What are the consequences of adenoma excision surgery

When an adenoma is found in an advanced stage, it can threaten the health and life of a man. In this variant, prostate adenoma has the only correct solution, which is treatment with the use of an operative technique. This surgery is called TUR (transurethral resection). Very often patients get complications after TURP of prostate adenoma.

Difficulties faced by patients after excision of prostate adenoma with TUR, their rehabilitation

After the surgery, patients should be monitored in a hospital under the close supervision of medical personnel. The duration of the patient's inpatient stay depends on the method of surgical manipulation.

The first 24 hours after the surgical procedure, urine is removed from the patient's body using a catheter, which is installed after the surgery. If an infection is suspected, the specialist prescribes the use of antibiotic therapy.

For several days after the procedure on the prostate gland, blood clots are visible in the patient's urine. If the amount of blood is not large, then this phenomenon is considered the norm and is due to the healing process. To speed up healing, doctors recommend a plentiful drinking regimen. This will help flush the wounds and urinary tract, recovering faster.

The rehabilitation period for performing excision of adenoma at home differs from that which takes place in surgery:

• The first week after returning from the hospital should be calm without sudden movements;
• heavy physical activity is excluded;
• it is impossible for a man to have constipation, for this it is necessary to take laxative drugs (a laxative drug should be recommended by the attending physician);
• drink at least 2 liters of water per day;
• at first a man is prohibited from driving a car.

During the rehabilitation period, after returning from the hospital, patients must completely change their usual lifestyle for at least three months. During the postoperative period, the patient is under the supervision of a specialized specialist, then preventive examinations are carried out on an annual basis.

Complications after surgery

Surgical treatment performed on the male gland is the most effective method of therapy for adenoma. Complications after surgery for BPH (benign prostatic hyperplasia) in patients may appear immediately or during the rehabilitation period.

PCa (resection of prostatic hyperplasia) - has its own complications, the causes of which are known. Usually, the attending physician warns and advises about this.

Disrupted process of urine outflow as a result of the operation

• The most common consequence of TURP is an acute delay in urine output. The factors for the development of such a complication are blockage of the urinary canal by plasma clots, altered structure of the muscle tissue of the urea, and surgeon's mistakes during the operation. Retention of urine flow is easy to detect and correct.
• Urinary incontinence after adenoma excision is another complication. Spontaneous urine discharge is visible immediately after surgery. This is due to the fact that during excision of the adenoma, the structure of the urea is disrupted. This complication usually goes away on its own after a short period of time after the operation. In this case, no intervention is needed to normalize the functioning of the urea. If hyperplasia is found in an advanced form, the recovery period will be longer.

Additional therapeutic therapy after resection of the adenoma may be required if urine leakage persists for three months after the intervention.

A specialist can recommend supportive therapy, neuromuscular stimulation. For the fastest restoration of the functionality of urea, the use of Kegel exercises, changes in diet and lifestyle are prescribed.

Occurrence of inflammatory processes against the background of infection penetration after surgery

Every fifth case after surgery has its own complications. This is due to the penetration of infection into one of the organs of the urinary or reproductive system. The first symptoms usually appear within a few days after the surgical procedure, but sometimes bacteria can make themselves felt much later.

This complication can occur due to postoperative catheterization for a long time or the absence of the prostate gland, which acts as a barrier to the penetration of pathogenic flora through the urethral canal.Diagnostics of the pathological process is prescribed in order to start urgent medical therapy, without allowing the disease to go into a chronic process. For the purpose of treatment, the doctor prescribes the use of antibiotics.

Sexual dysfunction as a manifestation after TURP of prostate adenoma

Among the noted failure of sexual dysfunction, patients complain of retrograde ejaculation. Such a violation cannot be called a complication. Most likely, retrograde ejaculation is a consequence of the surgical process. Based on statistical data, such a consequence can be found in almost every operated patient. Some men report partial sexual dysfunction, and some are worried about the constant pathological phenomenon of ejaculation.

A partial process (no sperm is released) occurs in almost every patient who has undergone resection, and with a constant form of ejaculation, sperm is injected backwards. During the reverse ejection, semen enters the ureter, after which it is removed from the outside.

If retrograde ejaculation occurs in the period after surgical manipulation, then it does not harm the general health of an older man, but younger patients are at risk for planned conception, since pregnancy is not possible. For conception, a man must undergo additional treatment with a sperm collection.

Impaired erectile function. This disorder is noted in every tenth patient. Some experts argue that this phenomenon occurs precisely because of the surgical intervention. However, this is not entirely true. According to the above statistics, it can be seen that the percentage of complications after surgery is the same as in dynamic observations in patients with diagnosed prostate adenoma.

If erectile dysfunction has arisen as a result of surgery, then after a while it disappears on its own without the use of additional therapeutic manipulations.

TUR is considered the most effective surgical aid for the treatment of adenoma at a late stage of the development of the disease. Most of the patients report an improvement in the quality of life.

Any surgical care has consequences after surgery for patients. This is due to the individual characteristics of the prostate, its localization. The recommended doctor's advice before surgery and during rehabilitation will help reduce the risk of complications. After surgery, the patient should undergo regular examinations by the attending physician. All disturbing symptoms are discussed only with a specialist, then you can minimize possible complications after surgery.