Pain in the groin after prostate adenoma surgery

Removal of prostate adenoma: what you need to be prepared for

Prostate adenoma is most often treated surgically. The operation can be carried out in two ways: the prostate is removed completely or partially. Depending on the method of surgical intervention, we can talk about subsequent possible complications.

When is surgery needed?

Drug treatment of adenoma (hyperplasia, benign tumor) of the prostate often gives a negative (insufficient) result. Often, a man is prescribed surgery. Absolute indications for its implementation are:

• appearance of blood in urine;
• complication of kidney function after the onset of hyperplasia;
• tumor too large;
• impaired urination, lack of urine output.

When is it necessary to remove the prostate completely and partially?

The consequences of removing the prostate gland depend on how the operation was performed. The prostate is subject to complete removal in case of a malignant tumor. With timely surgical intervention, it is possible to avoid the spread of metastases, save a person's life. Partial removal may be indicated for hyperplasia (prostate adenoma). With this diagnosis, medication treatment gives an unsatisfactory result, in many cases an operation is performed.

Possible problems after adenoma removal

The consequences of the operation to remove prostate adenoma may be different, for example:

• pain in the lower abdomen;
• bleeding;
• constriction of the urethra;
• urination problems;
• inflammatory diseases;
• Sexual problems, impotence

Pain in the lower abdomen, bleeding after surgery

Unpleasant sensations may be experienced when going to the toilet. These consequences pass on their own.

Also, the patient may begin bleeding due to clogging of the urethra with blood clots. Some men experience heavy bleeding, in which case hemostasis is the cause. Less than 3% of operated patients suffer from an unpleasant symptom. If a man has lost a lot of blood, a transfusion is necessary.

Narrowing of the urethra, impaired urination

Such a complication as narrowing of the urethra can occur due to insufficient fluid intake by the patient. The pathology is corrected only by surgery. To exclude the occurrence of complications, the patient should drink at least 2 liters of fluid daily. Water will contribute to the appearance of frequent urination, thanks to this process, the urethra will stop narrowing.

When removing Prostate adenoma, the most common complication is Urinary retention syndrome. This can happen due to blockage of the urethra with blood clots, changes in the structure of the muscles of the bladder, if the doctor makes a mistake during surgery. This complication usually resolves on its own. There are situations when surgical intervention is necessary. There is also leakage of urine, pain in the process of urination. Incontinence can be involuntary or permanent. If the problem persists a few days after the operation, the man is prescribed treatment using the catheterization method, the use of urological pads, and medications.

Inflammatory diseases after surgery

After the operation to remove prostate adenoma, inflammation of the organs of the genitourinary system may appear. This is often due to prolonged use of the catheter. The inflammatory process is manifested by an increase in body temperature, accompanied by severe pain. If the doctor diagnosed the inflammatory process, you need to start timely treatment so that the disease does not become chronic. Effective treatment is antibiotic therapy.

In case of blood poisoning due to non-compliance with the rules of personal hygiene, poor treatment of the postoperative wound, the patient is prescribed antibiotics.

Sexual problems after adenoma removal

The patient may be disturbed by the eruption of the ejaculate. In this case, the sperm enters the bladder. The danger of such a complication lies in the fact that a man has problems conceiving a child.

In some men, sexual activity may be disturbed, potency, erection will disappear or decrease. Often this is a temporary phenomenon, after some time after the operation, sexual function should be restored.

In rare cases, a serious problem that occurs after the removal of an adenoma of the prostate is impotence. This happens if the doctor during surgery removes those elements that include nerve endings. If the surgeon removed one bundle, potency is restored in 90% of cases in men under 60 years of age. If the doctor removed both beams, then it will be impossible to restore potency.

Cost of surgery

The price of prostate removal (complete, partial) depends on the method of the operation:

The consequences of removal of prostate adenoma (benign tumor) can be very diverse: from urination disorders to impotence. It is better to experience possible complications than to say goodbye to life with an untimely operation. After all, prostate adenoma can eventually develop into cancer, which often leads to death.

Postoperative period: prostate cancer defeated, how to recover?

Prostate cancer can be treated in many ways, such as chemotherapy, estrogen administration, and so on. But with the greatest success, it passes with the help of a surgical operation called radical prostatectomy.

