What are the causes of sequelae of early prostate cancer resection

After early prostatectomy, sequelae may occur, which is closely related to the individual constitution of the patient, the surgical method and postoperative recovery. Common sequelae include urinary incontinence, erectile dysfunction and urinary tract infection.

1Genetic and physiological factors

Individual differences among patients can affect the occurrence of complications after surgery. For example, patients who are older or have other physical impairments may be more susceptible to complications due to their body's limited ability to recover from surgery. Certain genetic factors may make it more difficult for patients to regain normal urinary or sexual function after surgery.

2 Effects of surgical methods on nerves and tissues

Early prostate cancer surgery usually includes prostatectomy, which can inadvertently damage the sphincter that controls the urethra or nearby nerves, such as the pelvic nerves that control erections. Damage to these tissues can cause urinary incontinence or erectile dysfunction in patients after surgery, especially with more invasive procedures.

3 Complications during postoperative recovery

During the postoperative recovery process, if the patient does not strictly follow the doctor's instructions and neglects rehabilitation and care, wound infection, inflammation or urethral stricture may occur. These complications may further affect urine excretion and even cause urinary tract infection. Incorrect postoperative rehabilitation exercises may also affect the recovery of sphincter function.

4. Influence of psychological factors

Prostatectomy may have a negative impact on the patient's sexual quality of life and mental health. Some patients experience anxiety and depression after surgery, which in turn aggravates functional disorders such as erectile problems. This is related to the patient's excessive worry about the disease and his or her inability to adapt to postoperative changes.

Suggestions

Postoperative rehabilitation: It is recommended to perform pelvic floor muscle repair training such as Kegel exercises under the guidance of a professional doctor to restore urinary incontinence symptoms, and use biofeedback therapy appropriately.

Restoration of erectile function: You can try medication, such as sildenafil Viagra, vardenafil Levitra, or tadalafil Cialis; some patients can improve their symptoms through vacuum erection devices or penile prosthesis implants.

Prevent and treat infection: Keep the incision clean, avoid high-intensity exercise, drink plenty of water, clean the urethral opening daily, and use antibiotics prescribed by a doctor if necessary.

After surgery, you should maintain a positive attitude and communicate with your doctor about your condition at regular follow-up visits. If serious sequelae occur, you should consult the urology department or rehabilitation department in a timely manner to develop a targeted treatment plan to avoid long-term impact on your quality of life.