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Drugs after prostate surgery

Recovery after prostate surgery

The recovery period and the likelihood of complications after removal of Prostate adenoma depends on both the patient's health status and the type of operation. Most often, the prostate gland is removed due to prostate cancer. Despite the seriousness of such a surgical intervention, with the use of modern technologies, it is possible to maintain the normal functioning of the genitourinary system and restore potency. The main thing is to follow all the recommendations during the rehabilitation period.

Key recommendations

After removal of prostate adenoma, you need to see a doctor for some time and undergo an examination once a year.

This is necessary in order to avoid the appearance of cancer. Indeed, during the operation, only part of the prostate gland is removed, and if during the recovery period you neglect the recommendations of the doctor and do not take care of yourself, you can lie down on the surgical table again.

Important! About 10% of men seek repeated surgical treatment.

A special system with a disinfectant solution for irrigation is inserted into the cavity of the bladder after the operation of prostate adenoma, as well as a catheter for the withdrawal of urine and blood, since the man after the operation will feel severe pain when urinating. The urinary catheter is in place for a week.

At first, it is very important not to strain the abdominal muscles, especially during open prostatectomy. To prevent constipation, you need to follow a diet or take laxatives that your doctor will prescribe.

If a man has no complications, he can be discharged home on the second day, provided that the operation was performed laparoscopically. Otherwise, the rehabilitation period within the walls of the hospital can last up to two weeks. At this time, the process of urination and sexual function is restored.

The first month after removal of prostate adenoma, the following recommendations should be followed:

• avoid physical activity and heavy lifting;
• do not use drugs that thin the blood;
• you need to drink plenty of fluids to flush your bladder;
• follow a diet to prevent constipation;
• take laxatives if it is necessary to make an effort to defecate;
• you need to wash only in the shower, it is forbidden to take a bath and go to the sauna;
• do not drive a car;
• abstain from sexual activity (minimum 1.5 months);
• avoid drinking alcohol.

If you follow all the recommendations, then the postoperative period will take up to two months. To reduce pain, the doctor may prescribe treatment with pain medication.

If you follow a diet, you need to give up salty, spicy, smoked and fried foods. Food should be easy to digest and not heavy on the stomach. Drinking regimen with a diet is very important.

In the postoperative period, be sure to visit the doctor regularly. A healthy lifestyle and timely treatment of all diseases of the genitourinary system after prostatectomy is the best preventive measure for prostate cancer.

In the postoperative period, the patient is prescribed antibiotic treatment to prevent inflammation or infection.

It is worth noting that the first days after the operation, the patient may experience severe pain in the incision area, especially with open prostatectomy. The advantage of laparoscopy is that pain after surgery is felt only on the first day, and they are of moderate intensity. In addition to pain, some complications may appear.

Possible complications

A prostatectomy is a fairly serious operation that may cause blood clots, heart problems, infection of the wound, or inflammation. The appearance of such symptoms depends on the state of health of the patient.

After removal of prostate adenoma, the following complications are likely to be observed:

• impaired erection;
• urinary incontinence or frequent urination, blood in the urine;
• damage to the urethra or rectum;
• infertility.

Some of these complications are normal in the postoperative period and do not require treatment, namely:

After Prostate surgery, problems with ejaculation and fertilization may occur.

After all, during the operation, a muscle is removed that blocks the entry of seminal fluid into the bladder, as a result of which part of the sperm comes out with urine, and not separately during ejaculation through the urethra. But such a deviation is sometimes amenable to medical treatment.

Restoration of potency

Prostate surgery should not affect sexual function, but despite this, 30% of men who have undergone surgery have erection problems. About half of these patients still have a chance to restore potency. This is due to the fact that during surgery on the prostate gland, nerves that are very close to the organ and are responsible for erection can be affected.

The likelihood of potency recovery depends on the following factors:

• presence of problems with potency before surgery;
• degree of nerve damage;
• age of the man.

Important! Restoration of potency can take a period of six months to two years.