Its advantages are in the complete elimination of this disease when carried out at an early stage of tumor formation and a minimum of complications in the recovery period compared to other methods of fighting cancer.

The operation consists in extracting the prostate gland and, if necessary, the affected surrounding tissues. Immediately after Prostate cancer surgery, the patient is transferred to the intensive care unit or intensive care unit. The attending physician will also be in it.

For several hours, after the prostate cancer surgery, he will monitor the patient's condition. At this time, the doctor will not only monitor how the operated person will regain consciousness after anesthesia, but also, under his guidance, the patient will be given all the necessary therapeutic measures. Blood and urine tests will also be collected to monitor the patient's condition and, if necessary, additional data collection will be carried out, including ECG, pressure control, etc.

In the absence of complications after surgery, after a day, the man is transferred to the urological department. The postoperative period after removal of prostate cancer in the hospital includes:

• Required to take prescribed antibiotics
• Taking analgesics
• Compliance with the diet prescribed by the doctor (usually after three days they are allowed to return to the usual way of eating)
• Removal of insurance drainage according to indications - normal after two days
• Removal of sutures - in cases without complications on the eighth day
• Checking for urethral healing and removal of the urinary catheter. This usually happens on the ninth day, after which the patient is discharged home.

Postoperative period after removal of prostate cancer at home:

• Monitor prostate-specific antigen (PSA) levels every trimester for the first two years to monitor the return of the disease.
• Restriction of power loads for a period of three months.
• Many reviews on the forums have written about the benefits of walking, which relieves pain in the legs caused by blood clots in the postoperative period for prostate cancer.
• Kegel method to restore the function of urination.
• Long-term use of inhibitor tablets in low doses for the speedy restoration of potency.

The postoperative period of prostate cancer lasts one year, during which most patients manage to fully return to their normal lifestyle.

Life expectancy after removal of prostate cancer and possible relapses

Life expectancy after removal of prostate cancer is quite high and survival during the first five years is on average:

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• First stage - 92%
• Second stage - 81%
• Third stage - 41%
• Fourth stage - 15%

Unfortunately, sometimes prostate cancer recurs after treatment.

Postoperative rehabilitation for prostate cancer for good reason includes the systematic determination of the level of prostate-specific antigen. By monitoring its level and noticing the increased number of antigens, we can confidently speak about the recurrence of prostate cancer (prostate cancer), since this is its main symptom. In medicine, this is called "biochemical recurrence of prostate cancer."

The impact on a recurrent tumor, depending on the result of the study, is carried out using:

• Brachiotherapy (irradiation, in which radiation therapy is localized in a specific diseased organ and affects only local cells).
• Haife method.
• Hormonotherapy.
• Radiation therapy.
• Chemotherapy.
• Radical prostatectomy (if not previously performed).

The prognosis for recurrent prostate cancer depends on many contributory factors, but the average mortality after relapse in the first five years is 4% and 15% over 15 years.

Compare the cost of surgery (and the cost includes examination, tests and accommodation) on the prostate in different countries:

• Germany - 13000-24000 euros.
• South Korea - 18,000 euros
• Turkey - 10800 euros.
• Israel - 5500-12000 euros.

It should be noted that there are many positive reviews about such clinics as Hadassah in Israel and Dortmund in Germany.

How do the consequences of prostate cancer affect a man's life after surgery?

The consequences of prostate cancer in the postoperative period are expressed as follows:

• Pain in the lower abdomen when walking.
• Thromboids in the legs.
• Possible stagnation of lymph in the legs, which causes swelling.
• Urinary incontinence after removal of prostate cancer, which resolves after an average of four to six months, is especially facilitated by exercises to strengthen the muscles of the pelvic floor.
• Intermittent constipation.
• Erectile dysfunction.

The consequences of prostate cancer somewhat correct the habitual lifestyle. For example, a bath after prostate cancer surgery is contraindicated for men, and those who care about their health should not only follow all the procedures prescribed by the doctor, but also start walking and observe the daily routine - good rest and proper nutrition will help you recover faster.

It should be noted the research of the Swiss doctor Malt Reiken, who established the relationship between smoking and relapses of prostate cancer, probably smokers should give up this addiction.

