Treatment of prostatitis after adenoma surgery

Postoperative period after removal of prostate adenoma in hospital and at home

Removal of prostate adenoma or benign prostatic hyperplasia (BPH) is currently the only effective treatment for the disease. The main part of the operation is performed by minimally invasive methods that do not cause complications. The postoperative period after removal of Prostate adenoma includes a number of rules that a man must follow for two months after surgery.

Features of adenoma removal

Surgical intervention always causes a lot of concerns, but when it comes to adenoma, it is the only effective method of treatment. Modern methods of removing benign hyperplasia significantly reduce postoperative risks. In most cases, the removal of an adenoma is carried out by a minimally invasive method, which implies the absence of incisions in the perineum or in the bladder area.

In 9 out of 10 cases of surgical removal of an adenoma, complications and negative consequences are completely absent. With minimally invasive operations, the rehabilitation period is only about a week in the hospital. Further recovery takes place at home, but requires the implementation of a number of recommendations and frequent examinations by the attending urologist.

The postoperative period allows you to evaluate the effectiveness of the operation, to predict the further behavior of the adenoma, since often a few years after removal, hyperplasia forms again. This is due to the peculiarities of the hormonal background that affects the functionality of the prostate gland.

In general terms, the rehabilitation period is reduced to the following measures:

• increasing fluid intake;
• proper nutrition with a number of restrictions;
• no heavy physical exertion;
• refusing sexual contact for a while;
• taking a number of medications.

When removing prostate adenoma, the postoperative period is divided into inpatient and outpatient monitoring.

Transurethral resection is less traumatic than classical abdominal surgery

Hospital stay after adenoma removal

When prostate adenoma is removed, the patient stays in the hospital for several days after the operation. A catheter is placed immediately after surgery. It is necessary to remove urine, since on the first day independent urination is hampered by a spasm of the muscles of the bladder.

To ensure a normal outflow of urine through the catheter, the container for collecting urine must be kept at the level of the bladder.

In the first hours and days after surgery, a man may experience:

• with difficulty urinating;
• bladder pain;
• discomfort in the anus;
• impaired urine outflow through the catheter.

Problems with urination are caused by the placement of the catheter. It usually goes away on its own after a few hours. During some types of surgery, such as TUR of an adenoma, the bladder is filled with saline. In some cases, spasms and cramps in the bladder may occur in the first days after surgery. This is due to the reaction of the mucosa to the intervention. Such symptoms do not require drug therapy, as they disappear after a few days.

Usually, the catheter is removed after 24-72 hours, depending on the complexity of the operation and the size of the adenoma. After removal of the catheter, spasms in the bladder may again appear, which develop in response to a change in muscle tone. This discomfort passes quickly enough.

Often, after the catheter is removed, it is practiced to fill the bladder with a special solution to assess the process of urination. This procedure allows you to evaluate the effectiveness of the operation to remove the adenoma.

Immediately after the operation, the man is prescribed antibiotic therapy. Taking medication is necessary to exclude infection of the prostate and bladder. Antibacterial therapy lasts no more than 5 days and serves more for reinsurance than for treatment. However, antibiotics are not always prescribed.

The first day after the operation, the patient should spend in bed. The extract is carried out for 3-7 days, depending on what method of surgical treatment was used to remove the prostate. After minimally invasive operations, patients are usually discharged for 2-3 days. In the presence of complications or poor health, the period of hospitalization is extended for a few more days.

The first time after the operation, the man remains in the hospital under the supervision of doctors

Rehabilitation at home

The duration of the postoperative period after removal of prostate adenoma depends on the method of the operation, the patient's age and general health.If a man had BPH, after surgery for prostate adenoma, the recommendations given by the doctor must be performed at home.

The rehabilitation period after the Removal of prostate adenoma generally stretches for two months. At home, the patient should adhere to the recommendations and visit the urologist regularly. The general rules to follow are as follows.

At first, the amount of water should be increased. This is necessary to restore urination. Often in the first weeks, men experience a significant increase in urine pressure, but over time, the muscles of the bladder and urethra return to normal.

With an unbalanced diet, there is a risk of constipation. During the recovery period after prostate surgery, defecation disorders should be avoided. With the passage of hard feces, which are formed during constipation, the prostate gland is irritated. This can lead to bleeding and blood in the urine, pain, and a longer recovery time.

