What does prostate removal lead to

Consequences of prostate surgery

The prostate gland, or, as it is also called, the prostate, is an exocrine gland found only in men. Its dimensions are quite small, no larger than a walnut. The prostate is located under the bladder, behind it is the rectum. This gland controls a number of hormones: pituitary hormones, androgens, steroid hormones, estrogens.

The main functions of the prostate are:

• excretion of a secret that is a component of sperm;
• Closing the exit of the bladder during ejaculation.

Indications and contraindications for prostatectomy

Removal of the prostate gland entails a number of changes in the body, but you can live without a prostate. It is worse if the gland is preserved, but will not perform its functions or will bring even more harm to the body.

Indications for resection of the prostate:

Contraindications for resection of the prostate:

Features of prostatectomy

Before prostate resection, a number of features are identified that determine the most appropriate approach to the prostate.

Suprapubic access The incision is made along the anterior abdominal wall. The prostate gland is visualized in the operating field. Resection of a part of the gland is carried out without ligation of the vessels leading to the prostate. Now this access method is rarely used, due to the great trauma.

• Rear-pubic access

Just like the previous one, access is carried out along the anterior abdominal wall with a 1-1.5 cm indent from the navel and up to the pubic bone. Surgeons at the same time cross all the vessels that feed the gland and completely remove the prostate gland. With this access, it is easy for doctors not to touch the nerve plexuses and blood vessels that affect urination and erection. The duration of such an operation is 3-4 hours.

• Cerineal access

An incision is made between the scrotum and anus. This access has more disadvantages than advantages: an uncomfortable approach to the gland, frequent injuries of the nerve plexuses and blood vessels, the inability to remove the necessary lymph nodes. The only plus of perineal dissection is the localization of scars where no one sees them. The operation takes about two hours.

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• Laparoscopic access

For laparoscopy, the surgeon makes several holes for the camera, light and instruments. The image from the camera appears on the monitor, which displays the progress of the entire operation. This method gives convenient access to the removal of nearby lymph nodes without touching the nerve plexuses. The duration of the operation takes no more than two to three hours.

• Transurethral approach

Transurethral resection of the prostate (TUR) is the most common method of resection of the prostate. Such an instrument is inserted into the urethra. Subsequently, a part of the prostate is removed without interference with the surrounding vessels and plexuses. With this access, the resection lasts no more than one hour.

Recovery of the body after surgery

The main problem of men in the postoperative period is the problem of erection restoration. The nerves that stimulate an erection are located near the prostate gland. Damage to these nerves is rare, but still occurs in medical practice. Therefore, recovery procedures after the operation are required:

Oral drugs (Viagra, Cialis) have become an indispensable medicine for restoring potency.

Possible complications after surgery

In the early postoperative period, it may bother:

• painful urination;
• bloody discharge during urination or open bleeding (bleeding during operations is common, occurs due to the peculiarities of hemostasis or rejection of the formed scab);
• water intoxication or TUR syndrome (the cause of its occurrence is the entry into the blood of a special substance that is used to irrigate the urethra during surgery);
• pain in the lower abdomen.

In the late postoperative period, there may be:

• reverse reflux of sperm into the bladder (retrograde ejaculation, it can be complete and partial; it does not pose any danger to the patient, since the sperm comes out with urine, but it poses a certain threat to the conception of future offspring);
• erectile dysfunction;
• infertility;
• erectile dysfunction;
• urinary incontinence;
• infection of the postoperative wound (this complication is associated with non-compliance with the rules of asepsis, long-term wearing of the catheter; manifested by suppuration of the wound, fever, malaise) for prophylactic purposes, antibiotics are prescribed in the postoperative period;
• increased blood clotting, leading to the formation of blood clots, followed by their blockade of large vessels;
• risk of disease recurrence;
• lack of orgasm;
• pain during intercourse;
• an empty space at the site of the removed gland, which often bleeds (in such cases, a Foley catheter is placed as a preventive measure);
• damage to the rectum resulting from surgery.

Erectile dysfunction can last for several months, and then disappear without a trace. It all depends on the condition of the nerves that could be damaged during the operation. If at least one nerve is preserved, then the erectile function will resume. Unfortunately, if there were problems with potency before the operation, you should not expect improvements after it. The sensitivity of the penis becomes the same as it was before the resection. After the operation, special emphasis should be placed on restorative therapy.

