Effects after prostatectomy

Many people know that there is a very troubling disease among men, that is prostate disease. There are many reasons for prostate disease. One is excessive sexual desire, which causes abnormal congestion of the prostate. Sometimes it is due to frequent smoking and drinking. The harmful substances in cigarettes and alcohol lead to endogenous dampness and heat, causing problems with some reproductive organs. In any case, the disease must be treated if you are unfortunately diagnosed with a prostate disease. In unavoidable circumstances, the prostate needs to be removed. Let us now understand the effects of prostate removal.

Preoperative preparation

1. Most patients are elderly people with poor general condition and often have other diseases (such as hypertension, heart disease and diabetes, etc.). Therefore, a comprehensive and detailed examination and assessment of the patient's general condition must be conducted before surgery. In addition to general physical examination, special attention should be paid to the determination of renal function (such as blood non-protein nitrogen, CO2 binding capacity and phenol red test, etc.). In addition, it is necessary to measure blood pressure multiple times, and examine the fundus, electrocardiogram, chest X-ray and liver function. Those with renal insufficiency should have their bladder drained and surgery performed after their renal function improves.

2. Patients often have urinary tract infection before surgery. Catheterization can improve the above situation, but long-term retention may cause infection. To reduce postoperative wound infection, antibiotics can be taken a few days before surgery, and the bladder can be flushed with antibacterial solution half an hour before surgery. Commonly used antibacterial solutions are 1:2000 furacilin and 1:5000 potassium permanganate. After the bladder is washed, fill it with flushing solution

3. Cystoscopy can directly observe the condition of the bladder, the type of prostatic hypertrophy, and whether there are other complications of the bladder (such as stones, diverticula, etc.), but it does not need to be performed routinely before surgery.

4. Before prostatectomy, bilateral vasectomy is usually performed to prevent orchitis.

(1) The reasons for the patient's difficulty urinating or even urinary retention after surgery are: first, the hyperplastic glands were not completely removed during surgery, and the solution is to perform another electrosurgical resection; second, the patient already has a neurological defect that makes urination difficult. Appropriate examinations and treatment should be given, and the two reasons should be explained to the patient.

(2) Abnormal urination: Microscopic hematuria and pyuria may persist for several months after surgery. There are two reasons for this: one is that necrotic tissue gradually falls off during the wound healing process, and the other is that there may be kidney disease. Therefore, detailed inspections should be done to find out the cause and deal with it.

(3) Epididymitis: Due to the use of preventive antibiotics before and after surgery, the postoperative incidence of epididymitis has been greatly reduced, but it still occurs in a few cases. If swelling and pain in the scrotum occur after surgery, you should seek medical attention promptly.

(4) Urinary incontinence may be related to surgery, or it may be caused by inflammation, tumors, stones or neurological factors. Therefore, appropriate examinations should be done to find out the cause.

(5) In case of urethral stenosis, the stricture should be carefully identified and the urethra should be dilated or re-electroscopically treated.

(6) Sexual dysfunction: About 1.4% of patients develop impotence after surgery. There are also many patients who complain of dissatisfaction with sexual intercourse, the reasons of which may be related to mental factors and they should be given psychological counseling. After electroresection, the internal urethral sphincter may not close completely, leading to retrograde ejaculation, that is, semen does not flow out of the body but enters the bladder. Those who do not have fertility problems do not need treatment. Those who want to have children can try ephedrine treatment, which is sometimes effective.

The impact of prostate removal on the body is relatively large. Therefore, if the patient's disease is serious and prostate removal is necessary, then you must find a regular hospital for surgery. This can also increase the success rate of the surgery and reduce the risks to the body caused by the surgery. Therefore, patients must pay more attention to this aspect.

Some patients with prostate hyperplasia, after the prostate is removed and the symptoms disappear for a period of time, symptoms such as difficulty urinating, thin urine stream, and dribbling urine reappear. Suggestions: Go to the hospital for examination, the doctor diagnosed it with prostate hyperplasia. This is because, when the doctor removes the prostate, he actually removes the hyperplastic inner layer of tissue within the surgical capsule, the outer layer of the prostate is not touched, and a small amount of the inner gland may be close to the surgical capsule and not completely removed. Obviously, this leaves a material basis for the recurrence of prostate hyperplasia after surgery. Generally, surgical treatment is not recommended for prostatitis. Conservative treatment can be used. The treatment method needs to be determined according to the condition. Prostatitis is divided into acute, chronic, bacterial, and aseptic types. Surgical treatment is very dangerous.