In the postoperative period after removal of prostate adenoma, you should refuse to consume:

• any spicy food;
• vegetables that cause flatulence (cabbage, legumes);
• fatty food;
• coffee;
• alcohol.

Until the prostate is fully restored, sexual intercourse is prohibited. It is not at all difficult to follow this rule, since most men do not have an erection during the recovery period. This is due to damage to the prostate during the operation.

Don't worry if you don't have an erection. This is not a complication, but a natural consequence of the operation. Specific treatment is not required, since the male's sexual function will completely return to normal after the restoration of the prostate gland.

It is difficult to predict how long it will take for a full recovery. In young men, erection problems disappear about 4 weeks after surgery, in older patients it takes 2-3 months to recover, but even in this case, the erection will completely return, you just need to be patient.

Erection problems are temporary

Possible complications

If during the rehabilitation period after the removal of prostate adenoma, a man encounters some non-specific symptoms, you should consult a doctor. Violation of urination, lack of erection and pain in the first 10 days after the operation are not complications.

Dangerous symptoms indicating complications after surgery:

• urinary incontinence;
• blood from the urethra;
• hematuria persisting after hospital discharge;
• retrograde ejaculation.

Urinary incontinence may be the result of a pathological violation of the tone of the bladder and urethra. This problem requires surgery, but is very rare.

Blood in the urine is normal only in the first days after surgery. Hematuria after discharge, blood from the urethra are dangerous symptoms indicating internal bleeding. Such signs require an urgent appeal to a specialist.

One of the complications from which no man is immune is retrograde ejaculation. The problem is that during ejaculation, the ejaculate does not come out, but is thrown into the bladder. This does not pose a health risk or discomfort, but it can cause problems with conception. Retrograde ejaculation is associated with changes in bladder muscle tone. Unfortunately, this problem is difficult to resolve. In some cases, it is possible to completely restore normal ejaculation by taking certain drugs, but often retrograde ejaculation becomes a constant companion of a man.

In fairness, it should be noted that other than the inability to conceive a child, this violation does not cause any discomfort. The process of ejaculation occurs as before and with the same sensations, however, seminal fluid enters the bladder and leaves the body of a man during urination. In this case, urine may have a cloudy hue due to the presence of ejaculate.

How to live further?

Complete recovery of the gland, rehabilitation after surgery to remove prostate adenoma takes about two months. After this period, a man can return to a normal lifestyle, all restrictions that were in effect during the recovery period are removed.

After removal of the adenoma, urination, erection are completely restored and pain disappears. There are no restrictions on the patient's further lifestyle. The only thing is that a man should be regularly examined by a urologist and take a blood test to determine the level of PSA. The first analysis must be taken a few months after the operation. In this case, the PSA level should be significantly lower than before surgery.In the future, the analysis should be taken 1-2 times a year. An increase in PSA levels may indicate the re-development of hyperplasia or oncology of the prostate. Unfortunately, in some men, 5-10 years after removal, the adenoma forms again.

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Recovery after removal of prostate adenoma: diet, exercise and prevention

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 approaches.

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!

Removal of prostate adenoma consequences

Removal of prostate adenoma is the most commonly used method of treating the disease. The procedure is quite safe and significantly improves the patient's quality of life. If there are any complications, there are methods to correct them.

Prostate adenoma. What threatens its removal

Methods for removing prostate adenoma allow treatment without serious consequences for men's health. The patient's condition improves very quickly, and relapses are rare.

Ways to remove the prostate

It is decided how to operate after examining the patient's condition and the size of the prostate tumor. The most common ways:

The consequences of these operations are studied in detail, and the patient is obliged to familiarize himself with them before starting treatment or removal of the prostate.

Possible problems

Transurethral resection or TURP and other procedures that remove the prostate can cause complications.

Consequences can occur even if the procedure is carried out correctly and all the rules of sanitation and hygiene are observed.

Bleeding

The most serious complication that can occur during TUR surgery is bleeding. Blood loss can be quite large, so a transfusion may be required.

Subsequently, blood clots can get into the urethra and clog it. This complication can also occur with open surgery. Its cause may be features of hemostasis. If bleeding occurs during TUR, the fault is most likely the opening of the lumen of a large vessel.

TUR syndrome

Tur-syndrome is a rather severe consequence for men who have gone through the removal of a prostate tumor. It is also called water intoxication.

The problem may appear not only during the operation, but also after it.