Urinary incontinence is a fairly common complication, but it resolves within a few weeks after surgery. The cause of incontinence may be a blockage of blood clots in the urethra, the physiological characteristics of the muscles, or a medical error. In the first time after the operation, there is leakage of urine, a feeling of an overflowing bladder, frequent urge to go to the toilet.

The consequences of the operation are many, and all of them are not very pleasant. Therefore, before resorting to radical methods of treatment, it is necessary to weigh the pros and cons.

The prostate gland is very small in size, but can bring many problems to the health of the body. Timely treatment, proper preparation for surgery and strict adherence to all the rules during the recovery period are the key to health and continued full sexual life.

Indications for removal of the prostate

Removal of the prostate is performed in cases where conservative therapy is powerless. In most cases, this is an oncological process. Sometimes a prostatectomy is performed for benign prostatic hyperplasia. An increase in the organ due to inflammation is not a reason for surgery. The following indications for removal of the prostate are distinguished:

Cancer is considered the main indication for organ removal. Prostatectomy is performed only at stages 1 and 2 of the disease. In these cases, the oncological process is limited to prostate tissue. If the prostate is not removed in a timely manner, the cancer can spread throughout the body. The operation is performed on men under 70 years of age, since somatic pathologies are contraindications to its implementation.

Prostate adenoma leads to an increase in the organ. As a result of this disease, sexual weakness and impaired urination are noted. With the progression of benign hyperplasia and the lack of effectiveness of therapeutic methods of treatment, a prostatectomy is performed.

Methods of surgical intervention

There are several ways to remove the prostate. The choice of method depends on the prevalence of pathology. Removal of an organ can be complete or partial. Surgical options include:

Currently, less traumatic surgical procedures are preferred. These include laser removal of adenoma, transurethral resection. However, it is not possible in some cases to replace an open operation with other methods.

Removal of prostate adenoma: consequences of surgical treatment

Removal of the prostate gland is a radical treatment that comes with a number of health risks. These include complications of the early and late postoperative period. Among them - a violation of the process of urination and ejaculation. After removing prostate adenoma with a laser and transurethral resection, the risk of these complications is reduced compared to open surgery.

This operation is stressful for the whole organism. Therefore, after it, there are violations of the functioning of the genitourinary system. Normally, they gradually disappear. In 2-10% of cases, violations remain.The negative consequences of prostatectomy include:

To prevent these complications from developing, the patient's condition is monitored in the first days after prostate removal. When discharged, you should follow the recommendations of the urologist. This will help reduce the risk of late complications.

Early postoperative period

During the first days after prostatectomy, the patient's condition is severe. This is due to blood loss and changes in the functioning of the urinary organs. At this time, there is a risk of developing the following complications:

Diagnosis of early complications is carried out by medical staff in a hospital. In case of acute conditions, the help of a surgeon is required.

Recovery period after prostatectomy

The early postoperative period is several days (5-7 days). During this time, the patient's condition is normalized, there is an independent urination. However, full recovery after removal of prostate cancer or adenoma may occur only after a few months. It depends on the age of the patient, the characteristics of his body and the technique of the operation. To speed up rehabilitation and reduce the risk of late complications, the following guidelines must be observed:

After a prostatectomy, heavy objects weighing more than 3 kg should not be lifted. It is also not recommended to engage in sedentary work and drive a car. Nutrition should be fractional, with a predominance of easily digestible carbohydrates and proteins.

Restoration of urination after prostatectomy

Removal of the prostate often leads to a violation of the process of urination. In the first days after surgery, a catheter is inserted into the urethra. It is necessary for the evacuation of fluid from the bladder. The catheter is removed after a few days or weeks. Due to the weakness of the pelvic floor muscles, urination is difficult to control. But gradually the process is getting better. To speed up rehabilitation, you need to do gymnastics, spa treatment is useful.

Intimate life after prostate surgery

After 3 months after prostatectomy, the patient can start sexual activity. By this time, the pelvic muscles should recover. In some cases, patients experience retrograde ejaculation. Seminal fluid is released, but it enters the lumen of the bladder. This phenomenon is not dangerous, but it prevents conception. To get rid of this symptom, vibromassage and vacuum erectors are used. With erectile dysfunction, drugs containing sildenafil are prescribed. These include medicines "Cialis", "Viagra".

Consequences of prostate removal for the male body: prevention after the procedure

Many men in life face problems with Erectile function. There can be many factors that cause this violation.

One of the most common factors is the occurrence of prostate cancer.

With this outcome, conventional medical treatment will no longer help, in connection with this, men are referred for surgical removal of the prostate gland.