Erectile dysfunction often appears in men with prostate cancer. After removal of cancer cells, potency can be restored only if the nerves have not been completely removed.

Bilateral removal of nerves along with prostate tissue is done when cancer grows from all sides of the organ. For such patients, there is only one chance to restore potency - it is to transplant the nerve.

After undergoing prostate cancer, if you managed to save the nerve, you can restore potency as follows:

A full life after prostate removal is possible only if all recommendations are followed in the postoperative period. For the first month, you need to protect yourself from stress as much as possible, adhere to the treatment prescribed by the doctor, and also follow a diet and exclude alcohol from your diet.

Radical prostatectomy is the complete removal of the prostate gland. This surgical intervention is used in cases where normal urination becomes impossible due to prostatic hyperplasia. The unconditional indication for its implementation are localized forms of a malignant tumor without the presence of distant foci of metastasis.

In the past, excision of the prostate gland was often accompanied by massive blood loss, and serious complications were observed after the operation. Today, such consequences are minimized due to the widespread introduction of the latest technical techniques, as well as endoscopic and laser methods of treatment, into surgical practice. However, despite the significant achievements of modern medicine, rehabilitation after removal still requires a fairly long period of time, and the restoration of lost prostate functions is not always possible in full.

Consequences of extirpation of a man's second heart

Bleeding

There is a risk of bleeding in the area of medical manipulations both during and after surgery. The risk is noticeably reduced if the standard access during surgery is replaced with a less traumatic one - endoscopic, thereby minimizing the area of the wound surface. True, this method of therapy has certain limitations, and not all medical institutions have the capacity to perform it.

It should be noted that slight hematuria in the first days after prostate removal is quite normal. However, if it is of a long-term nature, then this indicates either a violation of reparative processes in the tissues of the prostate, or an incorrectly performed hemostasis during surgery.

In the latter case, it is possible for blood clots to block the lumen of the urological catheter, which is installed for the discharge of urine. To avoid this situation, it is necessary to regularly flush the catheter with antiseptic solutions, such as furatsilin.

Painful sensations

Usually, the pain syndrome after removal of the prostate gland is mild; only in rare cases, unbearable pain is possible, requiring the appointment of antianginal drugs.

The catheter can cause some discomfort to patients, causing a feeling of bladder fullness, painful spasms and the urge to urinate.

Infectious complications

The postoperative period is often accompanied by inflammation of a bacterial nature, especially if the necessary aseptic and antiseptic measures are not observed. With this complication, hyperthermia, symptoms of intoxication, as well as pain and swelling in the area of the operated prostate appear.

To prevent such consequences and prevent secondary infection, antibiotics are prescribed, and the bladder cavity is additionally sanitized with a solution of furacilin through an installed catheter.

Narrowing of the urethra

This condition can be prevented by drinking enough fluids. If these measures are ineffective, a second operation is performed to excise the altered prostate tissue.

Deep vein thrombosis (pulmonary embolism)

This is the most terrible consequence of prostate extirpation due to increased blood clotting in the postoperative period.To reduce the risk of thrombosis, anticoagulant therapy is prescribed according to indications.

Incontinence

After surgery, problems with urination control often occur, so during the rehabilitation period it is necessary to use a bedpan or special absorbent pads.

Due to the anatomical proximity to the bladder, urinary incontinence as a result of removal of the prostate gland in some cases is caused by damage to the neurovascular bundle. True, this happens quite rarely, and the restoration of the function of the urinary tract occurs within a few weeks.

A part of the operated men experience stress urinary incontinence when pressing on the abdominal wall, coughing, sneezing, laughing or lifting weights. In this case, Kegel gymnastics and compliance with the protective regimen prescribed by the doctor can help.

Erectile dysfunction

One of the main medical problems after extirpation of the prostate is erectile dysfunction, manifested by a decrease in sexual function or impotence.

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Often, patients also experience premature or retrograde ejaculation; in the latter case, the sperm is not thrown out, but enters the bladder.

