Lower abdomen hurts after prostate tour

One year after TUR operation. Pain in the perineum

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Pain in the lower abdomen after prostate removal

How to deal with urinary incontinence after hysterectomy

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The operation to remove the uterus is considered a very serious intervention in the female body. If possible, doctors solve gynecological problems in a different way, but sometimes only amputation of the uterine cavity can save life and health. Often after surgery, the patient is faced with changes and consequences that require additional attention. One of them is Urinary incontinence after hysterectomy surgery.

When a hysterectomy is necessary and what consequences it sometimes leads to

The uterine cavity is one of the most important organs of the female reproductive system. Its main function is the preparation, conception and bearing of a child, that is, exactly what distinguishes a woman from a man. Removal of the uterus is a radical way to solve many gynecological problems. This may be necessary in the following cases:

If a woman was given one of the above diagnoses, this does not mean that her uterine cavity will be removed. A qualified specialist will first apply all known methods of treatment, including medication, physiotherapy, local injections, and only then, if the patient's condition remains severe and carries risks of deteriorating health and even life-threatening, will he offer to perform an operation. Most often it is carried out to ladies at least 40 years old. The fact is that the above problems usually accumulate over the years, and young girls, with rare exceptions, are not threatened, with the exception of the late stages of oncology.

In itself, surgery is also a certain risk, like any invasive procedure. In extremely rare cases, the following complications may occur:

• severe blood loss and may require an urgent transfusion;
• infection;
• damage to adjacent organs of the genitourinary system;
• impaired blood supply to the ovaries;
• swelling of the legs, blood clots;
• development of cramps during urination;
• urinary incontinence;
• weakening of the muscles of the anus, which leads to a violation of the defecation process;
• extremely rare - death.

Why does enuresis appear after removal of the uterus?

If we recall its causes, one of the provoking factors is any invasive intervention. The operation leads to a violation of the muscle tone of the sphincters of the bladder and urethra, as well as the connective tissues that support these organs. It is especially pronounced in cases where the operation was performed abdominally, when an incision is made on the lower abdomen, or by the vaginal method, when the surgeon gains access to the uterine cavity through the vagina and cervix. In contrast, after laparoscopic surgery, when all manipulations are carried out through three small punctures in the abdomen, the consequences in the form of urinary incontinence rarely affect patients.

During an operation for total amputation of the uterus, ligaments located along the contour of the diseased organ are removed. These rearrangements negatively affect the state of all organs, primarily the intestines and bladder.The displacement of the latter is often accompanied by such deviations as:

• constant urge to go to the toilet, characterized by a small amount of urine per visit;
• incontinence and inability to control the process of urination;
• inability to control the muscle fibers that support the bladder and urethra;
• Other urinary problems

Urinary incontinence after removal of the uterus also occurs when neighboring organs are injured, especially the bladder or intestines. Finally, we must not forget about the psychological side of the issue. Even if a woman is many years old, she has already taken place as a mother and does not plan to bear a child in the future, the removal of the uterus still becomes a serious psychological trauma for her. This stress also negatively affects the quality of the urination process, and only this can cause enuresis.

How to deal with the problem at home

If a woman has urinary incontinence after removal of the uterus, what can you do yourself to improve the situation? Compliance with the regime of the postoperative period is of great importance. After discharge from the hospital, the doctor must give the patient a memo with recommendations that she must certainly follow in order to prevent the development of urinary incontinence.

Firstly, it is necessary to wear a special bandage. It not only supports the stomach and helps to quickly get in shape, but also prevents the prolapse of internal organs, including the bladder.

Secondly, change your diet, namely, include more fiber-rich foods in your daily diet. Now even a slight constipation can lead to manifestations of enuresis. With prolonged problems with defecation, urinary incontinence can become habitual.