The complication is the ingress of fluid, which is used to wash the bladder into the bloodstream.

In order to reduce the occurrence of TUR syndrome, the bladder is flushed under low pressure during the removal of the prostate tumor.

Problems with urination

After removal of a prostate tumor, urination disorders often appear.

Even after being discharged from the hospital, men after TUR have frequent urge to urinate and severe pain. This is due to the presence of a wound in the area of the removal of prostate adenoma.

After the procedure, the recovery of the body takes a lot of time. At first, almost all patients cannot normally defecate the bladder. This can happen due to the fact that the urethra has been clogged with blood clots. After removal of a prostate adenoma, a change in the structure of the muscles can occur, which also causes problems with urination. And, finally, the reasons may be hidden in the insufficient competence of the doctor and making mistakes during the operation.

The consequences of this complication can be very serious, so you should immediately inform your doctor and take action.

A small percentage of men may experience Urinary incontinence after a TURP. This is due to the weakness of the muscles of the bladder for the first time after the procedure.

Most often, the complication resolves on its own. Rarely is there a need for an additional operation.

Another deviation is expressed in the leakage of urine and the pain of the process. Such problems after removal of a prostate tumor can occur even more often than with prostatitis. After the Tur operation, complications may occur if not enough gland tissue has been removed.

Retrograde ejaculation

After removing the prostate, almost all men experience problems with ejaculation. So, in the process of ejaculation, seminal fluid enters the bladder, and not outside, and exits the body through the urethra.

All or part of the sperm may enter the bladder, while the other part comes out. For the body, this phenomenon is not dangerous, but when conceiving a child, it can create difficulties.

Impotence

Most of all, before the removal of prostate adenoma, men are worried about whether there will be problems with erection. Numerous studies have shown that impotence occurs in no more than 10% of cases. This figure does not exceed the likelihood of erection problems if the adenoma is not removed.

Inflammatory diseases

The occurrence of inflammatory processes is a complication that accompanies almost all types of surgical interventions. Symptoms may begin to appear some time after the procedure. Antibacterial drugs are used to treat inflammatory diseases. If you do not take action, then inflammation can become chronic and periodically worsen.

Each operation is dangerous in its own way and carries certain harm to human health. Therefore, it is very important to properly prepare for the procedure, trust yourself only to experienced professionals and follow all the doctor's recommendations.

Then complications after removal of prostate adenoma will not harm your health, but will quickly pass and be forgotten like a bad dream.

The method of surgical treatment of prostate adenoma is used at an advanced stage of the development of the disease, which is quite common in older men. Before deciding on an operation, any man is concerned about what consequences he should expect from the removal of prostate adenoma for men's health and how to behave in order to overcome unwanted complications.

What the consequences depend on

Prostate adenoma occurs in older men

In order to successfully cope with such an ailment as prostate adenoma in men, it is necessary to know the symptoms of this disease, the methods of treatment with medicines and with the help of surgery, as well as the consequences that may occur, but are also eliminated in a timely manner.

How the rehabilitation period after the operation will go depends on many factors: the type of surgical intervention, the stage of development of the disease, the age and physical condition of the patient, the patient's compliance with the doctor's recommendations for the recovery period.

The experience of the surgeon and the mental attitude of the patient are also important for the subsequent recovery. Therefore, it is necessary to take a serious approach to choosing a doctor, agreeing on a treatment method with him, and, hoping for the best, remember that such operations as removal of the prostate gland have already been worked out in modern medicine and are successfully carried out using the latest technologies.

What methods are used to remove the prostate gland

After prostate surgery, there may be consequences that depend on the type of operation chosen. Currently, there are sparing methods, the adverse effects of which on men's health and potency are rare. But there are times when you need to do a more complex operation.

The most commonly used types of operations

Transurethral resection (TUR) - excision and scraping of the overgrown part of the gland is performed using a resetroscope, which is inserted through the urethra to the prostate. Transurethral is the most sparing method, and after the operation using the TURP method, the patient is already healthy for 3-5 days.

Open prostatectomy - is rarely undertaken only in cases where the growth of the prostate is large, as it is the most traumatic way to remove prostate adenoma and has undesirable consequences after surgery. An incision is made in the pubis or in the perineum between the scrotum and anus. After such an operation to remove prostate adenoma, a 3-week rehabilitation period in a hospital is required.

