Medical services

Removal of prostate adenoma

Prostate adenoma is a male disease that is accompanied by the formation of a benign node in the tissues of the prostate gland. The node increases in size over time and blocks the urethra. This urological disease is visualized today in almost every second man older than 50 years. It is worth noting that the age of the disease is decreasing, and the number of men suffering from prostate adenoma is growing inexorably.

Symptoms of the disease

The presence of prostate adenoma is accompanied by frequent urges to urinate, a feeling of an empty urinary bladder, a weak rate of outflow of urine, and additional efforts to start urinating.

The main reason for the manifestation of these symptoms is the formation of a node that blocks the prostatic lumen. In order to start treatment, it is important to visit a doctor’s consultation to confirm the diagnosis, determine the form of the disease and select the most accurate and effective treatment.

Diagnosis of prostate adenoma

Today, there are a number of diagnostic methods that make it possible to completely diagnose.

Laboratory studies - the doctor prescribes OAC, OAM, blood biochemistry and analysis for the determination of prostate-specific antigen.

The doctor examines the condition of the prostate through a digital rectal examination. Also, the proctologist without fail prescribes: X-ray, ultrasound, uroflowmetry and biopsy of the prostate adenoma.

A biopsy can be used to determine a malignant tumor, the presence of which fundamentally changes the nature of further treatment.

In the initial stages of the development of the disease, drug treatment can be used, at more advanced stages, a direction for surgical intervention is formed.

Contraindications for the surgical method

Surgical intervention in the presence of prostate adenoma is contraindicated if: during the study of excised biopsy tissues, a malignant formation was detected; there are a variety of postoperative complications; the patient has an unstable state; revealed acute heart failure.

Men with contraindications to surgery are recommended to engage in special therapeutic exercises daily.

Important: the exercises for gymnastics should be selected by the doctor, taking into account the patient's condition.

Removal of prostate adenoma

There are several classifications of methods for chronic treatment of prostate adenoma:

  1. Adenomectomy is one of the common types of surgical intervention, which has minimal restrictions for its implementation. This operation is performed if: the weight of the node has reached forty grams, the volume of residual urine is more than one hundred and fifty grams, complications are visualized.
  2. Transurethral resection (TUR) - the procedure is completely bloodless, involves the implementation of all actions through the urethra. TUR is prescribed if: the weight of the node has reached 60 grams, the volume of residual urine is above 150 grams, there are no complaints about the work of the kidneys.
  3. TUR of vaporization of prostate adenoma (in other words, laser ablation and destruction) - this method belongs to the group of gentle people, since a laser is used for work. This method implies a greater likelihood of restoration of the genitourinary system after surgery.

With the methodology of the operation is determined directly by the doctor, based on indicators of a direct examination and test results. It is worth noting that in recent years, doctors have more and more preferred laser excision of prostate adenoma, since the technique has a number of advantages: bloodless procedure; procedure without cuts; quick recovery of the patient after surgery; the presence of a minimum percentage of the development of inflammatory or infectious complications.

The procedure, regardless of the method chosen by the doctor, is performed under general or spinal anesthesia. After carrying out the necessary actions, an ice pack is placed on the groin area in order to reduce the risk of puffiness.

Rehabilitation after surgery

The rehabilitation period is as important as the operation itself. The entire recovery period, the patient should be under the supervision of an experienced and highly qualified specialist. The first two days, it is important to observe strict bed rest. The doctor develops a special list of recommendations, which must be followed as accurately as possible the first two weeks, even if the condition improves significantly.

So, in the postoperative period it is important: to exclude unnecessary gestures and prevent physical exertion (complications and scarring of tissues can be provoked); drink plenty of fluids; refuse fried, smoked and salty foods; carry out antibiotic therapy (at least 10 days); quit smoking and drinking alcohol; Do not miss preventive examinations of a doctor; receive air baths; one and a half months to abandon sexual activity; wear special tight underwear.

As a disease prevention, it is recommended to perform a simple training complex. Exercise will be beneficial if you follow 4 basic rules: the load should begin with a minimum and gradually increase; regularity is important; the body must be in good physical shape; the complex should be carried out exclusively in the morning.

An operation to remove the prostate allows men to get rid of this disease for at least 15 years. Only in rare cases may a second intervention be necessary. In case the operation was unsuccessful, a special prostatic stent is installed to the patient, with the help of which the urethra is expanded mechanically.

At the first appearance of symptoms, consult a urologist, proctologist or surgeon for a timely diagnosis and the selection of effective treatment, or for surgery with further rehabilitation.

Watch the video: Robot-Assisted Simple Prostatectomy for Benign Prostatic Hyperplasia (December 2019).