Thirdly, it is mandatory to perform exercise therapy - physiotherapy exercises. It is also necessary to master Kegel exercises, which not only prevent the onset of enuresis, but also perfectly cope with this disease at any stage. If a course of physiotherapy is prescribed, this recommendation should also not be bypassed. Sometimes physiotherapy treats urinary incontinence better than medication.

What can a doctor do

Therapy prescribed by a specialist will be based on lifestyle changes, as well as the recommendations above. Of course, there are medical ways to get rid of urinary incontinence caused by the removal of the uterus, but they are not used immediately, but after the unsatisfactory results of conservative treatment. Most often, these are hormonal preparations that contain estrogen, as well as agents that help reduce the muscle tone of the bladder.

If enuresis is caused by a weakening of the connective tissue, the situation can be improved by taking special drugs that promote the maturation and synthesis of elastin and collagen.

If this does not help, the doctor may suggest another operation aimed at ridding the patient of this problem.

• Urology
• Symptoms
• Problems with urination

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The information published on the site is intended for informational purposes only and in no case calls for self-diagnosis and treatment. To make informed decisions about treatment and taking drugs, it is imperative to consult a qualified doctor. The information posted on the site is obtained from open sources. The editors of the portal are not responsible for its authenticity.

The prostate, or the prostate gland, is a male organ that is located in the small pelvis. Its functions include the allocation of a special secret, which is part of the sperm, as well as the overlap of the bladder during an erection in men.

Unfortunately, with age, most men begin to experience problems associated with the prostate gland. Most often these are prostatitis and adenoma. Prostatitis is a pathology that is characterized by the development of an inflammatory process in the gland. The disease manifests itself as a violation of urination, as well as problems with erection.

Prostate adenoma is an overgrowth of the glandular tissues of an organ. Because of this, the gland greatly increases in size and compresses the surrounding organs, causing discomfort. Almost all men over 65 suffer from this pathology, and for many it begins to develop after 50.

Some scientists argue that prostate hyperplasia is simply aging of the organ, and not a pathological condition. But since it is accompanied by unpleasant symptoms, it requires treatment and supportive care.

For the treatment of prostatitis and prostate adenoma, complex methods of therapy are used. They resort to medications, surgery and physiotherapy. The recovery process is usually quite long, but the prognosis is often good.The main thing is to listen and follow all the instructions of the attending physician.

In addition, physical exercises have proven themselves very well for prostatitis and prostate adenoma. Their specially selected complex will help get rid of stagnation of blood around the organ and improve its condition. Physical education is an excellent tool both for the treatment and prevention of problems with the prostate gland.

What are the benefits of exercise

Practically all pathologies of this male organ develop due to stagnation of blood in it and the influence of hormones. And if it is quite difficult to influence the second factor, then therapeutic exercises for prostatitis and prostate adenoma will help to cope with the first one.

Slowed blood circulation causes swelling of the gland and creates favorable conditions for the development of various pathogenic microflora. In addition, in such a situation, oxygen saturation of the organ is significantly reduced, which also does not contribute to its normal functioning. Properly selected loads will bring the gland into a normal tone, improve blood saturation, and also speed up metabolic processes.

Types of exercises

Physical exercises for prostate adenoma or prostatitis can be of a different nature:

• special Kegel exercises;
• direct or indirect prostate massage;
• therapeutic exercise, which will consist of static and dynamic exercises;
• influence of temperature changes (contrast shower).

You should seriously approach the choice of gymnastic and physical activity, it is best to contact a specialist who can choose the right physical education. In addition, the doctor will be able to explain in detail the progress of the tasks, and in some cases even visually demonstrate. If this is not enough, then the patient can always turn to the Internet, which has a lot of videos about the treatment of prostatitis or adenoma.

Kegel classes

This is a specific therapeutic gymnastics, which was developed back in the 20s of the last century by the gynecologist Kegel. At first it was assumed that Kegel exercises were invented for the female part of the population in order to prepare the muscles for childbirth. But soon scientists discovered that such a load is also useful for the male body.