The first month and a half should refrain from sexual intercourse. In the future, if such a function is preserved, on the contrary, doctors recommend sexual intercourse twice a week. If there is no sexual partner, then masturbation is recommended after prostate cancer surgery. This is due to the normalization of the hormonal background and the training of the pelvic floor muscles.

Prostate adenoma after surgery complication

Prostatic hyperplasia, which is benign in nature, is most effectively treated with surgery, since drug therapy, as a rule, does not give the desired results. After surgery for BPH, the consequences will depend on what type of surgical procedure was used.

Depending on the stage of the disease and other features of the clinical picture, the doctor may offer the patient surgical treatment in one of the most appropriate ways. For example, the operation can be performed using endoscopic resection or contact laser vaporization. These are modern methods in which the consequences after the operation will not be so pronounced.

Because Prostate adenoma is a serious disease in which prostate tissue compresses the urethra, leading to inflammation of the urinary tract, as well as kidney failure, it not only worsens the quality of life, but also poses a threat to overall health.

The doctor decides on the method of treatment only after a thorough diagnosis and study of the results of the tests. An operation to remove prostate adenoma is required when there are obvious disturbances in urodynamics, as evidenced by acute urinary retention, renal diseases, which include hydronephrosis, pyelonephritis, urethritis and other pathological processes that provoke the development of infection.

Despite the proven clinical effectiveness of the surgical method, any man will have to face the consequences after the removal of prostate adenoma, and one must mentally prepare for this in advance. Most patients recover quickly enough and feel good, but, of course, not the next day after the operation, but after a couple of months.

The recovery period often becomes a real test for the stronger sex. But the main thing that every patient should remember is that the unpleasant consequences after the removal of prostate adenoma are an integral part of the treatment, so all the problems that arise are completely controllable and must be discussed with the attending physician. He, in turn, should monitor the well-being and general condition in the postoperative period, answering the patient's questions and helping to find a solution in each case.

What are the consequences

As mentioned earlier, the consequences of the operation and their severity will directly depend on the method by which the prostate adenoma was removed, and whether it was complete or partial. In 80% of all cases, only partial excision of the prostate gland will be sufficient, which will make it much easier to endure the recovery period. But no matter how full the hand of the surgeon is, any surgical methods for treating prostate adenoma do not pass completely without a trace, and what a man will encounter during the recovery period depends primarily on the individual characteristics of his body, the speed of regenerative function and the experience of the doctor involved in it. treatment.

The 10 most common consequences of an operation:

• 1. Urinary incontinence.
• 2. Blood discharge.
• 3. Lack of erection.
• 4. Infertility.
• 5. Urinary system infections.
• 6. Retrograde ejaculation.
• 7. Urinary retention.
• 8. Internal bleeding.
• 9. Intoxication of the body.
• 10. Long painful recovery after surgery.

Surgery on a prostate adenoma brings a significant investment for men, but the first time after it, there may be problems with urinary control. You should not be afraid of this, the consequence is temporary, and normalization of urination occurs in a short time.

More severe consequences of removal of prostate adenoma relate to the late postoperative period, and some of them can be analyzed in more detail.

Erectile dysfunction

The main question of all men: if the prostate adenoma is removed, will the erection be restored and what quality will it be? According to statistics, violations associated with the consequences of surgical intervention range from 1 to 25%. However, these complications are usually temporary, and provided that there were no problems with sexual activity before, sexual function is completely restored on its own or with medication selected by the attending physician.

If a man previously had problems with erection or it was completely absent, the operation will not be able to restore his sexual life, since it does not directly affect men's sexual capabilities in any way.

Despite the fact that a successful operation to remove prostate adenoma does not affect a man's erection, it can still lead to infertility. It is a consequence of retrograde ejaculation. This happens due to the fact that after removal of prostate adenoma, the lumen of the urethra expands somewhat and the sperm moves to where it meets the least resistance, thus entering the bladder.

These are unpleasant consequences of the operation, which are sometimes amenable to Drug treatment, but only a doctor should select it.

After removal of prostate adenoma, the possibility of developing infectious diseases of the genitourinary system, which is characterized by the following symptoms, is not ruled out:

• chills;
• high temperature;
• back pain;
• discomfort in the lower abdomen;
• cloudy urine due to the appearance of various impurities in its composition (mucus or blood).

