The removal of the adenoma of the prostate, indications for therapy, methods of execution, and the consequences of the

A Tumor of the prostate benign nature, it stands as a diagnosis of adenoma. This is a man's pathology, is one of the first places among urological diseases of the. Under normal conditions, the volume of the prostate is associated with the chestnut tree. However, this may increase the proliferation of fibro-muscular tissue. One of the reasons for the formation of the adenoma is, the older the age of the patient. In connection with the enlarged prostate reduces the lumen of the ureter. This will lead to difficulty in urinating. If the cells are malignant, then we are talking about cancer of the prostate.

BPH, what is the

Indications for surgery for BPH

The feasibility of a complete or partial removal of the adenoma of the prostate, which is to be determined for each patient individually. The indications for surgery are the following:

  1. The inefficiency of drug therapy. Benign prostatic hyperplasia (BPH), which is an increase of the volume of the prostate gland can be developed regardless of whether appropriate treatment. If, within a period of six months, from the effects of the drugs have not been shown, it is assigned to the excision of the adenoma with surgical procedure.
  2. The accelerated growth of the prostate tissue. This means that the tumour is evolving very rapidly, so in order to stop the process, only the complete removal of hyperplasia of the prostate.
  3. Of the pain. To eliminate the pain in the early stages of the disease the use of antispasmodics and analgesics, and injections of novocaine. If the pathology of the running, the foot can be a symptom of which is preserved after taking the medication.
  4. The age of the patient. Surgical intervention is indicated only in the age group 65-70 years of age. In any case, the health condition of the patient to be treated in isolation.

Methods for the removal of the prostate gland

If indications assigned for the removal of the prostate adenoma of the method of surgical treatment. Today, there are a number of ways to this process. It can be an open or minimally invasive. In the first case, the manipulation is performed through an incision down the belly Section. Due to the large number of contra-indications, and the effects of the deletion, this operation is rarely performed, but this is the case for the classical treatment of the coupled with a transurethral resection. In more complex cases, which require an open prostatectomy is the surgical removal of the prostate gland.

Adenomectomy

The method of surgical treatment of tumors of the prostate has been open Adenomectomy. It is performed under General anesthesia. The doctor will remove the tumor as follows:

  • the area of the surgery and was treated with an antiseptic solution, the hair is removed.
  • the surgeon makes an incision in the skin and subcutaneous tissue;
  • the following is an incision made in the front wall of the bladder, the doctor to the exact examination of the body to the presence of stones;
  • then, the surgeon will remove the tumor itself due to the fact that the index finger enters into the urethra and a small tear in its lining;
  • furthermore, the bladder is to insert a catheter to allow rinsing of the wound with saline.

An open surgery, it is a guarantee of the durable and the permanent removal of the tumor, but the rehabilitation of the patient after a duration of quite a long period of time, even up to 3 months. In addition to this, there is a risk of complications, such as pus and bleeding. The other serious issue is the postponement of the General anesthesia. Also, judging by the reviews, the surgery left scar tissue.

Transurethral resection (TURKEY)

The so-called removal of the tumors without any incisions. Through the urethra are removed a tumor cell. In this case, you can use a local anesthesia. The technique is complex and therefore requires a high qualification of the surgeon. The procedure is carried out as follows:

  • through the urethra resectoscope is introduced;
  • with a special loop tool is to scrape the overgrown epithelium to its removal;
  • then there is the irrigation of the bladder, and the second review of the managed fields.
  • then he introduced a special catheter with a balloon, which is filled with a fluid;
  • a couple of days, without any postoperative complications, the catheter is removed.

After this operation, the prostate gland is restored in about 2 months. In the first few days of the event may occur in the strain to urinate, but at the end of the over. The surgery takes less than an hour, it is a high priority. The priority can be considered, and the absence of scar tissue after tumor removal. In addition, the procedure itself is virtually pain-free.

the removal of the prostate surgery

The removal of the prostate gland using minimally invasive techniques

The traditional methods of treatment of adenoma have a large number of negative effects. To reduce the risk of complications, minimally invasive techniques to help. This is mainly for the laser resection. In modern surgery, the more advanced the techniques are the following:

  • embolization of the arteries of the prostate gland;
  • the laser-vaporization;
  • laser enucleation of adenoma;
  • interstitial laser therapy;
  • needle ablation;
  • laparoscopy;
  • endoscopic resection.

Embolization of the arteries of the prostate gland

The essence of this method lies in the blockage of the blood vessels that supply blood to the prostate gland, which is increased. The procedure is performed under local anesthesia. The surgeon controls their actions through the use of special devices. The task of the physician is to find the end of the blood circulation in the prostate. They have introduced a microcatheter, and, through it, to the intravascular embolus. The advantage is that the patient is being discharged after 6 hours after the procedure.

"Laser" vaporization

All of the methods of treatment is laser vaporization of adenoma is characterized by less complexity. In addition, it is allowed for patients with bleeding disorders. The equipment, which is inserted through the ureter. The laser beam to the cut areas of benign prostate, the blood vessels of the beer". This operation is performed when the size of the tumor in 60-80 CC of the Advantages are the short postoperative period and minimal complications, however, the laser removal takes twice as long as the TOUR.

Enucleation of adenoma

The removal of the prostate gland in this way, the "husking" of prostate tissue by exposure to a laser. After the surgery, you can check for the presence of malignant cells. Its advantages are the following:

  • the possibility of the removal of the tumour, when the growth of the gland 200 g.
  • a short recovery period;
  • the surgery is possible in patients with pacemakers, metal device into the bone or bleeding disorders.

