Adenoma of the prostate effects after surgery reviews

Benign prostatic hyperplasia otherwise BPH, is a common disease among the strong half of humanity, has reached the milestone of 50 years. This disease is caused by a spontaneous growth of the prostate and the overlap of the lumen of the urethra. This weakening of the urinary secretion, starts the accumulation in the bladder of pathogenic bacteria that cause a variety of complications.

Transvesically adenomectomy

Benign prostatic hyperplasia: causes, symptoms, clinical picture

The prostate gland is one of the most important internal organs, which is involved in the performance of male reproductive function. With age, this body can be formed in the seal, clumps of matter, tangles of fibers. These tumors called hypertrophy. To date, this pathology can be treated with medication and direct surgical intervention. The most important thing is the timely detection of the disease and start treatment, then we can achieve positive results, even without the intervention of surgeons.

Since the prostate passes the urethra, because of the increased size of the organ, the channel is closed. This causes the main symptom of this disease is the delay of urination. In general, it is noticeable, when at the same time, the urine is allocated less number of impulses increases, and the power at the same time, "wither". We must also make efforts, in order to urination. In this case the patient is not experiencing discomfort. Sexual life, she becomes less active, erection occurs with difficulty and not always.

Among the reasons it is possible to allocate mainly due to genetic predisposition and age. Age is a key factor in men who are over forty years old, adenoma is more common. Do not trust myths about the sexually transmitted disease transferred in the past, can cause tumors. Also it has been irregular sexual life.

Part of the symptoms have already been mentioned, but in addition to the above, is called so:

  • it seems that after urination the bladder is not completely emptied;
  • erectile dysfunction;
  • in the night urination;
  • this process can be interrupted.

Briefly about the kind of interventions

The prostate occurs several surgical ways.

It is worth saying that this is not necessarily a classic deep cut, medicine today offers other less invasive ways to remove excessive growth.

Prostate cancer causes benign tumor, which is located in the tissues of the prostate.

The tumor does not give metastases, and does not penetrate into surrounding organs and tissues, however, the removal of the adenoma shown in some cases.


If earlier the disease was considered a privilege of men after 45-50 years, it is now increasingly recorded cases of the disease beginning at age 25.

The most effective method for the treatment of prostate benign hyperplasia (BPH) — removal of the prostate or minimally-invasive methods. There are several types of surgical procedures to separate them from each other the complexity, the list of complications and the cost of prostate surgery. Choose the best option, you need to study the effects of surgery to remove the prostate and feedback on the different options.

Surgery offers the following surgical treatment of adenoma:

  • open adenomectomy;
  • TUR (transurethral resection);
  • laparoscopiceski methods;
  • minimally invasive intervention (laser and electro-vaporization, laser ablation, microwave thermotherapy, cryosurgery, enucleation, etc.).

The most frequently used method in the ROUND. Longest surgeon practicing abdominal adenomectomy. Are the least traumatic minimally invasive methods, but their use is not always possible. Laser is the most modern and effective method for the treatment of BPH.

Life expectancy prostate cancer grade 3

According to statistics, every second case of prostate cancer in Russia, it is diagnosed in the third stage. Usually men do not even feel the pain and soreness, postpone a visit to the doctor so sensitive the topic and to come, when the cancer has already significantly spread outside the prostate. This stage is characterized by:

  • metastases in the surrounding organs – the intestines, the bladder or seminal bubbles;
  • a significant violation of potency;
  • the presence of blood in the urine and semen;
  • pain in the perineum and lower back.

What are the effects of surgical removal of the prostate in men?

Every surgery has a certain negative result.

Often, after removal of the prostate as a result almost always occurs.

It is decided that the patient later turns to the help of a specialist, as a result, the disease progresses, and the time to diagnosis is still too little.

It should be noted that the occurrence of the consequences depends largely on the skill of the surgeon and choose to receive surgical intervention. It is also important after surgery to play the individual characteristics of the patient and speed the recovery of function.

It is worth noting the most common consequences after removal of the adenoma:

  • incontinence or urinary retention;
  • bleeding or the presence of internal bleeding;
  • the lack of an erection or retrograde ejaculation;
  • the inability to conceive a child;
  • uropa unit;
  • intoxication.

A biopsy of the prostate leads to the appearance of bad consequences.

The reason for the appearance of these unpleasant symptoms can be repeated biopsy. It often happens, that all of the above effects happen in a few days, and do not cause major problems to the patient.

How is surgery for BPH?

After surgery to remove the prostate adenoma treatment, the patient is prescribed painkillers, antibiotics for the prevention of inflammatory processes of urinogenital sphere, diuretic, diet and therapeutic exercises for the pelvic floor.

After surgery, there are small complications:

  • small impurities of the blood and blood clots in the urine for weeks;
  • incontinence, frequent urination, which is gradually taking place of itself;
  • burning sensation during urination usually disappears when the catheter is removed the urethra;
  • during ejaculation possible to translate the reflux of semen into the bladder (it is safe).