Most often, the infection is introduced into the genitourinary system after the operation through the fault of the patient himself due to non-observance of simple hygiene rules. To avoid such situations, after removal of prostate adenoma, the patient is prescribed a specific type of antibiotics, which should be taken regularly. In the case when the infection is already there, refusing to take antibiotics can lead to the penetration of bacteria into the blood, which is why there is a possibility of developing sepsis.

Acute urinary retention

During an operation on a prostate adenoma, the consequences make themselves felt in the first place, when a man makes his first attempts to urinate. This is an inevitable and fortunately temporary complication. But sometimes the problem lies not only in the difficulty of controlling urination, but also in the fact that blood clots or removed fragments of the excised prostate, detached from it during removal from the body, enter the urethra and clog it. To prevent such pathological processes, after the operation for prostate adenoma has been completed, the patient does not remove the catheter during the day.

Massive bleeding

Severe bleeding can occur during surgery to remove prostate adenoma or a little later, in the initial recovery period. According to statistics, this happens infrequently, but still about 2.5% of patients deal with such severe consequences of prostate adenoma surgery that can lead to serious blood loss requiring urgent blood transfusion.

Who is most susceptible to the disease?

Prostate adenoma is a very common disease among men aged 40-50, but more often men at a more respectable age turn to a doctor. Therefore, this disease is still classified as an age-related disease. As a rule, a man can live with prostate adenoma for a long time and not be aware of its existence, although changes in the prostate gland have already begun.

A disease in an advanced stage is always treated only with an operation, so it is best to try to have time to diagnose an adenoma at an early stage. This can be facilitated by such symptoms as: urine leakage, the need to strain the muscles of the abdominal wall during urination, a feeling of fullness of the bladder even after going to the toilet, and frequent nighttime awakenings. A timely visit to the doctor will help to avoid serious complications, and the operation itself will be faster and easier.

Rehabilitation period

If the medical method of treatment for prostate adenoma did not bring any effect, then in order to quickly return to the usual way of life, it is necessary to undergo a whole range of rehabilitation measures, follow all the doctor's instructions, and take the prescribed medications on time. The time required for a full recovery after an operation to remove prostate adenoma largely depends on the actions of the patient himself, the psychological attitude and general state of his health. Age also plays an important role in this matter. The rehabilitation period may take several months.

Will a second operation be required?

Fortunately, reoperation is required no more than 5% of the time. This largely depends on the chosen method of treatment, the method of surgical intervention and, of course, the experience of the surgeon. If during the operation the prostate adenoma was completely removed, then its re-growth is excluded. If a technique was applied in which a certain part of the adenoma is destroyed, then the risk of recurrence of the growth of the prostate gland is quite high. Therefore, repeated surgery may be needed in five or ten years. In general, the removal of prostate adenoma is a very common operation, belonging to the category of fairly simple ones, because the disease is getting younger, but it occurs mainly in men at least forty years old with rare exceptions.

Today, there are a huge number of techniques and special medical devices, so the treatment of prostate adenoma is successful in most cases and the effect lasts for about 15 years, allowing a man to live a full life.

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Any surgical intervention is associated with a particular risk of complications. The frequency of complications after removal of prostate adenoma depends on the type of surgical intervention, the surgeon's skills, and the patient's health before the operation.

Complications after removal of prostate adenoma can be divided into early and late. Early complications develop in the first days or weeks after surgery, while late complications may appear months or even years later.

Early complications after removal of prostate adenoma

The most common complications in the early period after removal of prostate adenoma are urination disorders, the appearance of blood in the urine up to bleeding requiring a blood transfusion, acute urinary retention and infections of the genitourinary system.

Urinary disorder

As a rule, surgery brings men relief of lower urinary tract symptoms immediately after removal of prostate adenoma, but sometimes after surgery there is a temporary worsening of the disease symptoms. Unpleasant sensations during urination increase or control over the process of emptying the bladder is disturbed, etc. Usually, after a few weeks after the operation, these complications disappear on their own and urination normalizes.

Blood in urine

The appearance of blood in the urine in almost 100% of cases is observed after transurethral resection of prostate adenoma, and this is normal. On the first day after surgery, urine may be intensely stained with blood, but gradually the intensity of staining decreases. Doctors know that even 10 ml of blood can strongly color a liter of urine, so this blood loss does not cause any alarm.

