This method of surgical treatment consists in excision of the pathologically proliferating prostate tissue under the influence of the laser. When you remove the adenomatous tissue, the particles get into the bladder, for removal use of a special tool. The operation is performed through the urethra using endoscopic equipment.
Laser enucleation reminds transvesically adenomektomii, however, has fewer complications during surgery and after it. Also the laser catheter such hold no more than one day, and then recovered. Self-service restores urination on the second day after surgery.
Adenomectomy is an open source type of operations and represents the removal of pathological prostate tissue in men through an incision in the abdomen and in the bladder. This procedure is given to patients at the advanced stage of the disease, with large tumor size, or complications in the course of the disease.
During the procedure, the surgeon removes the affected areas of the prostate with your fingers, and then enter in the ureter catheter and drainage for outdoor elimination. After the operation, the patient discharged from the hospital after 7 days.
After surgery to remove the prostate there is a risk of some consequences. Possible complications include:
- The penetration of the solution, which is wash out the bladder, in the patient's blood;
- Bleeding: occurs due to puncture of a nearby large vessels, as using the device is quite difficult to see the vessels; in some situations, blood loss is so significant that you may need blood transfusions;
- Violation of urination, which results in reduced urine output or inability to urinate: the cause of this condition there may be comorbidities of the bladder, advanced age of the patient or some complications during the surgery;
- A complication of infection in the urinary way during surgery;
- Damage to organs of the genitourinary system.
Reviews of patients who underwent surgery for removal of prostate adenoma clear that the consequences primarily affect sexual function. However, after some time, the potency and erection is restored.
Also some patients have noted after the onset of sexual activity (six weeks after surgery) retrograde ejaculation, which means the reflux of sperm in the process of finishing intercourse in the bladder. This condition affects the reproductive function, that is, are having trouble conceiving, it is still possible to a normal sex life.
Benign prostatic hyperplasia: causes, symptoms, clinical picture
The prostate gland is one of the most important internal organs which takes part in the performance of male reproductive function. With age, this body may be formed of a seal, the clumps of matter, tangles of fibers. These tumors are called hyperplasia.
To date, this pathology can be successfully treated with medication and by direct surgical intervention. The most important thing is to detect the presence of disease and start therapy, then it is possible to achieve positive results even without the intervention of surgeons.
Since the prostate passes the urethra, because of the increased size of the organ, the channel is pinched. This causes the main symptom of this disease is a delay in urination. Usually, this becomes evident when at one time the urine is allocated less number of impulses increases, and the stream at the same time, "fade".
We also need to make efforts in order to make urination. In this case the patient is experiencing discomfort. In sexual life, he becomes less active, an erection occurs with difficulty and not always.
Among the reasons it is possible to allocate mainly genetic predisposition and age. Age is a key factor in men, who more than forty years, the adenoma is more common. Do not trust myths about the fact that venereal diseases transferred earlier, can cause the development of tumors. Also it is not irregular sexual life.
Part of the symptoms have already been named, but, in addition to the above, it should be called such:
- it seems that after urination the bladder is not fully emptied;
- erectile dysfunction;
- night urination;
- this process can be interrupted.
What types of surgeries is used for removal?
The prostate occurs several surgical ways.
It is worth saying that this is not necessarily a classical surgery, medicine today offers other less invasive ways of removing the hyperplasia.
The most effective method of treatment of benign prostatic hyperplasia (BPH) is the removal of the prostate invasive or minimally invasive method. There are several types of surgical interventions distinguishes them from each other the complexity, the list of complications and the cost of prostate surgery. To select the best option, you need to study the effects of surgery to remove the prostate and feedback on various options.
Removal of the prostate is the elimination of the pathologically proliferating glandular tissue. In severe cases, the treatment in which completely removes the prostate gland.
Surgery to remove the prostate
There are several types of surgical treatment:
- Open surgery – excision of the adenoma is done through a puncture in the bladder; this type of intervention applies transvesically Adenomectomy, which is considered the most traumatic method, but allows to get rid of the abnormal tissue; is indicated for complications of the hyperplasia, for example, intratrahealno in the growth of the formed nodes;
- Minimally invasive method involves the excision of the adenoma of the prostate gland without an incision, using a video endoscopic instruments through the urethra; to this species the TUR and laser enucleation of the prostate.
What are the effects of surgical removal of the prostate in men?
Every surgery has a certain negative outcome.
Often after the removal of the prostate consequences occur almost always.
Is determined that the patient later turns for help to a specialist, as a result, the disease progresses, and time to diagnosis remains too little.
It should be noted that the occurrence of consequences depends largely on the skill of the surgeon and the selected receiving surgical intervention. Also important in the postoperative period of play the individual characteristics of the patient and speed the recovery function.