Fortunately, all changes in the sexual sphere are usually temporary, and thanks to modern methods of medical and surgical treatment of the prostate, it will be possible to restore erectile function within six months.

Recovery period after prostatectomy

The duration of rehabilitation after removal of the prostate gland is determined by the type of operation performed and the pace of recovery of the patient after surgery. On average, it lasts six or more weeks.

The postoperative period itself is 3-7 days. As for the length of stay in the hospital, during endoscopic surgery it is about the same - 4-6 days, and sometimes less. In the case of laparotomy, the hospital stay is extended to two weeks. At this time, in order to eliminate the risk of postoperative complications and accelerate the healing processes in the tissues of the prostate, the necessary set of medical procedures is carried out, in particular, antibiotics are prescribed, the surgical wound is sanitized, dressings are performed, etc.

After discharge from the hospital, another inconvenience for the patient may be Difficulty urinating due to the weakening of the muscles of the bladder and removal of the catheter. Such changes are temporary. In general, the objective restoration of the functioning of the lower urinary tract occurs within 3-4 months.

In order for rehabilitation to take place as quickly as possible, doctors recommend patients to follow a number of important rules.

In the postoperative period, special Kegel exercises are useful, which helps to increase the tone of the pelvic muscles and reduce the risk of urinary incontinence and Erectile dysfunction.

If it is impossible to perform a set of therapeutic exercises, you can use special electrical stimulators or a vacuum erector.

Three months after the removal of the prostate, as a rule, doctors allow you to have an active sex life. In the case of severe sexual dysfunction, the restoration of male strength can be achieved by taking drugs based on sildenafil.

Spa treatment is a great help in the course of postoperative rehabilitation. Particularly beneficial are various hydro-procedures, such as rising showers, as well as therapeutic mud baths.

During the recovery period, driving a car and long sedentary work are contraindicated for several months.

Active physical activity and lifting of objects weighing more than 3 kg should be avoided for three months, while quiet walks are highly desirable.

In order to avoid blood clots, it is useful to periodically lie in bed with your legs up.

Great importance should be attached to the diet: avoid salty, spicy and fatty foods, including dairy products and a maximum of vegetable fiber in the diet. Avoid caffeinated drinks (except green tea) and alcohol, and drink enough fluids to stimulate the bladder.

After surgical treatment for prostate adenoma or cancer of the gland, you must strictly follow the instructions of the attending physician, both in terms of taking medications and in terms of observing the regime of work and rest.

Patients are allowed to return to their usual professional activities 2-3 weeks after discharge from the hospital, unless there are any special instructions from the doctor and the work is not associated with hard physical labor.

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Treatment after surgery for prostate adenoma

Prostate adenoma is a common male disease. Disturbed work of the urinary system is a symptom of the disease. Closer to the age of 40, the human prostate gland begins to experience age-related changes in the cellular structure.

The growth of cells forms a benign tumor, which, in the process of enlargement, compresses the urethra. This gives rise to such a common symptom as frequent urge to urinate. Doctors diagnose prostate adenoma in half of the male population over 50 years of age.

After surgery

The amount of time that a patient may have to spend after removal of BPH in a hospital bed will depend on its type of operation and the speed of recovery of the body. Upon removal of the tumor, a special catheter is inserted through the urethra, which is connected to the urinal. Periodically, the catheter can provoke painful contractions of the bladder, but the pain will pass with time.

For the period of stay in the hospital, the patient is prescribed antibiotics to possibly prevent the development of infection. However, as tests show, antibiotics are not always needed, so the doctor, in the absence of symptoms of infection, may refrain from prescribing them. After surgery, there may be options for the appearance of blood in the urine, which will indicate wound healing. The recovery period requires drinking more water (8 glasses / day), this will speed up healing.

What to Avoid

The first weeks after surgery, you should be careful, refrain from physical exertion, as well as sudden movements. You must adhere to the following recommendations:

• Drink more water;
• Avoid straining when defecation;
• Eat a balanced diet. If constipation occurs, consult a doctor regarding the use of laxatives;
• Resist heavy lifting;
• Do not drive.