Also, blood in the urine may appear a few weeks after the operation, when there is a rejection of the crust (scab) formed in the area of resection or coagulation. As a rule, this phenomenon does not require medical intervention and stops on its own.

It is extremely rare for a patient to develop severe bleeding after surgery, requiring a blood transfusion. Such blood loss is considered a complication of the operation. The risk of complications is higher in patients taking blood-thinning drugs (aspirin, clopidogrel, etc.).Usually, to reduce the risk of complications after removal of a prostate adenoma, the doctor advises you to stop taking these drugs 7-10 days before surgery. You should also remember to drink more than two liters of fluid per day, not lift heavy things, and limit your intake of caffeinated drinks. This will help prevent the development of complications.

Removal of prostate adenoma with a laser is associated with a lower risk of blood in the urine, since during the operation of the laser there is an associated coagulation, in other words, sealing of the vessels, which prevents the development of this complication.

Acute urinary retention

As a rule, acute urinary retention develops as a result of blockage of the urethra by a blood clot, a removed fragment of the prostate, or due to postoperative swelling of the remaining part of the prostate. The incidence of acute urinary retention after removal of prostate adenoma can vary from 1 to 20%. The introduction of a catheter into the bladder avoids the development of this complication. After some operations, the catheter is removed after 24 hours, and in some cases longer catheterization is required.

Infections of the urinary system

Infection of the urinary system after removal of prostate adenoma can develop in 2-20% of cases and is manifested by the following symptoms:

• Increased body temperature;
• Chills;
• Nausea, vomiting;
• Pain in the lower abdomen or lumbar region;
• Turbidity of urine, the appearance of pathological impurities (blood, mucus) in the urine.

Extremely rarely, bacteria can enter the bloodstream and cause such a serious complication as sepsis.

Often, the development of an infection is associated with non-compliance by the patient with medical recommendations.

After removal of prostate adenoma, in order to avoid the listed complications, the doctor prescribes antibiotics to prevent infectious complications. Follow your doctor's orders and take antibiotics as recommended.

Complications in the late period after surgery

The most serious complications after removal of prostate adenoma:

• Male sexual dysfunction: retrograde ejaculation and erectile dysfunction;
• Urinary incontinence;
• Narrowing of the urethra or neck of the bladder.

The rate of complications depends on the type of surgery. The information is presented in the table:

Prostate adenoma after 50 years overtakes almost every second man on the planet. This disease occurs due to the growth of prostate tissue, forming nodules and seals of various sizes.

With a pathological increase in the organ, the urethra is compressed, as it passes directly through the gland. In this regard, patients have pronounced problems with urination: delays, frequent urges, a drop in intensity. The consequences of these symptoms can be: the formation of kidney stones, cystitis, urethritis. For this reason, the doctor may prescribe an operation to remove prostate adenoma.

A concomitant factor of prostate adenoma is often a violation of potency and a decrease in the intensity of sexual life.

Indications for surgery

In cases where drug treatment does not give stable results or when the stage of the disease has gone too far, doctors resort to surgical intervention. To date, this is the most effective method of dealing with prostate adenoma.

Indicators for the operation of prostate adenoma may be the following symptoms:

Types of operations and their consequences

Today, there are several effective methods of surgical intervention that can save the patient from dysfunctions of the genitourinary system caused by prostate adenoma.

The most practiced operations on prostate adenoma:

1. Open adenomectomy - complete removal of the prostate gland.

2. Transurethral resection of the gland - enlargement of the hole by removing part of the tissue through the urethra.

3. Transurethral incision - vertical excision of an organ through the urethra.

4. Laparoscopic surgery - complete removal of the prostate gland through punctures in the abdominal wall.

5. Laser vaporization is a gentle operation using a laser beam.

Adenomectomy

Open surgery to remove prostate adenoma is prescribed in cases where the size of the prostate does not allow it to be removed by more gentle methods.

How it works: The operation takes place under general anesthesia after a thorough examination. During the operation, the pubic region and the bladder are cut in order to gain access to the affected organ.

Contraindications for adenomectomy: only diseases that pose a threat to the patient's life can serve for this surgical intervention: cancer, fibrosis, or previous operations on the pelvic organs.

