Question

A 65-year-old man is seen in the preoperative clinic 1 week before a scheduled radical prostatectomy. He has been diagnosed with femoral deep vein thrombosis (DVT) following a complaint of calf soreness.

1. What is a radical prostatectomy?
2. What would be a reason for this procedure (i.e. diagnostic, curative, restorative, etc.)
3. What is the level of urgency, degree of risk, and extent of urgency for this procedure?
4. What possible treatment would you anticipate being ordered for the treatment of DVT? (Discuss 2)
5. What are risk factors that contribute to the development of DVT? (Name 3)

Answer 1

Answer:

☆Radical prostatectomy is the surgical removal of prostate glands and the surrounding tissues.

☆ *To remove cancer cells of prostate

* To treat prostate hyperplasia

* Recurrent bleeding from prostate

* Bladder calculus with prostate enlargement

* Dysuria

☆ The level of urgency of the procedure is determined by severity of the condition.

* Emergent: This procedure are often not an emergency. Physician will get enough time to evaluate patient's condition before the procedure.

* Urgent: Urgent radical prostatectomy is rare

* Elective: This procedure is not truly elective as it is performed to remove prostate tumors.

* Delay in the procedure may increase the chances of metastasis of tumour and anxiety in patients.

The risk of radical prostatectomy are:

* Erectile dysfunction

* Urinary incontinence

* Edema of the lymph nodes

* Sterility

☆ * Anticoagulants : DVT usually treated with anticoagulants also known as blood thinners. These drugs reduce the coagulation ability of the blood and prevent the formation of new blood clots. It can be available in the form of pills and injections. Heparin is the common drug of choice.

* Compression stockings: It helps to reduce the swelling related to DVT.

☆ Risk factors of DVT

* Overweight and obesity

* Prolonged bedrest/hospitalization

   * Pregnancy

*Knee surgery