Return to normal life

Contrary to the positive feelings of the patient, it may take more than one month for the body to fully recover. The recovery process often reveals a number of the following complications:

According to the results of the operation, gradually the flow of urine will become stronger. Removing the catheter sometimes leads to pain during urination, which will gradually pass.

Due to the return of the bladder to natural functioning, the patient may have difficulty incontinence. Doctors are sure that if there was a long period of incontinence before the operation, then more time will be required to restore the full functioning of the bladder.

The first weeks after removal of the tumor may be accompanied by the appearance of blood in the urine. Bleeding often stops after rest, but if there is a significant amount of blood, you should go to the hospital.

Men are concerned about the effect of surgery on sexual functions. Experts say that possible deviations in the sexual area are temporary, but it may take a whole year for a full recovery. A more accurate time period may depend on various factors (type of surgical treatment, time of neglect of the disease, etc.). Below we will consider the options for the impact of the operation on certain aspects of the sexual function:

Many urologists agree that if the patient did not have impotence before surgery, then there will be an erection after the operation, because it very rarely affects the deterioration of erection. Unfortunately, surgery cannot return the function that was not there before the operation.

Most men after surgery, tumors retain erectile ability, but often there is such a complication as Retrograde ejaculation, which carries the threat of infertility. Because, during the operation, the muscle is removed, which is responsible for blocking the penetration of seminal fluid into the bladder. Therefore, sperm enters and exits during urination. Periodically, retrograde ejaculation is treatable.

Man often does not notice the difference in orgasms when compared before and after the operation. However, it takes some time to adapt to retrograde ejaculation. Therefore, it is recommended to discuss the problem with your doctor, who will help restore sexual activity much faster.

Do I need additional treatment

Following the results of the operation, it is necessary to be observed by a urologist, and also due to a possible recurrence of the disease, a digital rectal examination should be performed at least once a year. Surgery relieves symptoms for up to 15 years.It should be noted that only 10% of men need a second surgical intervention

Thanks to the prostatic stent, which is inserted through the urethra into the narrowing site, it expands. This method of treatment improves urination. Stents have been approved for use in cases where conventional surgical treatment has failed.

Relationship between adenoma and prostate cancer

The similarity of individual symptoms, even during a detected benign neoplasm, does not increase the risk of prostate cancer. However, patients who are diagnosed with a benign tumor may also have undetected prostate cancer at the same time. Therefore, men who are over 40 years of age are advised to undergo a digital rectal examination.

Millions of the stronger sex in the world suffer from prostate adenoma. Such a diagnosis is made after examining the patient and undergoing certain procedures.

Prostate adenoma is treated by two methods: medical and surgical. The first method is used in the initial stages of the disease.

An experienced doctor will select an individual treatment method for each patient, based on the state of health, return and other individual factors.

Symptoms and signs

Prostate adenoma is a disease in men in which a benign node in the tissues of the organ grows over time in the urethra.

The first clinical manifestations include:

• frequent calls;
• small amount of excreted urine;
• weak jet pressure;
• constant feeling of bladder fullness;
• The need to strongly strain the muscles during urination.

All the symptoms of prostate adenoma are a consequence of neoplasms in the prostate gland, which compress the prostatic tunnel. Signs of prostate adenoma in each patient occur differently. Some people immediately experience the above symptoms, while others - the disease is asymptomatic, up to a strong retention of urine.