In Germany, the same operation will be performed for 10,000 euros, including hospital stay and postoperative care.

In Israeli clinics, the cost of intervention varies from 4 to 20 thousand euros, depending on the equipment of the medical center.

Transurethral resection

Transurethral incision of the prostate, abbreviated as TUIP, is prescribed for a small adenoma. This operation is good because it is less traumatic than transurethral resection and open adenomectomy.

How the TUR operation works:

• During the intervention, the doctor does not excise or remove the gland, but only makes two incisions on the prostate, allowing you to restore the outflow of urine without significant tissue damage.
• Surgery for a benign prostate tumor is performed under general or local anesthesia using high-precision equipment - a resectoscope.
• After the incision is made, the patient remains in the hospital for at least a day. During this period, a catheter remains in the urethra for its speedy healing.
• After discharge, the patient should follow the doctor's instructions, avoid physical exertion and sexual activity for several weeks.
• Regular visits to the urologist are mandatory even in the case of complete recovery of urination and sexual function.

Possible complications: One of the few possible complications after TUIP can be retrograde ejaculation - semen entering the bladder and excreting it in the urine. This condition does not cause significant inconvenience, but may cause infertility.

In Germany, such a service will cost from 10,000 euros, including all examinations, doctor's fees and hospital stay.

In Israeli medical institutions, the prices for such an intervention will depend on the number of services included in the list, from 5 to 20 thousand euros.

Laparoscopic surgery

Complete removal of the prostate gland is prescribed for patients with malignant tumors of the prostate that are localized within the organ and are not burdened with metastases. The operation lasts about two hours under general anesthesia.

Advantages of laproscopic surgery: This method is recognized as the most gentle, due to the absence of a direct abdominal incision. The use of a laparoscope allows minimizing tissue trauma and shortening the rehabilitation period.

Consequences: In extreme cases, after laparoscopic intervention, there may be consequences associated with damage to neighboring organs. A particularly high probability of such a pathology occurs if there is a history of open abdominal operations on the pelvic organs.

• During laparoscopy, surgeons pierce the abdominal wall in several places and insert special instruments into the cavity, with the help of which the operation is controlled through a monitor.
• The benign tumor is dissected from the bladder and urinary ducts and removed along with the seminal vesicles.
• On the first day after the intervention, the patient is in intensive care under the control of devices and qualified personnel.
• Nutrition is given intravenously, and antimicrobials and painkillers are administered.
• After laparoscopy, healing and recovery of the body occurs much faster than after abdominal operations, so on the second day the patient can move and eat independently.
• Stay in the hospital for 7-10 days to confirm the reliability of the suture between the bladder and urethra.

In Germany and Israel, such interventions are carried out at a price of 15 thousand euros.

Laser vaporization: the price of the operation

Endoscopic prostate treatment with a laser is considered the most gentle for the male genital area.

• The overgrown prostate tissue is removed by spot evaporation. As a result of the procedure, it is possible to excise a part of the prostate adenoma that prevents urination almost without blood.
• The operation takes place in a hospital or on an outpatient basis, under conduction anesthesia.
• The whole procedure lasts about an hour, after which the patient remains under medical supervision for several hours.
• After two hours, the patient is allowed to drink non-carbonated water to normalize the functioning of the urethra.
• Further follow-up takes place on an outpatient basis.
• Restoration of physical and sexual activity occurs after a few weeks after consultation with the attending physician

Contraindications: due to age and health status, this method has no, so it can be used in relation to elderly patients.

Consequences: while laser vaporization is the safest method of treating the prostate, the possible consequences of the operation are not excluded:

• retrograde ejaculation - sperm entering the bladder;
• possible recurrence of the disease - re-growth of tissues after 5-10 years;
• erectile dysfunction.

The average price of laser intervention in Germany is about 15-16 thousand euros, in Israel - 13-14 thousand euros.

In Turkey, this service will cost about 10 thousand in European currency.

Any method of surgical intervention is selected by the attending physician purely individually, in accordance with the results of a comprehensive examination of the patient. This takes into account the possible risks and consequences of surgery for the removal of prostate adenoma.

To maintain men's health and prevent the development of prostate diseases requiring surgical treatment, every man over 20 years of age should regularly visit a urologist at least once every 2 years.