There are two types of Prostate massage - direct and indirect. And if the latter can be easily performed at home, then the former is best done in specialized institutions. In addition, you should entrust this matter to a specialist, since this type of massage involves finger penetration into the rectum through the anus.

As for indirect massage, there is nothing complicated here. It should be comfortable to lie on your back, spread your legs and feel for the perineum. It is important that the temperature in the room where the procedure is performed is comfortable for the patient, otherwise it may not be of any use. Not sharply, but press hard enough with your fingers in the middle between the scrotum and anus.

Physical education

Exercise for Prostate adenoma or prostatitis plays a big role in treatment. But it should be remembered that physical education alone will not cure you, although you cannot do without it.

There are two types of exercises:

• static - will help keep the pelvic muscles and abdominal wall muscles in proper tone;
• dynamic - will facilitate the general condition of the patient, relieve stagnation in the pelvic organs.

Dynamic therapeutic exercises for prostatitis and prostate adenoma may consist of ordinary push-ups. You need to perform several approaches during the day, especially without straining yourself. By the way, you can do push-ups not only in a standard position from the ground, but also on your knees, from a chair, table, etc.

In addition, there are a number of other activities:

An excellent physical exercise for prostatitis and prostate adenoma is the so-called walking on the buttocks. To complete this task, you need to sit on a hard, smooth surface. Straighten your legs and try to move forward, moving only the buttocks. It is important that neither legs nor arms take part in the movement.

What to do after gland removal

Therapeutic gymnastics for prostatitis and prostate adenoma is an excellent method of treatment, but, unfortunately, sometimes neither it nor medicines can help. In such cases, one has to resort to surgical methods of treatment, namely prostatectomy - removal of the gland. After removal of the prostate, almost all men have problems with urinary retention. In order not to experience discomfort and awkwardness, you need to strengthen the muscles of the pelvic floor.

In everyday activities, you can include the above exercises, or you can use the following:

Various kinds of physical exercises are an excellent assistant in the treatment of diseases of the prostate gland. It is also useful to resort to them as a prevention of pathologies, as well as in order to avoid complications after surgery.Just remember that it is better not to self-medicate, but to consult a doctor.

Because not knowing, you can not only waste your time, but also harm your health. Also, the reason for a mandatory visit to the doctor should be the occurrence of any pain in the lower abdomen during or after exercise. Of course, unless it hurts because of muscle strain.

If drug treatment does not give the desired result, you forgot about what life is without pain, and there is a violation of potency, you have to turn to surgeons for help. In the case of adenoma, partial, less often complete removal of the prostate is assumed.

Modern medicine in its arsenal has a large number of techniques that allow you to quickly and effectively solve literally a painful problem. Below are some of the most widely used methods, as well as the latest techniques for the future.

Open prostatectomy (traditional)

This is one of the first methods that was adopted by medicine. There are retropubic (used much more often) and perineal prostatectomy.

In the case of the retropubic method, an incision about 10 cm long is made in the lower abdomen, through which the gland is removed. During the operation, the urethra is sewn directly into the bladder, a catheter is immediately installed, which is removed when the urinary function is restored. The operation takes several hours and is performed under general anesthesia. Indicated for a small number of patients with significant adenoma sizes.

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Advantages and disadvantages

Compared to modern methods, this method has many disadvantages:

• high risk of complications;
• long recovery after intervention;
• soreness of the operation;
• the appearance of postoperative scars;
• Significant blood loss (big risk if the person is bleeding or taking anticoagulants).

Consequences of surgery

This kind of manipulation may be accompanied by complications, in particular:

Recovery period

It usually takes several weeks. In the early days, it is not allowed to get up, which increases the risk of thrombosis. To restore normal urination, a catheter is used, which will then be removed after 1-3 weeks.

In clinics in Europe and Israel.