The cause of the disease lies in the failure of the hormonal system. It is the level of testosterone is considerably reduced, but estrogen, on the contrary, increase.

Treatment of BPH depends entirely on the extent of its neglect. If the disease was detected for the first or second stage, the estimated sequence of treatment is this:

  • medical treatment;
  • proper hygiene;
  • diet;
  • physiological procedures.
  • radical prostatectomy;
  • transurethral resection;
  • incision.

Usually the early stages of the disease, when the symptoms bother enough and is expressed in least patients prescribed the drug for the treatment of benign prostatic hyperplasia.

But when the disease has reached a level when treatment with medication is not possible, using the method of surgical intervention. This method is more effective than medication, but it has its disadvantages and risks, treatment can be called dangerous.

The most popular version of action BPH:

  1. Transurethral resection of the prostate (TURP).

The Bottom line is that the urethra of the patient use a special device called a resectoscope. During the Intervention the patient is lying down, with legs spread, which bent at the knees. With this device, introduced through the external opening of the urethra, and the surgery is performed.

With the help of this device is to perform the procedure to remove the prostate adenoma. He is able to "scrape off the excess fabric" and carry out "cauterization" of the capillaries which leads to bleeding. The last manipulation will help to avoid internal bleeding.

One of the essential points is the installation of the external urethra of the catheter leading to the bladder. This tube will be removed a week after surgery.

All actions most commonly performed under general anesthesia. Sometimes the use of spinal anesthesia in such cases.

The obvious advantage is that it is not applied to the cut coating to the body tissue, this means that postoperative rehabilitation should be faster and the recovery will be more effective the treatment will not last long. Besides, it does not leave a scar, as well as the flat part was not.


Also shorten the minimum stay of the patient in the hospital after the surgery:

  1. Transvesically adenomectomy.

This type of intervention implies a planar abdominal incision. It is made in the area between the navel and the pubis. During open surgery, the surgeon cut away all the benign tumors with a special knife. And after transurethral resection of the prostate, the urethra and placed a catheter.

The advantages are that the procedure is often much more effective than ROUND. By cons include a longer recovery period and the presence of postoperative observation in the hospital.

What could be the consequences of trans-uterine resection of the prostate (TURP) and Transvesically adenomectomy?

The risk of revealing internal bleeding. The consequences, perhaps the most dangerous. Like after any other intervention, after removal of the adenoma of the prostate, there is always the risk of bleeding. This risk depends on the quality of surgical procedures, as well as coagulation properties of the body, which is the function of blood clotting.

If bleeding occurred during the procedure, can spread to the blood transfusion, which can often be the only way to save the patient's life during serious bleeding to a dangerous loss of blood. Can occur also the risk of clogging of blood vessels clotting clotted blood, which is also a danger of life of the patient after transurethral resection of the prostate (TURP) and Transvesically adenomectomy.

Statistics show that such cases are quite common, especially in older men, who survived the work of the surgeon.

Hydro-intoxication. It is also one of the most popular effects after removal of prostate adenoma and in addition one of the most difficult. Also, the abnormality can be referred to the medical literature of the TUR syndrome. Factor in the development of the syndrome is released into the blood fluid is used to clean the external of the urethra during surgery to remove prostate cancer.

And besides the most modern technology, which is used during the operation of the surgeon, can be used to reduce to zero the probability of such effects.

Urinary retention. Another popular effect is urinary retention after the intervention, and many of the reviews talk about it. In particular, men over 60 years of age. The factors causing this is due most often to obstruction of the urinary tract, blood clotting. Also, it can cause a error by the surgeon during the procedure. Avoid serious health problems, the patient needs to see a doctor with this problem.

1-2 out of 100 cases in men as a result of surgery to remove the tumor in the prostate gland may experience urinary incontinence. Rarely this is permanent, most often it occurs in the event that serious stress (mental or physical alike). In more frequent cases, such a phenomenon is observed in the first few days after surgery.

These problems often are the following:

  • leakage of urine;
  • soreness;
  • difficulties in the process.

Of course, most of these problems pass with time without any additional medical intervention. If you are not, then most likely the surgeon during surgery made a mistake, and you need to go to the hospital to fix the problem.

Infectious diseases. The probability of occurrence of infectious diseases after surgery is always very high. According to some this happens in 20% of cases. They are usually treated in the standard way – with antibiotics.

There is a danger that the inflammation may become chronic, and at times make itself felt.

Happen ejaculation. This problem is perhaps more common. Some statistics say the figure is 99%. Why is this happening? The answer to this question is that the seed, when the orgasm is thrown into the bladder. In the medical literature that an ejaculation is called backward. It doesn't hurt that the male body, but there is a problem with the ability to have children.

Violation of potency. Such complications are understandable, but they occur less than 10% of cases. Of course, this is a potential consequence strikes fear in many patients. However, modern medicine is doing everything possible to nullify this possibility. If the mission is completed and done correctly, you should not be afraid of malfunction power.