Which of the following is suggested surgical intervention for Ca Prostate?

Chitranjjan National Cancer Institute Kolkata - 2021

Medical & Surgical Nursing

Easy

Appeared in: Chitranjjan National Cancer Institute Kolkata - 2021

Explanation

Radical prostatectomy is the standard surgical procedure with curative intent for prostate cancer that is confined to the prostate gland.
The goal of this surgery is to completely remove the cancerous tissue, which includes the entire prostate gland, the seminal vesicles, and sometimes the pelvic lymph nodes.
It is typically recommended for patients who have a life expectancy of at least 10 years and whose cancer has not spread beyond the prostate.

Option B: Bilateral orchiectomy (removal of both testicles) is a form of androgen deprivation therapy (ADT). It is a palliative treatment, not a curative one.
Option C: Transurethral resection of the prostate (TURP) involves removing parts of the prostate tissue that are blocking the urethra. It does not remove the entire gland and is therefore not a curative surgery for cancer.
Option D: Transurethral resection of a bladder tumor (TURBT) is a procedure performed to diagnose and treat cancer found within the bladder.

Clinical Relevance

Nursing practice connection: Knowing Surgical Management of Prostate Cancer helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Nurses play a vital role in caring for patients undergoing radical prostatectomy, including pre-operative teaching, post-operative monitoring for hemorrhage and infection, and managing potential long-term complications like urinary incontinence and erectile dysfunction.
Patient education is critical. The nurse must ensure the patient understands the difference between curative and palliative treatments to make informed decisions about their care.
What if? If the patient's staging scans (like a PSMA PET scan) revealed metastatic disease, the recommended intervention would shift from curative radical prostatectomy to systemic palliative treatments like androgen deprivation therapy (achieved through bilateral orchiectomy or medications).

How to Approach the Question

First, identify the core of the question: it asks for the primary surgical intervention for prostate cancer (Ca Prostate).
Analyze the intent behind the term 'surgical intervention'. In oncology, this often implies a curative procedure unless specified as palliative.
Evaluate each option based on its primary purpose in urology and oncology.
Recall or deduce that 'radical prostatectomy' means the complete removal of the prostate, which is a standard approach to cure localized cancer.
Consider the other options: Orchiectomy is hormonal (palliative), TURP is for obstruction (symptomatic relief/BPH), and TURBT is for the bladder (wrong organ).
Select the option that directly targets the removal of the cancerous organ with the intent to cure.

Concept Tested & Keywords

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E6 Medicine Harrison 22e Part 1 pp. 740-742, 741-743

E6 Medicine Davidson Principles Practice 24e p. 459-461