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Catheter generally stays after discharge."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Light walking early; heavy lifting and strenuous exercise resume about 4-8 weeks after surgery."},"final_result_months":{"min":6,"max":18,"unit":"months","qualifier":"Time for urinary continence and erectile function to plateau; cancer outcome is tracked by PSA monitoring."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Usually after catheter removal and surgeon clearance; thrombosis risk and open approach may extend; some fly with catheter."},"follow_up_visits":[{"purpose":"other","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Catheter removal visit, usually 7-14 days after surgery."}},{"purpose":"result_review","requirement":"routine","after":{"min":14,"max":28,"unit":"days","qualifier":"Review of final pathology and surgical margins."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"First postoperative PSA check, usually about 6-12 weeks after surgery, then periodic surveillance."}}],"indications":["Localized prostate cancer","Selected high-risk locally advanced cancer within multimodal treatment"],"main_risks":["Urinary incontinence (stress), often improving over months","Erectile dysfunction","Bleeding and need for transfusion","Infection, including urinary tract or wound infection","Anastomotic urinary leak or bladder neck stricture","Venous thromboembolism","Lymphocele or lymph node dissection complications when performed","Inguinal hernia or port-site/incisional hernia","Reduced penile length and climacturia","Anesthesia-related risks"],"pain":"Moderate postoperative pain for the first several days, controlled with oral analgesics; catheter discomfort and bladder spasms are common until removal. Robotic surgery generally causes less pain than open.","preparation":["Confirmed cancer diagnosis with staging (MRI, biopsy, PSA)","Preoperative medical and anesthesia assessment","Review of current medicines with the surgical team","Fasting before surgery as instructed","Bowel preparation if directed by the surgeon","Counseling on continence, sexual outcomes; pelvic floor exercises","Smoking cessation and infection screening as appropriate"],"recovery_timeline":[{"phase":"Hospital stay (days 0-3)","description":"Monitoring, early walking, pain control and catheter and drain care teaching.","restrictions":["No driving","Avoid straining"]},{"phase":"Home with catheter (about 1-2 weeks)","description":"Rest with gradual increase in walking; catheter removed in clinic.","restrictions":["No heavy lifting","Avoid strenuous activity"]},{"phase":"Early recovery (weeks 2-6)","description":"Return to light and desk activity; pelvic floor exercises; incontinence pads commonly needed and decreasing.","restrictions":["Avoid heavy lifting and straining","No cycling or vigorous exercise"]},{"phase":"Late recovery (months 2-12+)","description":"Gradual improvement of continence and erectile function; PSA surveillance.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery for daily activities after radical prostatectomy; continence and erectile recovery continue longer."},"result_longevity":"Prostate removal is permanent; cancer control is tracked by PSA. Long-term recurrence risk depends on stage, Gleason grade and margins.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Secondary procedures such as bladder neck stricture treatment, incontinence surgery or hernia repair; excludes adjuvant radiotherapy."},"scars":"Five or six small port scars, under 1.5 cm each; one slightly larger near the navel.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation; follow-up checks not counted."},"stages":[{"code":"surgery","label":"Radical prostatectomy (prostate and seminal vesicles removal, with pelvic lymph node dissection when indicated)","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically a single-stage operation."},"success":{"metric":"Biochemical recurrence-free survival (undetectable PSA) after radical prostatectomy","value":85,"unit":"percent","horizon":"5 years","population":"Adults with localized, low-to-intermediate risk prostate cancer","evidence_status":"limited"},"techniques":[{"name":"Robot-assisted laparoscopic radical prostatectomy","suits_whom":"Most patients with localized prostate cancer where robotic expertise is available.","recovery":"Usually 1-2 nights in hospital, catheter about 1-2 weeks, return to desk work around 2-3 weeks."},{"name":"Open retropubic radical prostatectomy","suits_whom":"Patients where open approach is preferred, such as complex anatomy, prior surgery or limited robotic access.","recovery":"Usually 2-3 nights in hospital, catheter about 1-2 weeks, return to desk work around 3-6 weeks."}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":2,"max":4,"unit":"hours","qualifier":"Operating time for radical prostatectomy (robotic or open), longer with extended lymph node dissection."},"initial_assessment_documents":["Prostate biopsy pathology report with Gleason score","Prostate MRI report and images","Recent PSA results with dates","Bone scan or PSMA PET-CT report (if available)","Urologist notes with digital rectal exam findings","List of blood thinners"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days to cover hospital nights and catheter removal. PSA checks done at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Choose a surgeon who performs a high number of prostatectomies","scope":"procedure","source":{"url":"https://www.mdanderson.org/cancerwise/prostatectomy--what-to-expect-with-this-prostate-cancer-surgery-treatment.h00-159460056.html","host":"mdanderson.org","quote":"I recommend finding a surgeon who you're comfortable discussing all the potential side effects with, who performs a high number of prostatectomies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Ask what facilities and back-up the clinic has if something goes wrong","scope":"treatment_type","source":{"url":"https://www.bapras.org.uk/public/think-over-before-you-make-over/cosmetic-surgery-abroad","host":"bapras.org.uk","quote":"What facilities do they have and what back up do they have if something goes 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surgery","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Make sure you understand any potential complications and side effects that could arise from your surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Pressure to decide quickly, or cheap time-limited offers","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Surgery sold as a package deal combined with holidays","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Be wary of package deals which combine surgery with holidays.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Heavy bleeding in your pee","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"Heavy bleeding in your pee (hematuria)","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"No pee flow into your catheter bag","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"No pee flow into your catheter bag","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Discolored drainage from your incisions","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"Discolored drainage from your incisions","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs the follow-up details written on the discharge summary","document":"discharge summary","source":{"url":"https://www.plymouthhospitals.nhs.uk/display-pil/pil-radical-prostatectomy-lynher-ward--3986/","host":"plymouthhospitals.nhs.uk","quote":"Details of your follow up appointment are included on your discharge summary.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've 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procedure","source":{"url":"https://www.kingstonandrichmond.nhs.uk/patients-and-families/patient-leaflets/prostate-removal-prostatectomy-robot","host":"kingstonandrichmond.nhs.uk","quote":"Robot-assisted surgery means the surgeon uses the robot to help perform the procedure.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"open-retropubic-radical","name":"Open retropubic radical prostatectomy","how_it_works":{"text":"The surgeon makes one cut in the lower abdomen","source":{"url":"https://my.clevelandclinic.org/health/treatments/24294-prostatectomy","host":"my.clevelandclinic.org","quote":"During an open simple prostatectomy, they make one cut (incision) in your lower abdomen.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":8,"max":8,"unit":"weeks","label":"8 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