The sequelae of prostatectomy

When men have very serious prostate diseases, they can only take surgical treatment to remove the prostate. This will prevent recurrence in their future life or affect other organs and tissues. However, after the removal, it will definitely leave some sequelae to their body, and they may even feel that they often have difficulty urinating, or frequent urination.

The hyperplastic prostate causes obstruction of the bladder neck. In order to overcome the resistance of the neck, the bladder strengthens its contraction, causing compensatory hypertrophy of the detrusor muscle to form trabecular protrusions. As the pressure in the bladder cavity increases, the bladder mucosa may bulge outward from the weak points between the muscle bundles, forming a diverticulum and obstruction of the bladder neck. As the condition continues to worsen, urine will remain in the bladder to varying degrees. As the amount of residual urine increases, the bladder wall gradually becomes thinner, causing the physiological valve formed by the lower end of the ureter obliquely passing through the muscle layer of the bladder wall to become ineffective. The urine in the bladder will flow back into the ureters and renal pelvis, causing hydrops in the upper urinary tract on both sides, increased pressure in the renal pelvis, ischemic atrophy of the renal parenchyma, and renal dysfunction, eventually leading to uremia.

diagnosis

Key points for diagnosis of prostatic hyperplasia

1. More common in elderly men over 50 years old. Early symptoms include frequent urination, increased nocturia, difficulty urinating, and weak urine stream. In the late stage, there may be severe urinary frequency, urgency, difficulty in urination, or even total inability to urinate, a bloated lower abdomen, and a full bladder that can be felt.

2. Rectal examination: The prostate is enlarged, hard in texture, smooth in surface, and the central groove disappears.

3. Type B ultrasound examination can show prostate hyperplasia. Cystoscopy, excretory urography, etc. are helpful in diagnosing this disease.

4. This disease should be differentiated from gonorrhea, urethral obstruction, urethral stenosis, prostate cancer, prostatic sarcoma, prostate stones, and neurogenic bladder dysfunction.

1. Drink more water. Drink 2 to 2.5 liters of water every day, which will cause more urination. The highly concentrated urine will stimulate the prostate. Long-term adverse stimulation is harmful to the prostate. Drinking more water can not only dilute the blood, but also effectively dilute the concentration of urine.

2. Don’t hold your urine. Once your bladder is full and you feel the urge to urinate, you should urinate. Holding urine is bad for your bladder and prostate. Before taking a long-distance bus, you should empty your bladder first. If you have to urinate urgently during the journey, you should tell the driver and get off the bus to urinate. Never hold your urine.

3. Moderate sex life. To prevent prostate hypertrophy, you need to start paying attention to it from young adulthood. The key is to have a moderate sexual life, neither indulging nor abstaining. Frequent sexual intercourse will cause the prostate to be in a state of congestion for a long time, causing prostate enlargement. Therefore, it is especially important to pay attention to moderate sexual life during young people when sexual desire is relatively strong, avoid repeated congestion of the prostate, and give the prostate sufficient time to recover and repair. Of course, excessive abstinence can cause bloating and discomfort, which is also bad for the prostate.