Surgical treatment

The operation is assigned in the following cases:

If there are malignant tumors in the prostate gland; if there is an infection in the urinary tract; if there is a long delay in urine that cannot be removed with a catheter; if the patient has renal insufficiency; if the patient has bladder stones; if blood is excreted during urination. In simple cases (small prostate adenomas, gland volume up to 80 ml), transurethral resection, TUR is performed. In difficult cases (adenoma of the prostate is more than 40 g, the volume of the gland is up to 150 ml.) - adenomectomy, which can be transcystic or retropubic, depending on access to the gland. Basically, this method is used to remove the entire gland, especially when cancer is detected. Laser surgery, as an alternative to classical surgery, in which the tumor (prostate adenoma) is destroyed by a laser. These methods are more advanced, less traumatic, and patients after surgery to remove prostate adenoma are rehabilitated faster. These operations include:

• vaporization (photoselective);
• ablation;
• resection;
• enucleation;
• dissection of diseased cells;
• interstitial therapy.

Postoperative period after removal of prostate adenoma

In general, all patients recover quickly and return to a full life, however, during rehabilitation after removal of prostate adenoma, some problems may arise. After removal of prostate adenoma, restoration of potency will take some time, but after a couple of months, patients will not experience any difficulties.

Difficulty urinating. After the catheter is removed, urine will flow over the operated area, causing discomfort. Incontinence. The bladder after surgery returns to a healthy mode gradually, which leads to incontinence. The more acute the problem was before the operation, the longer the rehabilitation after the operation of prostate adenoma will last. Blood in the urine. The norm is when it is observed for several weeks. But if there is heavy bleeding that does not stop, clots are present and the patient feels discomfort, you should immediately consult a doctor. Retrograde ejaculation. Most men do not notice a difference in ejaculation before and after prostate surgery. However, after surgery, semen can enter the urine and be excreted during urination, leading to infertility. During rehabilitation, after prostate surgery, it is recommended to visit a sexologist who will give recommendations about retrograde ejaculation.

The period of time for the postoperative period for prostate adenoma depends on factors:

• patient's age;
• neglect of the disease;
• operation complexity;
• operation method;
• The general health of the patient.

After removal of prostate adenoma, the recovery period is how many days? Rehabilitation takes place in two stages - at the hospital and at home. According to statistics, the rehabilitation period after removal of prostate adenoma takes from two weeks to a year.

Treatment of prostate adenoma after surgery - recommendations:

Drug therapy - antibiotics and painkillers. After removal of prostate adenoma in the postoperative period, the patient must use anti-inflammatory drugs that reduce inflammation and swelling of the affected tissue. If medications are prescribed, then it is necessary to take them, especially while the catheter is in place. Plentiful drink. Drinking liquid (about 3 liters per day) can flush the bladder and speed up wound healing. Excessive physical activity should be avoided, incl. lift weights and make sudden movements. In case of constipation, use laxatives. Give up driving and Sex life for at least a month. One of the components of the recovery period is the diet after the operation of prostate adenoma.

It is necessary to follow a diet after removal of prostate adenoma to normalize bowel function.

Forbidden foods: spicy, salty, sour, smoked, fried, fatty.

What can I eat after prostate adenoma surgery? Food should be mostly either boiled or steamed.

The diet after the operation of prostate adenoma implies the rejection of the use of products containing food additives and preservatives. You should also give up alcohol, coffee and carbonated drinks. I write 6 times a day in small portions.

Diet after removal of prostate adenoma - sample menu:

Read our article about what you can eat and what not with prostate adenoma.

Useful physical activity for a speedy recovery

After removal of prostate adenoma, sports should be abandoned for two months. After that, depending on the complexity of the treatment, general health and other factors, gymnastics should be introduced after the operation of prostate adenoma, gradually increasing the load.

Gymnastics for men in the postoperative period after removal of Prostate adenoma is a set of warm-up exercises, without jumping, strength exercises and sudden movements. The best places to stop are swimming, walking and cycling. Exercise should be done every day with moderate intensity. Loads must be strictly normalized and prescribed by the attending physician.

To normalize urination, you should train the sphincter using a set of Kegel exercises, after the permission of the doctor. This complex is aimed at strengthening the pelvic muscles.

There are several ways to do it:

• contract the muscles of the perineum for 2-3 seconds, and then relax for the same time;
• rhythmic and frequent muscle contraction, followed by a 30-second relaxation.