Every man is sure that after the operation he will fall in the eyes of a woman, as he will no longer bring her pleasure in bed. In fact, the removal of The prostate gland is not a sentence. The main thing is to find the problem in time and solve it quickly.

When is it necessary to do the procedure?

The prostate gland is one of the most vulnerable places in the male body. In the initial stages of prostate disease, ordinary drug treatment is often carried out. But there are problems much more difficult. For example, prostate cancer or Prostate adenoma. If these diseases are detected, drug treatment will not be effective, so surgical methods should be given credit.

Before carrying out such an intervention in the male body, the doctor conducts a complete examination, after which he makes a conclusion.

The main indications for the behavior of such a procedure for removing the prostate include:

• large amount of residual urine, which is related to prostate adenoma;
• all kinds of infectious diseases of the genitourinary system;
• presence of acute urinary retention in the bladder;
• renal failure;
• presence of stones in the bladder;
• hematuria;
• the presence of complications of prostate adenoma;
• actively progressing prostate cancer.

What will happen if you remove the prostate, read below.

Surgery and men's health

Any man who has undergone prostate surgery is sure that he is no longer a man, he will not be able to have sex, have children and even bring pleasure to a woman in bed.

In fact, if The prostate gland is removed, only in 25% of cases out of 100% there were minor violations in erectile function.But this is not due to surgical intervention, but to the stage at which the problem was solved. The sooner you get rid of prostate cancer, the better your men's health will be.

Removal of the prostate: consequences for men's health after surgery

There are certain consequences of prostate removal that a man should be aware of.

Consequences of prostate removal in men:

• an incontinence problem;
• inability to complete urination;
• appearance of small impurities of blood in the urine;
• appearance of an inflammatory process.

Immediately observed Urinary incontinence after prostate surgery. This is due to the fact that the bladder should return to normal.

And that takes extra time. Men may notice that during the process of urination after the removal of the prostate, their bladder is not completely emptied.

This is a normal reaction, since a catheter will be installed in the bladder after the operation, through which urine will flow. After a few weeks everything should be back to normal. During the first week, you may notice small impurities of blood in the urine, this can be considered the norm, since the removed prostate will bleed for some time.

Read more about the recovery procedure here.

After timeout

After removing the prostate, the consequences are minimal. Depending on how long the procedure was done, further manifestations depend.

After prostate surgery - consequences:

• minor problems with erectile function;
• infertility;
• lack of ejaculation;
• permanent urinary incontinence.

Is it possible to live without a prostate read below.

If you're worried that your sex life will end after prostate surgery, you're wrong. According to many studies that have been conducted on men who have undergone prostate surgery, the consequences of a man's sexual life are at the same level as they were before the operation. Only in some cases it can be reduced by a small amount.

After the removal of the prostate, a man can fully have sex and feel the orgasm that he felt before the removal of the prostate. The only thing that will be missing is ejaculation.

Erectile function will be the same as before the operation, and the man will be able to experience orgasms.

You should be prepared for the fact that during the first year after the operation there will be a recovering stage, during which the sexual life without a prostate will reach the desired level.

If before the operation you had problems with potency, then after the operation you may have serious problems with erection. In other cases, you will be a complete man, able to enjoy and satisfy your partner in bed.

Prevention

In order for the male sex life to return to normal after the removal of the prostate, it is necessary to lead a normal lifestyle for a year or several years.

In any case, the removal of the prostate affects men's health, so some preventive measures must be taken:

Exercises

After removing the prostate, you should perform a small set of exercises that will help bring the muscles of the pelvic floor back to normal.

Such exercises should include:

• exercises aimed at the perception of the muscles of the pelvis;
• exercises aimed at tensing the pelvic muscles;
• exercises aimed at relaxing the pelvic muscles.

These are the so-called Kegel exercises, which will help not only to re-develop the muscles of the pelvic floor, but also completely restore the male genitourinary system.

What can I eat after prostate removal?

To quickly restore the quality of life after prostate removal, you must follow some recommendations:

Drink plenty of fluids, especially green tea; increase the amount of fruits and vegetables consumed; abandon fatty foods in the direction of protein foods; you need to eat seafood at least once a week; give up coffee, salty foods and fast food; red meat, fried foods and alcoholic beverages should be excluded from the diet; eat more dairy products. It is advisable to adhere to such a diet for several years after the operation. This will help you quickly recover your male health.

Conclusion

If your doctor has identified a disease that requires removal of the prostate gland, do not be afraid and agree to the operation as soon as possible.The faster you remove the prostate, the faster your genitourinary system will return to normal.