Transurethral resection (TUR) of the prostate

Today, this method is the "gold standard" for the treatment of adenoma. Removal of gland tissue is performed by the action of electric current. The method does not involve incisions, the surgeon's instrument (resectoscope) is inserted through the urethra. Throughout the manipulation, visual control of the surgical field is carried out, it is performed under local or regional anesthesia, and lasts about an hour.

Pros and cons

This method has many more advantages than the open operation:

• good patient tolerance;
• short recovery period;
• the risk of bleeding is reduced;
• lower complication rate;
• no scars, stitches.

Restrictions can be noted as disadvantages:

• removal of small adenomas;
• the possibility of postoperative bleeding in people taking anticoagulants (should be discontinued before surgery).

What to expect after manipulation

This method of prostate removal has its complications and undesirable consequences:

In general, the percentage of those who have complications after the operation is relatively small - 15-30%, while the efficiency reaches 90%.

Restoration features

After the manipulation, the bladder is drained with a Foley catheter. The catheter will be removed on the 3rd-4th day, and already on the 5th-7th day, if there are no complications during this period, the patient is discharged from the hospital for outpatient treatment.

The cost of such an operation varies depending on the clinic and country

Transurethral endoscopic laser surgery

Today, the TUR method is widely used to remove the prostate. However, it is being replaced by more modern methods, in particular manipulations using a laser.

The undeniable advantages of laser prostate removal surgery in case of adenoma are already obvious today: the use of this technology allows achieving the highest accuracy and avoiding accidental damage to nearby organs, tissues, nerves (important for maintaining potency), minimizing the risk of bleeding due to "soldering" laser tissue

Laser removal occurs due to the impact on the organ of laser beams of various lengths.The beam penetrates the tissue, causing its destruction (vaporization, coagulation) by the action of elevated temperature.

The most well studied, widely used methods of laser surgery are:

• transurethral photoselective vaporization of the prostate (PVP) using a potassium titanium phosphate laser (KTF or "green" laser);
• Transurethral enucleation of the prostate using a holmium laser (HoLEP).

If we consider transurethral enucleation, then the manipulation involves the introduction of a laser device through the urethra. The device is equipped with an optical system, which makes it possible to manipulate the laser under vision control.

Laser energy focused on the tip of the fiber allows you to cut the gland tissue, remove it without affecting the prostate capsule. After that, the tissues "husked" by the laser are displaced into the bladder and removed by the morcellator. Coagulation of bleeding vessels is performed by retracting the tip of the fiber by 3-4 mm from the capillary. This procedure allows you to remove large adenomas (more than 200 cc).

Advantages and disadvantages

The benefits of this method include:

The disadvantage is the high price and, accordingly, the low availability of the method, because The cost ranges from 100 thousand (Israeli clinics).

What happens after the operation?

The effectiveness of the method is close to 100% with a minimal risk of complications and relapses. Including we are not talking about any violations of potency. Urination returns to normal almost immediately after surgery. The operation is bloodless, which means that the risk of blood loss is very low.

The operation takes an hour or two, depending on the size of the adenoma. After 2-3 days spent in the hospital, a catheter is taken out and the patient is discharged for outpatient treatment.

As you can see, there are many ways to remove the prostate, but the choice of method is individual. It depends on age, the importance of maintaining potency, the size of the adenoma and is determined by the attending physician. But the fact that modern technologies allow many to find a full life, health and remain a man in any situation is undeniable!

Belly hurts after prostate massage

Pathology therapy

Severe pain often accompanies prostatitis. The prostate is an endocrine gland. With the help of this organ, a certain substance is produced and removed from the body. The place where the secret is produced is the acini. They are characterized by the presence of a special epithelium, which is used to produce a secret.

During the course of the inflammatory process, desquamation of the upper layer of cells is diagnosed, as well as their mixing with leukocytes. This leads to the formation of plugs that clog the excretory ducts. These plugs stretch the blood vessels and lymph. Against this background, a significant deterioration in the nutrition of the gland is diagnosed.

Attention. There are no nerve endings in the prostate region. That is why it does not cause pain.

