal of an infected portion of the prostate varies depending on factors such as the extent of infection and the chosen surgical technique. The procedure typically takes 1 to 3 hours, but this can vary based on individual circumstances.

The success rate of surgical removal of an infected portion of the prostate is generally high, with most patients experiencing resolution of infection and improvement in symptoms. However, individual outcomes may vary depending on factors such as the extent of infection, patient health, and surgical technique.

Recovery from surgical removal of an infected portion of the prostate involves initial pain, urinary catheterization, and hospitalization. Gradual improvement follows, with pain relief and restoration of urinary function. Pelvic floor exercises aid recovery. Antibiotics may be prescribed, and follow-up appointments monitor progress. Full recovery takes weeks to months.

Pain management after surgical removal of an infected portion of the prostate typically involves a combination of medications, including analgesics like acetaminophen or opioids for severe pain. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also reduce inflammation and discomfort. Additionally, local anesthetics may be administered during or after surgery to minimize postoperative pain.

Returning to normal activities after surgical removal of an infected portion of the prostate varies based on individual healing and the extent of the procedure. Generally, patients can resume light activities within a few weeks but may require several weeks to months to fully engage in strenuous tasks or exercise.

Physical therapy is typically not needed after surgical removal of an infected portion of the prostate. However, some patients may benefit from pelvic floor exercises or bladder training to improve urinary control and promote recovery. It's essential to consult with the healthcare provider for personalized post-operative recommendations.

After surgical removal of an infected portion of the prostate, lifestyle changes may include maintaining a healthy diet, staying hydrated, avoiding heavy lifting or strenuous activities during recovery, and practising proper hygiene to prevent infection. Adhering to medical advice and attending follow-up appointments are essential for optimal recovery.

Alternative treatments for prostate infections may include antibiotic therapy, transurethral drainage of abscesses, or minimally invasive procedures like transurethral resection of the prostate (TURP) for symptom relief. However, surgical removal may be necessary to eradicate the infection in severe cases, refractory to conservative measures.

Post-surgery, gentle exercises like walking or pelvic floor exercises may be recommended to aid recovery and improve urinary control. However, specific exercises should be tailored to individual needs and recovery progress. It's essential to consult with healthcare providers for personalized recommendations based on the surgical procedure and individual health status.

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