To begin with, each exercise should last 15-20 seconds, and the complex should contain 10 sets.

Further, you can gradually increase the load. Do not work the muscles of the buttocks and abdomen - this reduces the effect.

The Kegel complex is available for use anytime, anywhere. The question of the healthy functioning of the genital organs after surgery to strangle prostate adenoma excites men most of all. Statistics does not give a definite answer to this question.

In general, after removal of prostate adenoma, patients return to a healthy and active lifestyle after a course of rehabilitation. The erection will remain in those patients who had it before the operation.

Conclusion

If you've been diagnosed with prostate adenoma, don't panic. About half of men over the age of 50 suffer from this disease. The operation is guaranteed to free from recurrence for 15 years, subject to the recommendations of doctors. Thanks to a healthy diet, a little physical activity, you can again feel a surge of strength. Prostate adenoma is a curable disease, not a sentence!

Adenoma, or benign prostatic hyperplasia, is not a malignant tumor - it is an excessive growth of gland tissue that compresses the urinary ducts. Therapeutic treatment of the disease does not bring any noticeable results, since anatomical changes in the gland are hormonally determined and irreversible. Operations for hyperplasia account for half of all surgical interventions in urology. Currently, the removal of prostate adenoma is possible with minimally invasive high-tech methods, which can significantly reduce the postoperative period.

Types of operations

In addition to the traditional transvesical adenomectomy - an open abdominal operation, transurethral resection of the prostate (TUR) is used in surgical treatment.This method does not involve opening the abdominal wall and incising the bladder, but is performed using a resectoscope inserted through the urethra. The surgeon visually controls the operation of the instrument, which accurately cuts off excess prostate tissue and cauterizes blood vessels. The risk of infection with this type of treatment is negligible, there are no external surgical wounds.

The extracted tissues are subsequently subjected to histological examination for malignant degeneration.

If signs of cancer are detected, radical prostatectomy is performed - the complete removal of the organ and tissue around it.

After the operation is completed

The duration of the recovery period after surgery to remove prostate adenoma depends on the initial physical condition, the age of the patient, the type of surgical intervention and the presence of concomitant diseases.

The greatest danger in the early postoperative period after removal of prostate adenoma is persistent bleeding, not only because of the probable loss of blood, but also the risk of blockage of the urinary duct by clotted clots.

In addition, almost every patient after surgery needs cardiac care - most have tachycardia, heart rhythm disturbances, and heaviness behind the sternum. Respiratory complications caused by the accumulation of sputum in the bronchi and lungs are common. In 1.5-2.5% of cases, the operated patients experience thromboembolism.

It is necessary for compression and irrigation of the cavity with disinfectant solutions that flush out blood clots. Outward through the channel of the catheter is the output of urine.

Intravenous and intramuscular injections of blood thinners that normalize cardiac activity are prescribed parenterally. Inhalations and artificial ventilation of the lungs are used.

Of course, the physical condition in which the patient is immediately after the operation cannot be called comfortable. There are many nerve endings in the organs of the genitourinary system, any irritating effect is felt quite sharply. Painful postoperative syndrome is exacerbated by a feeling of fullness of the bladder, frequent urges, which is caused by the effect of the temporary presence of the draining system.

You can drink water 2-3 hours after the operation. On the first day, it is enough to consume 1.5 liters of pure water, gradually the volume of liquid should be increased to 2-2.5 liters. Berry compotes or fruit drinks, weak tea are desirable.

The bladder should be emptied every half an hour or an hour. In case of good health, the next morning it is allowed to eat. General dietary restrictions after prostate surgery - exclusion of foods that irritate the bladder: salty, spicy, sour.

It is allowed to get up on the second day.

Inpatient recovery

Based on the preoperative condition of the patient - the presence of chronic prostatitis, inflammatory diseases of the kidneys, and for the prevention of cystitis, urethritis, suppuration, infectious complications, in most cases, antibiotic therapy is prescribed, combined with diuretics. Antibiotics may be discontinued if there is no reason to fear complications.

