Prostatectomy

Prostatectomy. It is the surgical intervention to remove all or part of the prostate gland ( prostate ). There are different techniques such as Transurethral Prostatectomy, Suprapubic Prostatectomy and Open Prostatectomy. The prostate gland is an organ found at the base of the bladder in men. Sometimes it is necessary to surgically remove the tissues in that gland, as a way to treat an enlarged prostate ( benign prostatic hypertrophy ) or prostate cancer.

Summary

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  • 1 Symptoms
  • 2 Indications
  • 3 Risks
  • 4 Expectations after surgery.
  • 5 Convalescence
  • 6 Source

Symptoms

Symptoms of an enlarged prostate and obstruction are, among others:

  • Difficulty starting urination
  • Decreased gauge and jet force
  • Emptying elongation
  • Drip after urination
  • Incomplete emptying
  • Urinary tract infection

These symptoms can often be alleviated with partial or total removal of the prostate gland, which can be done in many ways, depending on the size of the prostate and the cause of the enlarged prostate. However, this type of pathology can give rise to other irritative symptoms, such as frequent urination with small amounts of urine, need for nighttime urination (more than two per night), urinary urgency, or feeling that the bladder is never empty . These symptoms are due to impaired bladder function and are more difficult to eliminate once established, even after resection of the prostate.

The three most common procedures for the surgical removal of the prostate gland for cases of benign disease are:

  • Transurethral resection of the prostate (TURP).
  • Open prostatectomy.
  • The transurethral incision of the prostate (ITUP).

The decision regarding the type of prostatectomy to be performed depends on the size of the prostate gland. Generally for prostates less than 30 grams, ITUP is recommended; while for prostates over 30 and under 80 gr (this number depends on the experience of the surgeon), TURP is carried out. If the prostate is greater than 80 grams, an open prostatectomy is recommended.

Indications

  • Inability to completely empty the bladder (urinary retention)
  • Recurrent urine blood from the prostate
  • Calculus retained in the bladder by an enlarged prostate
  • Prostate cancer
  • Urine retention causing increased pressure on the ureters and kidneys (hydronephrosis)
  • Repeated urinary tract infections
  • Prostate cancer
  • Symptoms of prostate syndrome with a significant impact on daily life

Prostate surgery is not recommended for men who have:

  • Blood clotting disorders
  • Bladder disease (neurogenic bladder) Top

Risks

The risks of any intervention under anesthesia:

  • Drug reactions
  • Respiratory problems

The risks involved in any surgery are:

  • Bleeding
  • Infection

Additional risks:

  • Problems with urinary control (incontinence)
  • Difficulty achieving and maintaining an erection (impotence)
  • Loss of sperm fertility (infertility)
  • Passing of semen into the bladder and not out through the urethra (retrograde ejaculation)
  • Urethral stricture (narrowing of the urinary outlet)

Expectations after surgery.

TURP is particularly effective in eliminating symptoms of an enlarged prostate, although some sources have reported that at 10 years, about 20% of people require another surgery to remove additional prostate tissue.

ITUP has been effective in alleviating the symptoms of benign prostatic hyperplasia (BPH) in people with a relatively small prostate gland.

Open prostatectomy is successful in relieving the symptoms of benign prostatic hyperplasia.

In general, these techniques are very effective in relieving symptoms due to obstruction of the lower urinary tract due to an enlarged prostate, but they can be less effective in eliminating the so-called irritative symptoms.

Convalescence

They usually stay in the hospital for 7 to 10 days. Full recovery is at 3 weeks. Avoid:

  • Intake of coffee
  • Cola drinks
  • Alcoholic drinks

Since they cause irritation to the bladder and the urethra

 

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