The biggest influence of BPH on people is progressive dysuria. If not treated in time, it will also lead to bilateral ureteral obstruction and renal insufficiency.
In the past, the treatment of BPH was mainly prostatectomy, including suprapubic prostatectomy, transperineal prostatectomy and retropubic prostatectomy, all of which required surgery, with great trauma, much bleeding and slow recovery. Most postoperative patients with dysuria can be relieved or even eliminated. However, symptoms such as frequent micturition, urgent micturition, and painful micturition can be retained and generally disappear within 3-6 months. Severe cases can lead to urinary incontinence, including temporary urinary incontinence and permanent urinary incontinence. Permanent urinary incontinence is a serious postoperative complication with low incidence, but once it happens, it will have a serious impact on patients' lives.
However, with the development of medical technology, prostatectomy has been basically eliminated and replaced by transurethral resection of prostate or laser resection, which has the advantages of less trauma, less bleeding, rapid recovery and basically no complications.
Unless it is early prostate cancer or severe urinary retention, the prostate must not be surgically removed. Prostatectomy will cause very serious complications, which will be more serious than the prostate before resection. After prostate surgery, there will be serious problems such as urinary incontinence and diabetes insipidus, which will affect sexual function. We must believe that prostatitis and prostatic hyperplasia can be treated and controlled with the right medicine. If you already have symptoms such as frequent urination, urgency, small urine strips and weak urine bifurcation caused by prostatitis and prostatic hyperplasia, you must stick to taboos and strictly prohibit eating spicy and irritating food. Spicy and irritating food can cause prostate congestion, aggravate prostatitis, and seriously cause urinary retention.
Prostatectomy does not affect urination function, but it will affect semen. Prostatic hypertrophy or prostatitis will affect patients' urination, causing frequent micturition, urgency, difficulty in micturition, dull pain and discomfort in perineum and lower abdomen, as well as urine waiting, incomplete urine and bifurcation.
After prostatectomy, urethral pressure decreases, so urination will improve, provided there is no inflammation. If there is inflammation after operation, the urethral disease caused by prostate will still be retreated.
It is suggested that patients take traditional Chinese medicine for a period of time after operation to fundamentally eliminate inflammation.
Hello, I can give you a detailed analysis from many aspects according to my clinical experience.
First, whether it can be operated depends on whether it meets the surgical indications. There are two main situations:
1. General senile hyperplasia patients do not need sexual function. Hyperplasia seriously affects urination and leads to urinary retention. At this time, the drug cannot be relieved, and surgery can be considered. This condition is usually the removal of partially hyperplastic glands, and there is a risk of recurrence in the later stage.
2, patients with prostate cancer, can consider resection.
Secondly, under normal circumstances, urination can still be controlled, but because the prostate is the gate to control male urination, there is also postoperative urinary incontinence, which seriously affects the quality of life. Long-term urinary incontinence is easy to induce urinary tract infection or perineal skin infection.
Because patients who plan to have surgery should be fully prepared psychologically.
The so-called prostatectomy, also known as radical prostatectomy, is most commonly used in the surgical treatment of prostate tumors, especially malignant prostate tumors.
Prostatectomy is mainly to remove the prostate and its surrounding tissues. The prostate is anatomically located below the bladder and in front of the rectum, which surrounds the initial segment of the male urethra connected to the bladder.
Nowadays, open surgery is less used in big hospitals, and more is laparoscopic surgery or even robot surgery. Compared with traditional open surgery, laparoscopic surgery or robotic surgery has the characteristics of less trauma and faster recovery. Generally speaking, the postoperative hospitalization time of most patients can be shortened to 1~3 days.
During the operation, the patient needs to insert a catheter. According to the postoperative situation, some patients need to keep the catheter for several days, and a few patients with special clinical conditions may need to keep the catheter for several weeks, but eventually the catheter will be removed.
Many patients will have abnormal urination and sexual function for a period of time after prostatectomy, and it often takes weeks or even months to fully recover urination and sexual function. Starting rehabilitation treatment and activities as soon as possible after operation is conducive to the rapid recovery of urine control function and sexual function.
Therefore, prostatectomy may affect urination and sexual function in the short term, but unless there are serious surgical complications or sequelae, most patients can recover urination and sexual function after a period of rehabilitation and adjustment!
Prostatectomy will definitely affect urination function. Because part of the urethra passes through the middle of the prostate. .
But if it is necessary to remove the prostate, we should consider prostate cancer and other issues. I can't do it without picking it.
If it is a problem such as prostatic hypertrophy, the most commonly used is electrocautery or laser surgery, and the prostate is generally not removed.