According to the endoscopic enucleation of tumor tissue, is passed into the bladder, crushed the laser and is removed through the catheter, with drainage. The presence of inflammatory processes, or the inability to introduce the catheter into the ureter is a contraindication to surgery. The same is true for the serious General condition of the patient.

Interstitial laser therapy

At the heart of this process is to remove the tumor – the carriage through the hole in the mucous membrane of the bladder or of the prostate the focus of a laser beam. Such introductions take a little bit. The ray of the gland, which is cultivated on all sides, which leads to necrosis. The disadvantage of this method is that, for a period of time the symptoms may even get worse. The reason why the sores, which are deep in the prostate.

adenoma surgery

The needle and the ablation

The atrophy of the glandular tissues that the operation of the heating with high-frequency radio waves. They belong to the prostate via needles that enter the gland. The drawback of the process is its inefficiency to the large size of the tumor. The advantage is that it is an outpatient procedure i.e. the patient can immediately after the removal of the to go home.

Laparoscopic removal of the prostate gland

This technique is indicated when the prostate volume greater than 100 CC are to be carried out through special tubes, which can penetrate through small incisions in the skin. In the interior of the camera, which shows the progress of the procedure on the screen. The removal of the prostate for approximately 2 hours under General anesthesia. At the end of the urethra to insert the catheter. The advantage of this is a small rehabilitation period. In the hospital, the patient will be discharged in 2-4 days. Of the minuses can be noted the small scars from the incisions.

Endoscopic removal of the

This technique also does not require the hole. This will significantly reduce the loss of blood. The iron is reduced to the surgical instruments to be inserted through a tube in the thickness of 1-1,5 cm the Advantage of this procedure is that it does not affect the erectile function as it relates to the conservation of the state of the art. In the absence of stones, inflammation and small adenomas, this operation is more preferable. The advantage of the short period of time to recover.

The effects of the surgery for removal of prostate adenoma

Rehabilitation after the removal of the prostate adenoma can be so smooth. A health problem is there are more and more frequently, in comparison with the treatment of prostatitis. A few days later, the blood in the urine, incontinence or pain when urinating. The last of the side-effects of for a long time. If there has been a delay, you should consult with a specialist. Every patient responds differently to surgery both in terms of the type of surgery you may have a variety of effects to repeat. In this case, you will need to have another surgery.

The possible complications of

Any removal of the prostate gland it is potentially dangerous. Each and every patient is at risk of blood loss and infection. Anesthesia is a serious burden on the cardiovascular system. After the surgery are the complications of this nature:

  • the lack of sperm during sexual intercourse;
  • inflammation of the pelvic organs;
  • urinary incontinence;
  • erectile dysfunction;
  • male infertility.

The intensity of the surgery

Recovery of erectile function occurs after a certain period of time after the operation, but to begin to live a sexual life I do not recommend that you're ahead of the full tissue regeneration. On average, the duration of the period of about a month. This period of time may be increased, depending on the condition and age of the patient. The full restoration of power in some men, the consummation of the sexual act ceases to be assigned to a hero. To cause partial damage to the spermatic. Reproductive function is preserved, however, the production of sperm requires a puncture.

Rehabilitation after surgery of the prostate

rehabilitation

After the surgery, it is important that you follow all of the recommendations of the urologist for a faster recovery. They relate to diet, physical activity and the maintenance of the patient's sexual life. The following guidelines are important to prevent possible complications of the surgery. The early rehabilitation period for the first 5-7 days. At this time, the patient can return to normal urine. In General, the recovery period can be 3 months or more.

The adjustments in life-style

Immediately after the operation, it is necessary to exclude acts of gross negligence, because it may lead to a deterioration of the, causing inflammation of the joint. You can do the following:

  • long time to sit in a chair;
  • take a hot shower or bath;
  • to drink alcohol;
  • self-drive car
  • to lift the weight more than 3 kg.

Within a period of six months after the operation, it is necessary to refrain from sexual activity. The right to work is not recommended, it is better to take it for the first couple of weeks of sick leave. After the removal of the prostate gland, it is recommended that a walk and some time to do so, with the morning light exercises and swimming. After processing, do not smoke cigarettes. The nicotine that is in them, have a negative impact on the market, which can lead to an infection.

Diet

No less an important role in the recovery of the proper diet. From the diet to exclude junk food. It involves a deep fried, salted, smoked, and sweet. You have to refuse from an alcohol. The diet should include the following:

  • of the fruit;
  • vegetables;
  • low fat soups;
  • whole-grains.

Therapeutic physical training and yoga

After the surgical removal of the prostate gland is helpful for all physical activities. It needs to be off the Bike, and training with heavy weights. Better for swimming and gymnastics, with a soft stretch. Doctors recommend to pay attention on the yoga. According to opinions, the benefit of the following exercises:

  1. Lie on the floor, extend the arms along the body. The compression of the dissemination of the perineal muscles for 2 to 3 seconds for 1 minute.
  2. Not that it would change the situation, to bend the arc of the body, to compensate for the hands under the lower back and pelvis, tearing of the gender-based violence. It freezes for a few seconds, to its original position. Repeat 4 to 5 times.
drug therapy

Drug therapy

The treatment does not end after your surgery. If you want to exclude complications, and the patient needs to take more of the medication, the list of which includes:

  1. Level. It is used to remove the infection developed after the surgery. The course of treatment lasting more than 7-10 days.
  2. Painkillers are schedule for the purpose of the relief of aches and pains for 2-3 days after the procedure. The first patient was on strong analgesics and then it goes to the lighter.
07.07.2019