• bladder;
• vas deferens;
• rectum;
• urethra and bladders.

Nerves pass through the prostate to all these organs. That is why the irradiation of pain through the prostate gland to neighboring organs is diagnosed.

Most men, when pain appears, simply stop it with a variety of drugs. But, such treatment is wrong. To eliminate the symptom, it is necessary to overcome the cause of the disease. Treatment of the inflammatory process can be carried out using pharmaceutical medicines or traditional medicine preparations.

Drug treatment

Massage is a good help in the treatment of many diseases, but in some cases a man is worried that blood appears after a prostate massage. What is the reason for this and is it necessary to interrupt the treatment? There is no single answer, since the causes of such a phenomenon may be different and are considered individually each time.

What is prostate massage

This manipulation is performed in order to stimulate the gland and improve its blood supply. Massage is performed through the anus, which is due to the anatomy of the male genitourinary system. The procedure is that a finger or a special device is inserted into the rectum and stroking movements are carried out along the prostate gland.

Prostate massage

Why does blood appear after massage

The reasons for the appearance of blood can be different. It all depends on the condition of the tissues of the gland, the anus, the qualifications of the doctor and the patient's susceptibility to the means used during the massage also affect.

If massage is performed for medicinal purposes, then there is inflammation of the tissues of the prostate, so even slight pressure can cause damage to weakened tissues and the appearance of blood and even pus if it has accumulated in the prostate gland.

With prostatitis and other diseases of the prostate gland, congestion is observed in it. Massage "disturbs" the tissues, so it is possible to squeeze out stagnant fluids from the lobes of the gland.

This may be normal. However, it is possible that the appearance of blood during or after prostate massage indicates serious pathologies and suggests that this type of treatment should be interrupted or canceled.

To avoid unpleasant consequences, it is better to entrust the massage to an experienced specialist and be sure to undergo an examination to obtain an accurate diagnosis. If the discharge appeared during the session, the doctor will see this and, after analyzing the reasons, will draw conclusions.

If the patient soon after the massage notices a discharge that was not there before, he must definitely inform the doctor about it. You should also contact a urologist if the massage was performed by the patient on his own, and after it there were negative consequences.

How exactly does the prostate hurt?

Inflammation of the prostate, as has been said more than once, is possible for a number of reasons, and timely diagnosis of the disease is very important for successful treatment.

It is not difficult to recognize the initial stage of prostatitis, but the difficulty lies in the fact that the onset of the disease is no different from a common viral infection. Aches in the joints and muscles, headaches, high body temperature, weakness are symptoms characteristic of a cold, and very rarely men turn to a urologist with this. And in vain.

That's the problem. Behind a seemingly ordinary malaise, a serious and fraught with many problems for men illness can be hidden. And as a rule, people go to the doctor already with a chronic form.

A sensitive attitude towards yourself and your health, a timely visit to the doctor will help to avoid pathology.

Where and how pain manifests itself

The prostate gland, or the so-called "second heart of a man", is similar in shape to a chestnut with a diameter of only 3-4 cm, but can create a lot of trouble. On the one hand, it is involved in the production of substances that contribute to the normal maturation of sperm, maintaining spermatozoa in good shape, and on the other hand, it takes part in the production of testosterone, thereby ensuring the function of the erection mechanism.

Throughout his life, almost every man will feel how the prostate hurts if he does not diagnose and prevent this disease in time.

What is this organ and why is it needed?

The prostate gland is located under the bladder and captures the upper part of the urethra, therefore, when its size increases, various types of urination disorders develop.

Its shape, size and density are individual and change with age. This gland with a complex neuromuscular apparatus, and even minor pathological changes will cause local and general disorders in it.

The main function of the prostate is secretory. The secret produced by it contains a liquid and dense fraction, including proteins, carbohydrates, fats, electrolytes and hormones. The gland carries out the transport of spermatozoa and liquefies the sperm, thereby ensuring the mobility and vitality of the spermatozoa.

