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Prostate Removal: Implications for Male Health, Rehabilitation Period

What is the prostate in men? The prostate gland, or prostate, is a very vulnerable part of the male body. Several diseases threaten her at once. It is used to get rid of this menacing health ailment of medicamentous and surgical treatment. And the choice depends on the manifestation of the disease.

An operative method removes the prostate gland. Adenoma and cancer are indications for surgical intervention.

Consider in this article a procedure such as removal of the prostate. The consequences will also be described.

What are the diseases of the prostate?

The obsolete name of hyperplasia is prostatic adenoma. The nature of this disease is benign. In this case, nodules are formed, which grow with time. Adenoma, or hyperplasia, refers to the most common diseases. The average age of men exposed to ailment is 45-50 years.

But it is important to understand that a benign character does not mean that it will not turn into a malignant entity. Adenoma of the prostate is very easily diagnosed. To do this, it is sufficient to pass an analysis to determine the prostatic specific antigen (PSA), which produces cells of glandular tissue.

And if it's an oncology?

Of course, the likelihood of oncology is also present. The prostatic specific antigen found during the study may also indicate cancer. Then, it may be necessary to partially or completely remove the prostate. The consequences for men's health will be discussed later.

If there is an oncology, then simply an operative intervention will not be enough. Most likely, it will be necessary to carry out therapy, which can destroy the cancer cells in the body. Selection of methods of treatment strongly depends on at what stage the disease is. Often, the prostate is removed (completely or partially), and after this surgical intervention appoint:

  • Radiation therapy;
  • Chemotherapy;
  • Hormonal therapy.

Operative intervention: species

If necessary, remove the prostate. The consequences of this can be serious. We'll talk about this later.

There are several types of surgical intervention. The most common include:

  1. Incision. First penetrate into the urethra, then vertically cut the glandular tissue, after which it is possible to expand the lumen.
  2. Transurethral resection of the prostate. Through the urethra, a special instrument is introduced, through which the excision of the glandular tissue is performed.
  3. Radical prostatectomy. It is the main method of treatment for the removal of not only the glandular tissue. In addition, the capsule, seminal vesicles, iliac lymph nodes are removed (this is determined by the doctor).

Surgery to remove the prostate

The indication for a surgical operation is the presence of a tumor, but without a metastasis spread throughout the body. If the case is badly launched, then only palliative care is used (this is maintenance therapy aimed at prolonging the life of the patient).

Contraindications

General anesthesia is required to perform the intervention. To avoid complications, contraindications should be taken into account:

  • Old age, which comes in 70 years;
  • Presence of cardiovascular diseases;
  • The presence of acute inflammatory (infectious) diseases.

Possible complications

Even if the complete (with oncology) or partial (with adenoma) passed at the highest level removal of the prostate, the consequences are not excluded. It is not always possible to avoid the occurrence of the following complications:

  1. Sclerosis of the neck of the bladder.
  2. Presence of PSA in the blood. In prostate cancer, PSA in the blood of a man steadily rises, so it is considered a primary diagnosis when contacting a medical institution.
  3. General complications in the postoperative period: inflammation, weakness, suppuration.
  4. Urine retention. It occurs quite often. To the delay of urine can result in anything, for example, blood clots left after the operation, or physiological changes in the canal. It is clear that such a consequence is not safe for a man. This can lead to swelling, kidney failure of an acute nature, inflammation of the bladder or kidneys, secretion of blood into the urine. If there is a prostate removal, the consequences for the body are quite unpleasant.
  5. Leakage, incontinence. In 10-12% of patients after the intervention, urine may leak involuntarily or be incontinence. Sometimes the cause of the complication is that the glandular tissue has not completely disappeared. To treat incontinence in this case is meaningless, it will take a second operation. In the presence of urinary incontinence after surgery, you should immediately see a doctor.
  6. Inflammatory process. The cause of the infection is caused by an individual reaction of the organism. The main sign of inflammation will be pain, fever, chills, bad breath and purulent discharge. It is required to apply to the hospital as soon as possible to prescribe treatment.
  7. Pain syndrome. About a week, a maximum of 10 days after the operation, a person will normally feel pain. If the timing is out, and the pain still persists, you should also visit the attending physician and begin treatment after removal of the prostate.
  8. Absence of sperm or presence of retrograde ejaculation (full / partial). This consequence is most common. The semen is thrown into the bladder. If you pass the urine to an analysis, it can be found.
  9. In addition, there is a major and undesirable consequence after the removal of the prostate, which all men are afraid of - a violation of potency. But it is not necessary to panic, it happens rarely and only at later stages of oncology, the main thing here is to save a person's life. Exceptions also occur, but with all the recommendations of the doctor and with a proper preparatory process for the operation, the risk can be reduced. It is important not to detect PSA in the study of blood after the removal of the prostate.

The consequences for men's health may be different.

Additional consequences

The consequences can be as follows:

  1. Various allergic reactions (rash, redness, burning, swelling, anaphylactic shock).
  2. Sepsis.
  3. Doubts in the complete excision of the tumor.

Severe loss of blood is also possible with removal of the prostate. This is not a very frequent occurrence, but this kind of complication can occur. To remedy the situation, blood transfusion is required.

There is a possibility of water intoxication during transurethral resection. The reason for this is irrigation of the urethra during surgery with an antiseptic solution.

What if complications develop?

If any negative reaction of the body occurs, this should not be considered a norm, but a doctor should be contacted immediately. It is important to understand that even with oncology after the removal of a tumor, a man has a chance to lead a full life for at least 10 years. But if the stage of cancer is later, then complications can not be avoided. Especially when finding PSA in blood tests or available metastases. Then the preservation of the physiological functions of men is unlikely to be discussed. When the last stage of cancer, and metastases have already sprouted into the human lymphatic system, the task will be to prolong the life of the patient.

What measures are taken to recover from surgery?

Many worry the most about maintaining the opportunity to have sex after surgery, because they do not know to the end what prostate is in men.

What can completely restore the potency?

There are several reasons:

  1. From the age of the patient. The older he is, the less chance of restoring sexual function. In addition to age, the general condition of the organism plays an important role. The production of testosterone is gradually reduced, which causes sexual disorders and decreased potency. Erection after removal of the prostate is not so good, sometimes completely disappears.
  2. From the state of the blood vessels of the genital organ. Erection can occur without a prostate gland, provided that the blood flow and the integrity of the vessels are maintained. But even if there has been a vascular disturbance, now there are many methods that will ensure the filling of the body with blood, that is, an erection occurs virtually without sexual desire. For this, there are special pills and injections.
  3. Male hormones can not be fully developed because of prostate cancer. This leads to a deterioration in the overall well-being of a man.

Normal is the fact that immediately after the operation, the sexual function does not work. At an early stage of cancer, you can restore your health and sexual functions in a year or two after the operation. During this period the body will be completely renewed, the hormonal background will be adjusted, other important processes will be restored in full. For this, the prostate is not needed. In men, surgery should not cause panic.

Conclusion

If you have an erection before the removal of the prostate, it will continue after it. The main thing is to ensure proper rehabilitation, then potency can not only be restored, but also improved. It is important to understand that the removal of the prostate (the consequences we examined in detail) is not a sentence for a man! We must live on!

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