Everything you need to know about adenomectomy and more

Good day. This article will discuss the procedure for Prostatectomy. What is Prostatectomy? This is an immediate intervention, the process of which consists of removing the prostate from a male member. This procedure is prescribed for the treatment of prostate cancer, as well as for advanced types of prostate adenoma, when treatment without surgery is no longer possible.

There is also a process of adenomectomy - an operation consisting in the removal of adenoma of the prostate gland, which are subdivided into:

But let's get back to the prostatectomy

Indications for prostatectomy:

Manipulations to remove the prostate are recommended for patients who:

In medicine, prostatectomy is subdivided into retropubic prostatectomy, a procedure called radical prostatectomy and radical prostatectomy using high-tech technologies and medical complexes. In some examples, during medical intervention, the nerves responsible for the erectile function of the stronger sex are removed.< / p>

There are tumors in which active medical intervention does not involve removing the nerves. However, the surgeon cannot know in advance, so the decision to remove the tissues of the nervous system occurs right during the operation itself. The decision depends on whether the disease has touched the nerve tissue.

Radical Prostatectomy

Today, radical prostatectomy is a common way to perform the removal of the prostate gland. Such a procedure is minimally invasive, that is, it provides less intervention in the body than open operations used for the same purpose. It involves small incisions on the patient's body, where a laparoscope is inserted, designed to perform manipulations on the organs of the abdominal region.

A procedure such as radical prostatectomy can be performed in a variety of ways. Today, even robotic prostatectomy operations are carried out, in which real doctors are helped by a surgical complex called Da Vinci.

And despite the fact that these cities are smaller, the technical equipment and the class of surgeons are also at a very high level and keep up with their colleagues. When performing a radical prostatectomy operation, the process will have distinctive properties, depending on its type, inherent in the chosen form of the procedure.

• Perineal prostatectomy is designed for surgical penetration into the perineum, in which an incision is made between the sphincter and the scrotum. There are many disadvantages to this operation. For example, it excludes the possibility of preserving the nerve bundle in full, and also makes it difficult to access the lymph nodes, as a result of which, in many cases, dysfunction or disorder of the pelvic organs occurs. Therefore, such an operation is rarely performed these days.
• Retropubic prostatectomy is an open procedure. An incision is made below, from the pubic bones to the navel, and through this incision, the prostate gland with lymph nodes and seminal vesicle is removed.
• Radical retropubic prostatectomy has some advantages over the above operations. For example, during the procedure, it is possible to control the organs of the pelvic region, and also try to preserve the nerve plexuses, which are responsible for the activity not only of the bladder, but also of its sphincters and for the function of erection.
• A bladder prostatectomy is quite traumatic and may cause complications of the urinary system. With this method of prostatectomy, the removal of the prostate is carried out through opening with an incision of the bladder.

This type of intervention is prioritized, with benefits such as:

• Reducing patient blood loss.
• Reliability of performance and minimization of complications.
• High portability.
• A fairly high chance of successful tolerance of the disease, as well as rehabilitation, in the further restoration of the genitourinary system and erection.

The prostatectomy procedure requires a highly qualified doctor and decent training. When choosing a method for carrying out the procedure, the surgeon, determining its course, pays attention to all the properties of the body, to other diseases of the body, the development of a painful process. You need to know that age and health status play a critical role in determining the method of treatment. After all, any existing problems can play a negative role in recovery in the future, and complications can also appear. Now we should talk about possible complications and rehabilitation after surgery.

Prostatectomy consequences

It is worth mentioning that the course of surgery may have unforeseen circumstances.Again, a lot depends on the level of qualification and experience of the surgeon performing the procedure and on the patient's behavior in terms of fulfilling the instructions given to him. What are the likely outcomes of the operation?

Among the possible complications (the consequences of radical prostatectomy) often occur:

• loss of potency (in 70 percent of cases).
• narrowing of the urethral canal (in 17% of cases).
• problems with urination.
• thrombus formation in the leg area.
• processes of inflammation of the organs of the body.
• problems with bowel function.

Naturally, there are indications and contraindications for prostatectomy.

For an operation referred to as a radical prostatectomy, the cost fluctuates and depends on numerous factors.

Among the most influencing the price of the operation:

It should be noted that the operation to eliminate prostate cancer can also be carried out free of charge (on a first come, first served basis). prostatectomy. However, the cost is higher than that of open access surgery.

Currently, such operations are also carried out using robotic systems. The condition during the postoperative period depends on the selected method of removal. The stay of the operated patient in the hospital can last for a month.

There is also a list of rules that must be followed after the operation:

• Compulsory adherence to the plan of prescribing prima prophylactic agents prescribed to exclude complications.
• To prevent the narrowing of the urethral canal, a sufficient amount of fluid should be consumed.
• It is important to avoid physical activity.
• Take walks in the fresh air, spend more time outdoors.
• Constantly come to the doctor's office for examination and consultation.
• To rule out a relapse, constant monitoring of the level of Prostate Specific Antigen in the blood is required.
• Naturally, it is imperative to follow a diet. (Helps to bypass bowel and bladder problems)
• Perform a kind of charging. (Exercises aimed at strengthening the muscles of the pelvis) And only after the doctor's permission can you start having sex.

As a conclusion, it is worth recalling that the detected cancer is not a reason to give up. In the courtyard there is the XXI century, the century of the latest technologies, the century of the development of medicine. Nowadays, even in the late stages of carcinoma, it is possible to live ten to fifteen years longer with a minimal risk of exacerbation.