The postoperative period after removal of BPH in the hospital and at home.
When BPH comes to an end, in the glans penis introduced a special catheter called Foley, it is connected to the urinal to drain urine from the bladder.
The postoperative period in the hospital
The catheter remains in the bladder for a couple of days, however there are cases where the catheter is to be the reason that the painful spasms of the bladder and repeated after the operation. The reason is that the spasms occurring in the urinary bladder, difficult to treat, but eventually, they will disappear.
While the patient stay in the hospital, he was prescribed a course of antibiotics. Antibiotics can be prescribed before the surgery and after it. This is done through the prevention of development of infections.
According to the results of recent studies suggested that administration of antibiotics is not necessary. To do this, physicians must apply the tactic of waiting, and if no signs of infection, not to prescribe the patient a course of antibiotics.
Sometimes after surgery of BPH, urine may appear blood or blood clots. The reason for this is wound healing.
It should be noted that blood in the urine in small quantities is a normal phenomenon, and it is terminated to the time the patient is discharged from the hospital. To expedite the process, it is recommended to drink plenty of fluids (at least 8 cups a day). This will flushing of the bladder and the healing go faster.
The postoperative period at home
Upon returning home after surgery is recommended to be as careful as possible, at least within a few weeks. And even if the patient will not feel pain, and he was held transuretralna of the operation, the incision will not be noticeable) he remains postoperative wound.
A return to normal life should occur after consultation with the doctor. During the first weeks after the patient discharged from the hospital, it is necessary to avoid any sharp movements and heavy physical exertion. They may damage the surgical wound.
What to do after discharge
- drink as much water as possible;
- try not to strain during a bowel movement;
- balanced diet, to avoid constipation. If they do occur – should consult a doctor who will prescribe a laxative;
- it is not recommended to drive a car and lift heavy things.
The treatment of prostate cancer after surgery
Often men to restore sexual activity is necessary before surgery to discuss with your doctor the surgical procedure. Will not be superfluous and consultation with sex therapist in the recovery period.
Operation helps reduce the severity of the adenoma by about 15 years. And only 10 % of men who surgically treated BPH, go to the hospital for the second operation. Basically, those who transfer operation in his youth.
Men for whom it was not effective surgical techniques used prostatic stents.
Stent called small device that you need through the urethra to enter into the area of narrowing. He expanded the urethra, removing the prostate tissue.
Despite the fact that most patients feel well after discharge, they still need a couple of months for full rehabilitation.
During this period you may experience some problems.
Problems with urination
The patient may notice that urine flow after the operation became stronger. To restore urination need a little time. When urinating possible pain or unable to be urgent desires.
The reason for this lies in the fact that after the crater will be removed, urine begins to flow in the prostate gland, which suffered a surgical wound.
The above problems are diminishing over time and just a couple of months, the patient begins to urinate more easily and less frequently.
Due to the fact that the bladder after surgery begins to return to normal operation, you may encounter some problems that will manifest themselves in the urinary incontinence. According to doctors, the longer lasted incontinence prior to surgery, the longer period will last for restoration of normal functioning of the bladder.
The appearance of blood in the urine
After you have carried out transurethral surgery BPH for a few weeks in the urine may appear blood.
If the bleeding does not stop after copious drinking and relaxing – it can be alarming. If the urine contains large amounts of blood clots and felt discomfort should immediately consult a doctor.
Most men concerned with the question: would the effect of surgery on sexual function. There is no single answer. Some argue that after surgery, sexual function is notsuffering, while others claim that about 30% of cases there is a likelihood of problems.
Fortunately, most doctors say that if the violations in the sexual sphere, and there, then they will wear temporary. Therefore, after some time the majority of men who underwent surgery for the BPH will be able to return to an active sex life.
Recovery time of sexual function may take up to a year. Then again, it all depends on how long the patient treated in the hospital, and what type of surgery was applied.
If the patient before surgery did not suffer from impotence, and after surgery in prostate patient will have an erection. But if this function has been lost before surgery, then surgery is the function will not restore.
However, the majority of men who retain the ability to have an erection after surgery complications have retrograde ejaculation, which causes sterility.
This is due to the fact that before the operation the sperm from the ovary was received into the urethra, which is located around the opening of the bladder.
During normal operation, the muscle begins to block the process of ingress of semen into the bladder, which leads to the fact that she exited through the penis. But due to the fact that during the operation the neck of the bladder needs to expand – this muscle must be removed.
Accordingly, after the operation done, sperm, choosing the least path of resistance, immediately gets into the bladder. She then safely leave the male body through urine.
There are cases when retrograde ejaculation can be cured with medications, the purpose of which is to increase muscle tone in the bladder neck, thus preventing that semen into the bladder. While most men do not feel the difference in orgasm before the surgery and after the conference. However, need some time to get used to retrograde ejaculation.
The relationship of the adenoma and prostate cancer
It should be noted that currently there is no apparent relationship between prostate cancer and BPH.
Despite the fact that these diseases have similar symptoms, there is no direct relationship between the increase in the probability that the patient with BPH will develop prostate cancer.
However, there is a probability that the patient BPH simultaneously exist undetected prostate cancer, there is also the possibility of athe future of prostate cancer. For this reason, doctors recommend that all men, whose age has reached 40 years of age to attend the urologist and to pass examination, which will allow for the early detection of prostate cancer.