Common diseases

Benign prostatic hyperplasia (BPH) is known to everyone as an adenoma and consists in an increase in the size of the prostate. This disease will progress throughout life.

Up to 40 years, the disease will occur in every 12th man, from 50 to 60 - already in every 2nd, and in 80% of cases the prostate is enlarged in men over 80 years old. But only half of men diagnosed with BPH need treatment.

Prostate cancer is a very common form of cancer (after skin cancer), has a very slow development and only one in 35 dies. As with an enlarged prostate, the risk of developing cancer will increase with age. 2/3 of men over 65 years old will face this disease.

Prostatitis. Unlike previous problems, prostate infections and inflammation are more common in younger men. On average, prostatitis develops in 5-10% of men.

What symptoms should I look out for?

Massaging the prostate gland can greatly affect the reduction of the inflammatory process in this organ. But is it normal if the lower abdomen hurts after a prostate massage? What can this mean, and how to behave in the first minutes after the procedure?

What is a prostate massage for?

This procedure is diagnostic on the one hand, and therapeutic on the other. Used as a diagnostic measure, massaging the prostate allows you to get a valuable secret, studying which you can understand the nature of the inflammatory process, the types of pathogens responsible for the development of pathology, and other important information for the urologist.

Prostate massage is no less often used for treatment.Thus, the treatment of inflammation of this organ involves not only taking medications, but also physiotherapy and massaging the prostate.

This allows you to reduce the congestion occurring in the male organ, increase lymph flow, and also restore impaired blood circulation in small vessels and capillaries. For preventive purposes, prostate massage is used to prevent all these phenomena, and is also sometimes used to improve a man's erectile function.

What should a man feel during and after a prostate massage

Despite such a number of laudatory words, this procedure is not very easily tolerated by patients. Each patient experiences certain, unusual and not the most pleasant sensations.

So, with inflammation of the prostate at the very beginning of the procedure, the patient feels discomfort. This is completely normal.

Gradually, with each massaging movement, discomfort should recede. At the end of the session, when the secret of the prostate is released, the discomfort usually disappears completely.

Of course, any effect on the prostate gives an individual reaction of the body, and the pain threshold of the men themselves is different. That is why it is considered normal if the discomfort in the urogenital area lasts for some more, short, time after the end of the procedure, with the only condition that it will completely pass.

Can improper massage technique cause pain in the prostate area

To obtain a therapeutic effect, it is very important to comply with all the requirements for massaging the prostate. In order to minimize trauma to the anus, the finger is lubricated with petroleum jelly or another suitable agent before insertion into the rectum.

Before performing a massage, you need to feel the organ and make sure that its condition allows you to perform the procedure: the tissues are soft, there are no seals and swelling.

After a preliminary examination of the prostate gland, you can proceed to the procedure. Massaging movements are performed from the center to the lateral lobes, along the ducts or in the form of an inverted figure eight. At the beginning of the session, it is necessary to massage very gently, with almost no pressure.

Pain with prostatitis can develop in various organs in a man. That is why quite often the diagnosis of this disease is difficult.

Most experts argue about whether the back hurts with prostatitis. This pathological condition can develop when the pathological process spreads beyond the organ. With prostatitis, back pain has a different character:

Prostatitis and back pain are interrelated concepts in the chronic form of the disease. The appearance of pain in the lower back with prostatitis can be accompanied by a variety of symptoms.

Patients may experience a burning sensation and a violation of the process of emptying the bladder. If the patient has lower back pain, then this may be accompanied by erectile dysfunction, as well as the appearance of discomfort during sexual contact.

When pain is normal

Features of pain in chronic prostatitis

Soreness with prostatitis can be varied. With this symptom, most patients are diagnosed with mild discomfort. Some men complain of severe bouts of pain. It can be sharp, dull or aching in nature. When this symptom appears, the patient's quality of life is significantly reduced.