Endoscopic enucleation is an operation to remove the prostate using a Holmin laser. There are two types. This is vaporization, when liquid is evaporated from damaged tissues by means of high temperature, and enucleation, which removes crushed particles of the gland through the urethra. With a small invasiveness of this method, a quick recovery of the man's condition occurs. What will be the consequences of removing the prostate gland in each case is not easy to predict. However, there are certain statistics on the occurrence of unwanted complications that affect potency, which you should know before going for an operation.

Possible consequences: surgery to remove prostate adenoma

After the resection is completed, the patient remains in the hospital for some time. The first few days may be accompanied by: pain at the wound site, pain during urination, the appearance of blood and its clots in the urine.

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Problems with urination

These symptoms are natural to the wound healing process and will resolve quickly with a normal recovery period. However, if they increase, you should consult a doctor.

The most typical complications after surgery:

Changes in sex life

The main question that worries a man before prostate surgery: how does sex life change and is it possible to restore potency after removal of the prostate gland in men?

According to statistics, when prostate adenoma is removed, the consequences cause erectile dysfunction in ten percent of the patient. If erectile dysfunction existed before the operation, then its change after removal of the prostate gland should not be expected. In the case of a normal sexual life before the operation, the consequences of the removal of the prostate, which results in impotence, will disappear over time, and the sexual life will become the same.

Surgery on a prostate adenoma can cause undesirable consequences such as retrograde ejaculation. It lies in the fact that the seminal fluid does not go out through the urethra, but is thrown into the bladder. This results in infertility. In many cases, this problem has its own solution, with which it is possible to fully live.

How to avoid complications

Any surgical intervention entails certain negative consequences. Removal of prostate adenoma in any way also has undesirable consequences, which can be avoided or weakened, as well as lead to a quick recovery, following all the doctor's recommendations for the rehabilitation period.

How the patient should behave during the recovery period:

Compliance with the diet is necessary during the rehabilitation period

• For two months you can not lead an active lifestyle.Sports for this time should be excluded, movements are calm, being in one position for no more than 40 minutes.
• It is recommended to climb stairs to strengthen the muscles of the lower pelvis.
• You can't take a bath for a month. You can take a shower two days after an open adenomectomy.
• If the work by profession does not require undue physical stress, then it is sometimes possible to return to it after two weeks.
• Compliance with the diet is necessary during the rehabilitation period. Do not eat foods that irritate the urinary system, contributing to constipation. Recommended fruits and vegetables rich in fiber, vitamin C, selenium: pumpkin, tomatoes, bananas, white cabbage, seaweed. Eliminate alcohol and carbonated drinks from your diet.
• At least 8 glasses of fluid should be drunk every day before 8 pm, unless there are health restrictions. This contributes to the rapid healing of the wound and the reduction of the inflammatory process.
• The intake of antibacterial agents is mandatory according to the doctor's prescription, made according to the results shown by the analysis of urine and blood.
• Weight lifting should not exceed one and a half kilograms for the entire rehabilitation period.
• Sex life is allowed only one month after the operation, just like driving a car.
• Special attention should be paid to specific exercises aimed at strengthening the muscles of the pelvic floor and improving blood circulation.

Physical education for prostate adenoma

A special exercise to improve the condition of the operated area is called "Kegel exercise". It is recommended after removal of the catheter and consists of alternating contraction-relaxation:

• Squeeze your pelvic floor muscles and pull them up for 10 seconds.
• Relax your muscles for 10 seconds.
• Repeat 10 times three times a day.

Do not forget about sex during the recovery period. It is believed that a full sexual life helps to restore the functioning of the genitourinary system and restore male power. Only for this it is necessary to clarify with the attending physician, after what period of time after the operation sex is allowed in your case.

Surgical treatment of prostate adenoma, like prostatitis, improves the state of health and, as a result, raises the standard of living of a man. So that the consequences do not overshadow life, it is necessary to seriously approach the implementation of the doctor's recommendations, helping the body to fully restore its functions.

Who said that it is impossible to cure prostatitis?

Do you have PROSTATITIS? Have you already tried many remedies and nothing helped? These symptoms are familiar to you firsthand:

• constant pain in the lower abdomen, scrotum;
• difficulty urinating;
• sexual dysfunction.

The only way to operate? Wait, and don't act radically. Prostatitis is POSSIBLE to cure! Follow the link and find out how the Specialist recommends treating prostatitis-