The catheter is removed on the third or fourth day after TUR. With an open adenomectomy, you will have to walk with him for about a week

Even after the catheter has been removed for several days, small blood clots may be released during urination, and a significant admixture of blood may be present in urine. Possible burning, pain and discomfort in the perineum, increased and frequent urge to the toilet, poor control of urinary retention. Such symptoms after surgery are normal, since there is a good reason that caused them - a violation of the integrity of the tissues of internal organs.

Rehabilitation

The total stay in the hospital takes up to 3 weeks. In the first months after discharge from the hospital after surgery, successful rehabilitation requires self-control and attention to one's physical condition. The following symptoms are the reasons for an urgent visit to the doctor:

• prolonged bleeding;
• severe outflow obstruction or urinary incontinence;
• severe colic, cutting pains that are difficult to endure.

The reasons may be developed complications: acute prostatitis, pyelonephritis, sepsis, injuries of internal organs as a result of an error during the operation.

A careful attitude to health is necessary for several months. You will have to observe a number of restrictions:

• do not push when urinating and defecation;
• do not lift heavy, do not strain;
• avoid sitting for a long time - it is undesirable to drive a car or do other work while sitting;
• dress for the weather, do not overcool;
• try to walk more - at least 4-5 km on foot.

During the rehabilitation period, a proper diet is required: spicy and spicy snacks, marinades, smoked meats, products containing acids and extractives are excluded. If kidney function is impaired, meat products and eggs are limited. Alcohol is contraindicated, including beer, carbonated drinks. To prevent constipation, you need to include fiber-rich vegetables, fruits, cereals, cottage cheese in food.

Consequences of adenomectomy

Undesirable long-term consequences of adenoma removal are narrowing of the lumen of the urethra due to the formation of strictures and recurrence of prostatic hyperplasia. In these cases, it is possible to assign a second operation.

Another important point that is directly related to the consequences of adenoma removal is the so-called retrograde ejaculation. The reason for it is mechanical - during ejaculation, the truncated prostate gland no longer closes the neck of the bladder, and the seminal fluid, instead of being released outward, enters in the opposite direction - into the bladder cavity, from where it exits along with the flow of urine. This feature does not harm health, but it can become a serious problem when planning the birth of children.

The fact of surgical intervention does not affect sexual life, erectile function, duration of sexual intercourse, orgasmic sensations.

Sex life can be resumed 1-2 months after surgical treatment.

It may take more than a year to fully recover.

It should be remembered that the removal of prostatic hyperplasia does not solve the problem of the disease radically, but only helps to release the compressed internal organs. The original cause - age-related changes in hormonal balance - remains. Relapses, that is, further growth of the prostate, are observed in 10% of cases after surgery. Depending on the clinical picture, in each situation, either secondary elimination of nodes or complete removal of the prostate is performed.

What problems can arise after prostate surgery and what to do about it

An operation on the prostate gland is prescribed if a benign or malignant neoplasm is found in it. The recovery time after this procedure largely depends on the type of surgical intervention, the type of tumor, the individual characteristics of the patient and other factors.

In particular, the operation to remove prostate adenoma involves the installation of a special catheter through which urine is excreted from the body. It drains the organ for several days. In some cases, the catheter causes pain and discomfort that occurs after surgery. The bladder at this point begins to spasm. This process is difficult to treat, but over time it goes away on its own.

As one of the main measures against the penetration of infections into the body, antibiotics are prescribed. At the same time, part of the doctor chooses the so-called expectant tactics. That is, drugs are not prescribed until the first symptoms of an infectious pathology appear.

After the operation, at first, small blood spots may appear in the urine. In part, such consequences on the prostate gland depend on the actions of the surgeon due to poor-quality removal of the organ or neoplasm. Although changes in the color of urine, especially in the first two days after surgery, is normal. As the pathology develops, the prostate gland increases in size. Therefore, at the first time after its removal, there remains a free space filled with a wounded surface.