It should be noted the most common consequences after removal of the adenoma:
- incontinence or retention of urine;
- of bleeding or the presence of internal bleeding;
- the lack of an erection or retrograde ejaculation;
- the inability to conceive a child;
- infection of the urethra;
A prostate biopsy involves bad consequences.
The reason of the appearance of these unpleasant symptoms can be repeated biopsy. It often happens that all the above effects take place in a few days and do not cause big trouble to the patients.
Types and characteristics of surgical treatment of BPH
After surgery to remove the prostate adenoma therapy the patient is prescribed painkillers, antibiotics for the prevention of inflammatory processes of urinogenital sphere, diuretics, diet and therapeutic exercises for the pelvic floor.
After the operation, there are slight complications:
- minor impurity of blood and blood clots in urine for weeks;
- incontinence, frequent urination, which is gradually taking place by itself;
- stinging during urination usually disappears when the catheter is removed from the urethra;
- during ejaculation possible to reverse the reflux of semen into the bladder (it is safe).
The cause of the disease is disruptions in the hormonal system. That is the level of testosterone is considerably reduced, but the estrogens, on the contrary, increase.
Treatment of BPH depends entirely on the extent of its neglect. If the disease was discovered in the first or second stage, the approximate sequence of therapy will be this:
- drug therapy;
- proper hygiene;
- physiological procedures.
- radical prostatectomy;
- transurethral resection;
Usually at the initial stage of the disease, when the symptoms bother enough and occur to a lesser extent, patients prescribed drug treatment prostatic hyperplasia.
But if the disease has reached the level, when to treat with drugs is not possible, using the method of surgical intervention. This method is more effective than medication, but it has its drawbacks and risks, treatment can be called risky.
What are the consequences of surgery to remove the prostate?
For many, the main question is about the possibility of continuing sexual activity after removal of the prostate.
According to statistics, erectile dysfunction is observed in 10% of patients. In the presence of erectile dysfunction before surgery, do not expect any changes.
If before surgery with sexual life was all normal, after the removal of the prostate the occurrence of the impotence is temporary and will soon disappear, returning the previous sex life.
Very often also found retrograde ejaculation. This pathology is that in the body or absent sperm or it is thrown into the bladder and is excreted along with the urine. For the body it does not carry any danger, but it is impossible to conceive. Therefore, such a situation can be considered infertility.
To avoid the negative consequences after the surgery, it is important to follow the recommendations during the rehabilitation period.
Recovery the patient must:
- for two months it is necessary to exclude an active lifestyle, a sharp movement in one location should also not be more than 40 minutes;
- to strengthen the muscles of the pelvis instead of the Elevator walk up the stairs;
- a month can not take a bath, only a shower two days after surgery;
- to work has the opportunity to go back in two weeks, provided that the profession does not require heavy physical exertion;
- you must drink plenty of water to reduce inflammation and quick wound healing, at least 8 glasses;
- during the rehabilitation period allowed heavy lifting not more than fifteen pounds;
- driving and sex life is allowed only a month after the removal of the prostate.
Removal of prostatic adenoma through the urethra: implications and complications
Unfortunately, after prostate removal consequences of a negative character sometimes felt. After the operation the patient remains in hospital for further recovery. The first time the unpleasant symptoms often persist. Is pain in the wound, bleeding in the urine, clots, cramps during urination. This phenomenon is quite natural within a few days.
Thus, the operation to remove the prostate gland consequences, as a rule, is the following:
- problems with urination in the form of incontinence or urinary retention. Incontinence is not only permanent, but only with physical exertion. Most often it is the result of the restore, which additional treatment is not required. After a few days it passes. Rarely require additional treatment or the use of urological pads. Cause of urinary retention may be a blockage in the urethra, a medical mistake. To solve the problem requires additional surgery or catheterization of the bladder;
- rich bleeding. This is a dangerous complication that threatens human life. It can occur not only after open surgery, but also after the TOUR. In this situation there is a blockage in the urethra by blood clots. It is also possible to severe blood loss, resulting'll need a blood transfusion;
- water intoxication. This result is also quite common and requires prompt treatment. During the TOUR wash the bladder with a special solution, which in the case of a large number of contact with blood causes dizziness, nausea, confusion, muscle weakness. Although a simple treatment, however, can have serious consequences if not completed on time. As a result of possible kidney and cardiovascular failure, shock, swelling of the brain;
- the inflammatory processes. To know about such a problem, you can use urine test that will show bad results. The issue could be resolved by taking antibiotics.
Unfortunately, BPH is quite heavy consequences. In 55% of cases surgery will be scheduled in which there is removal of the prostate. One of the most popular operations is the TUR (transurethral resection). How is such an operation, what complications after surgery can occur in the patient, will be described below.