First days

On the first day after surgery, the patient must remain in bed. He is allowed to rise only on the second day. Also at this time, certain exercises are performed, the action of which is aimed at preventing the formation of blood clots in the veins and prostate gland. The patient needs to drink a lot of liquid daily (up to two liters). It is necessary to restore the function of the bladder and return it to its previous shape. When defecation is not worth much to strain the abdominal muscles. To facilitate the recovery of the intestine, you need to follow a certain diet, which involves abundant consumption of vegetables, fruits and other foods rich in fiber. This element improves the defecation process. It is possible to prescribe a laxative in case of constipation.

Until about the sixth week after discharge, you should not drive, exercise, or carry heavy loads. Serious impact on the operated prostate can lead to the fact that the sutures will open. As a result, urgent hospitalization will be required. After six weeks, the stitches are removed if there are no contraindications.

Recovery of the body after surgery involves frequent rest. As in the case of weights, the patient should not overload himself.At the same time, there are no contraindications to long walks in the fresh air, provided that the patient feels well. Kegel exercises show high efficiency in terms of recovery. They are performed daily for 5-10 approaches 3-5 times. The first exercise is performed as follows: the gluteal and abdominal muscles are tensed, held for 3-5 seconds, and then relaxed. The next exercise is periodic tension, similar to what appears during bowel movements.

For this period, visiting the bath and sauna is contraindicated. If the catheter is still in the bladder after discharge from the clinic, then you can only wash in the shower. Sexual intercourse should be abandoned until the restoration of the prostate gland and erectile function. This is also due to the fact that there may be a decrease in the amount of ejaculate, in which small blood clots may occur.

Possible consequences

Prostate surgery almost never goes without consequences for the patient. Among the most common negative manifestations are problems associated with the process of urination. It has already been noted above that in the first days and even weeks men experience urinary incontinence. Such a symptom can manifest itself after six months during sneezing and other actions that tense the lower abdomen. There is also a pain syndrome at the time of urination. Gradually, these consequences disappear, and the patient returns to a normal rhythm of life.

Another negative manifestation of the removal of a tumor or prostate gland is a violation of a man's sexual life. Usually the body recovers on its own within 3-6 months, although it happens that it takes about a year. During this period (especially in the first weeks) sexual desire does not occur. In the future, there is a restoration of erectile function. True, this happens on the condition that the nerve endings responsible for it were not damaged during the surgical intervention. In addition, impotence persists in those people who suffered from it before going to a medical institution.

Separately, it is worth paying attention to such a process as ejaculation. A secret is produced in the prostate, which is an indispensable element of the seminal fluid. Accordingly, any intervention in this body leaves a certain imprint on this process. For example, the treatment of adenoma involves the removal of a muscle that prevents sperm from entering the urethra. Due to its absence, seminal fluid finds a wider channel and is excreted from the body along with urine. This process is called retrograde ejaculation. Removal of the prostate itself necessarily leads to the fact that the man becomes infertile. However, this circumstance does not completely put an end to his sexual life. The body can restore an erection on its own. If this does not happen, then various medicines, devices and injections into the reproductive organ go to the rescue.

When to see a specialist

Any surgical intervention can have many side effects. So, the doctor should be called in case of difficulty breathing, prolonged lack of sleep and appetite, high temperature. And also if the pain that has appeared, localized in the lower abdomen, does not go away after taking painkillers.

You should consult a doctor if you have problems with the process of urination:

• the process is accompanied by a burning sensation;
• chills and fever developed;
• severe urinary incontinence appeared;
• urinary retention;
• urine does not come out of the catheter;
• urine suddenly changed color and smell;
• there is severe pain at the site of penetration of the catheter;
• blood clots began to appear in the urine at a later date.

All of the above is a mandatory basis for an urgent appeal to a specialist. This approach will prevent the development of negative processes in a timely manner and successfully complete the process of postoperative recovery.